Blocking NOTCH pathway can enhance the effect of EGFR inhibitor through targeting CD133+ endometrial cancer cells

Chao Shang1, Bin Lang2, Li-Rong Meng2

  • 1a Department of Neurobiology , China Medical University , Shenyang , P. R. China.

Cancer Biology & Therapy
|October 30, 2016
PubMed

Insights

Targeting NOTCH pathway in CD133+ cancer stem cells enhances EGFR inhibition efficacy for endometrial cancer treatment. This combination therapy overcomes drug resistance, offering a novel strategy for this disease.

Area of Science:

  • Gynecologic Oncology
  • Cancer Stem Cell Biology
  • Molecular Therapeutics

Background:

  • Endometrial cancer drug resistance is a major challenge, often linked to cancer stem cells (CSCs).
  • CD133-positive cells are identified as CSCs in endometrial cancer, with the NOTCH pathway crucial for their self-renewal and chemoresistance.
  • Existing therapies targeting biomarkers like EGFR show promise but are limited by CSC-mediated resistance.

Purpose of the Study:

  • To develop a therapeutic strategy combining NOTCH pathway inhibition with EGFR inhibition to overcome drug resistance in endometrial cancer.
  • To investigate the role of CD133+ cells and NOTCH pathway activation in endometrial cancer stemness and chemoresistance.

Main Methods:

  • Isolation and characterization of CD133+ and CD133- cells from Ishikawa endometrial cancer cell line.
  • Assessment of NOTCH pathway activation, proliferation, and apoptosis rates in CD133+ versus CD133- cells.
  • Nude mouse xenograft experiments to evaluate tumor-initiating capacity.
  • In vitro combination therapy studies using NOTCH inhibitor (DAPT) and EGFR inhibitor (AG1478) on endometrial cancer cell lines.

Main Results:

  • CD133+ cells exhibited higher proliferation and lower apoptosis rates, confirming their CSC properties.
  • CD133+ cells demonstrated superior tumor-initiating capacity in vivo.
  • Combination therapy with DAPT and AG1478 showed improved efficacy compared to monotherapies in endometrial cancer cell lines.

Conclusions:

  • NOTCH pathway activation is critical for maintaining CD133+ cancer stem cells in endometrial cancer.
  • Targeting the NOTCH pathway in CD133+ cells, in conjunction with EGFR inhibition, represents a promising therapeutic strategy.
  • This combined approach offers a novel avenue for overcoming drug resistance and improving treatment outcomes in endometrial cancer.

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