[Reversal of stemness in multidrug-resistant hepatocellular carcinoma cells by SIS3]

Wei Yan1, Ting Wen1, Suqiong Lin1

  • 1Department of General Surgery, Zhongshan Hospital, Xiamen University, Xiamen 361004, China.

Abstract

Insights

SIS3, a Smad3 inhibitor, reverses stemness in multidrug-resistant hepatocellular carcinoma (HCC) cells. This finding offers potential new therapeutic strategies for treating drug-resistant HCC by targeting cancer stem cell properties.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Stem Cell Research

Background:

  • Hepatocellular carcinoma (HCC) often develops multidrug resistance (MDR).
  • Cancer stem cells (CSCs) contribute to MDR and tumor recurrence in HCC.
  • The Smad3 signaling pathway plays a role in cancer progression.

Purpose of the Study:

  • To investigate if SIS3, a Smad3 phosphorylation inhibitor, can reverse the stemness of MDR HCC cells.
  • To evaluate the impact of Smad3 inhibition on CSC markers and tumorigenicity.

Main Methods:

  • Developed multidrug-resistant HCC cell lines (Huh7.5.1/ADM) using Adriamycin (ADM).
  • Assessed drug sensitivity (CCK-8 assay), CSC marker expression (CD133 via flow cytometry), and tumorigenicity (in vitro colony formation, in vivo xenografts).
  • Analyzed protein expression changes (Western blotting) including CD133, Smad3, Bcl-2, Bax, and p-Smad3.

Main Results:

  • Huh7.5.1/ADM cells exhibited stable MDR, increased CD133+ subpopulations (76.06% vs. 25.38%), enhanced tumorigenicity, and activated Smad3.
  • SIS3 treatment significantly decreased the CD133+ subpopulation (48.49% vs. 76.06%) in Huh7.5.1/ADM cells.
  • SIS3 also reduced MDR (e.g., ADM IC50 decreased from 0.215 to 0.112 µg/ml) and inhibited tumor formation and colony formation ability.

Conclusions:

  • SIS3 effectively reverses stemness and multidrug resistance in HCC cells by inhibiting the Smad3 signaling pathway.
  • Targeting Smad3 with inhibitors like SIS3 presents a promising therapeutic approach for overcoming MDR in hepatocellular carcinoma.