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2015 ; 6
(21
): 18518-33
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Chronic chemotherapeutic stress promotes evolution of stemness and
WNT/beta-catenin signaling in colorectal cancer cells: implications for clinical
use of WNT-signaling inhibitors
#MMPMID26041882
Ayadi M
; Bouygues A
; Ouaret D
; Ferrand N
; Chouaib S
; Thiery JP
; Muchardt C
; Sabbah M
; Larsen AK
Oncotarget
2015[Jul]; 6
(21
): 18518-33
PMID26041882
show ga
Most solid tumors contain a subfraction of cells with stem/progenitor cell
features. Stem cells are naturally chemoresistant suggesting that chronic
chemotherapeutic stress may select for cells with increased "stemness". We
carried out a comprehensive molecular and functional analysis of six
independently selected colorectal cancer (CRC) cell lines with acquired
resistance to three different chemotherapeutic agents derived from two distinct
parental cell lines. Chronic drug exposure resulted in complex alterations of
stem cell markers that could be classified into three categories: 1) one cell
line, HT-29/5-FU, showed increased "stemness" and WNT-signaling, 2) three cell
lines showed decreased expression of stem cell markers, decreased aldehyde
dehydrogenase activity, attenuated WNT-signaling and lost the capacity to form
colonospheres and 3) two cell lines displayed prominent expression of ABC
transporters with a heterogeneous response for stem cell markers. While
WNT-signaling could be attenuated in the HT-29/5-FU cells by the WNT-signaling
inhibitors ICG-001 and PKF-118, this was not accompanied by any selective growth
inhibitory effect suggesting that the cytotoxic activity of these compounds is
not directly linked to WNT-signaling inhibition. We conclude that classical
WNT-signaling inhibitors have toxic off-target activities that need to be
addressed for clinical development.