Abstract

Objectives Recent progress in malignant tumors has revealed cancer stem cells (CSC) can be the key contributors in tumor ignition, progression, and chemoradiotherapy recurrence. CD133 is a prognostic marker of survival in squamous cell carcinoma (SCC) including OSCC. CD133 can physically associate as a ternary complex with HDAC6 and the central molecule of the canonical Wnt signaling pathway, β-catenin. This association stabilizes β-catenin and leads to activation of β-catenin signaling targets in colon and ovarian cancer cell lines. Therefore, given that CD133 marks progenitor cells and strongly related with β-catenin activation, targeting β-catenin may be a means to treat multiple cancer types in CD133+ CSC-like cells. In this study, we confirmed that b-catenin was also overexpressed in KBCD133+ cells which acquired CSC-like characteristics than KB cells. Therefore we hypothesized a natural extract capable of inhibiting the activity of β-catenin can effectively inhibit the cancer progression of OSCC which acquired CSC-like characteristics. Findings We measured β-catenin activity of 54 plant extracts to select new candidates with β-catenin inhibitory effect. We have found 5 candidates showed significant inhibited β-catenin activities and Raphanus sativus L. seed (RSLS) extracts effectively induces cell apoptosis in KB as well as KBCD133+ cells. We also investigated that RSLS has strong inhibit nuclear localization of β-catenin, EMT via Axin/GSK-3β/β-catenin pathway. Conclusions We propose that RSLS can be used as a new alternative chemotherapeutic for the treatment of intractable recurrent oral cancer.

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