Sorafenib is the FDA-approved first-line target drug for HCC patients. However, sorafenib only confers 3-5 months of survival benefit with <30% of HCC patients. Thus, it is necessary to develop a sensitizer for hepatocellular carcinoma (HCC) to sorafenib. Here, we report that in representative HCC cell lines (SMMC-7721 and PLC8024) that are insensitive to sorafenib, 3-HAA (50<mu>M) significantly enhances cell sensitivity to sorafenib to an extent that could not be explained by additive effects. In nude mice carrying HCC xenograft, tumor growth is inhibited by sorafenib (10mg/kg/day) or 3-HAA (100mg/kg/day) alone. When used in combination, the treatment effectively prevents the xenograft from growing. In a set of mechanistic experiments, we find enhanced AKT activation and increased proportion of CD44(+)CD133(+) cells in sorafenib-resistant HCC cells and tissues. The proportion of CD44(+)CD133(+) cells is reduced upon 3-HAA treatment in both cultured cells and mouse xenografts, suggesting that 3-HAA could decrease the stemness of HCC. We also detect decreased phosphorylation of AKT, a regulator of the GSK3 beta/beta -catenin signaling upon 3-HAA treatment. The AKT activator SC79 activates GSK3 beta/beta -catenin signaling while the Wnt inhibitor XAV-939 abolishes 3-HAA inhibition of HCC growth in vitro and in mice. The current study demonstrates that 3-HAA sensitizes HCC cells to sorafenib by reducing tumor stemness, suggesting it is a promising molecule for HCC therapy.
基金:
Ministry of Science and Technology of ChinaMinistry of Science and Technology, China [2018YFC1313205]; Shanghai Committee of Science and TechnologyShanghai Science & Technology Committee [11DZ2260200]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81572300, 81872342]
第一作者机构:[1]Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Sch Med, Dept Clin Labs, Shanghai 200011, Peoples R China[2]Shanghai Jiao Tong Univ, Tongren Hosp, Sch Med,Key Lab Cell Differentiation & Apoptosis, Basic Med Inst,Chinese Minist Educ,Hongqiao Int I, Shanghai 200025, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[2]Shanghai Jiao Tong Univ, Tongren Hosp, Sch Med,Key Lab Cell Differentiation & Apoptosis, Basic Med Inst,Chinese Minist Educ,Hongqiao Int I, Shanghai 200025, Peoples R China[5]Shanghai Jiao Tong Univ, Rui Jin Hosp, Sch Med, Dept Nucl Med, Shanghai 200025, Peoples R China
推荐引用方式(GB/T 7714):
Gan Guifang,Shi Zhaopeng,Liu Dan,et al.3-hydroxyanthranic acid increases the sensitivity of hepatocellular carcinoma to sorafenib by decreasing tumor cell stemness[J].CELL DEATH DISCOVERY.2021,7(1):doi:10.1038/s41420-021-00561-6.
APA:
Gan, Guifang,Shi, Zhaopeng,Liu, Dan,Zhang, Shaoyi,Zhu, Hui...&Mi, Jun.(2021).3-hydroxyanthranic acid increases the sensitivity of hepatocellular carcinoma to sorafenib by decreasing tumor cell stemness.CELL DEATH DISCOVERY,7,(1)
MLA:
Gan, Guifang,et al."3-hydroxyanthranic acid increases the sensitivity of hepatocellular carcinoma to sorafenib by decreasing tumor cell stemness".CELL DEATH DISCOVERY 7..1(2021)