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2017 ; 19
(6
): 460-470
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Trabectedin and Campthotecin Synergistically Eliminate Cancer Stem Cells in
Cell-of-Origin Sarcoma Models
#MMPMID28494349
Martinez-Cruzado L
; Tornin J
; Rodriguez A
; Santos L
; Allonca E
; Fernandez-Garcia MT
; Astudillo A
; Garcia-Pedrero JM
; Rodriguez R
Neoplasia
2017[Jun]; 19
(6
): 460-470
PMID28494349
show ga
Trabectedin has been approved for second-line treatment of soft tissue sarcomas.
However, its efficacy to target sarcoma initiating cells has not been addressed
yet. Here, we used pioneer models of myxoid/round cell liposarcoma (MRCLS) and
undifferentiated pleomorphic sarcoma (UPS) developed from transformed human
mesenchymal stromal/stem cells (MSCs) to evaluate the effect of trabectedin in
the cell type responsible for initiating sarcomagenesis and their derived cancer
stem cells (CSC) subpopulations. We found that low nanomolar concentrations of
trabectedin efficiently inhibited the growth of sarcoma-initiating cells, induced
cell cycle arrest, DNA damage and apoptosis. Interestingly, trabectedin treatment
repressed the expression of multiple genes responsible for the development of the
CSC phenotype, including pluripotency factors, CSC markers and related signaling
pathways. Accordingly, trabectedin induced apoptosis and reduced the survival of
CSC-enriched tumorsphere cultures with the same efficiency that inhibits the
growth of bulk tumor population. In vivo, trabectedin significantly reduced the
mitotic index of MRCLS xenografts and inhibited tumor growth at a similar extent
to that observed in doxorubicin-treated tumors. Combination of trabectedin with
campthotecin (CPT), a chemotherapeutic drug that shows a robust anti-tumor
activity when combined with alkylating agents, resulted in a very strong
synergistic inhibition of tumor cell growth and highly increased DNA damage and
apoptosis induction. Importantly, the enhanced anti-tumor activity of this
combination was also observed in CSC subpopulations. These data suggest that
trabectedin and CPT combination may constitute a novel strategy to effectively
target both the cell-of-origin and CSC subpopulations in sarcoma.
|Animals
[MESH]
|Antineoplastic Combined Chemotherapy Protocols/*therapeutic use
[MESH]