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Brief report: RRx-001 is a c-Myc inhibitor that targets cancer stem cells
Bryan Oronsky1, Tony R Reid2, Arnold Oronsky3
1EpicentRx Inc, San Diego, CA 92121, USA.
Abstract:
The goal of anticancer therapy is to selectively eradicate all malignant cells. Unfortunately for the majority of patients with metastatic disease, this goal is consistently thwarted by the nearly inevitable development of therapeutic resistance; the main driver of therapeutic resistance is a minority subpopulation of cancer cells called cancer stem cells (CSCs) whose mitotic quiescence essentially renders them non-eradicable. The Wnt signaling pathway has been widely implicated as a regulator of CSCs and, therefore, its inhibition is thought to result in a reversal of therapeutic resistance via loss of stem cell properties. RRx-001 is a minimally toxic redox-active epi-immunotherapeutic anticancer agent in Phase III clinical trials that sensitizes tumors to radiation and cytotoxic chemotherapies. In this article, as a potential mechanism for its radio- and chemosensitizing activity, we report that RRx-001 targets CD133 /CD44 cancer stem cells from three colon cancer cell-lines, HT-29, Caco-2, and HCT116, and inhibits Wnt pathway signalling with downregulation of c-Myc.
Insights
Anticancer therapy faces resistance from cancer stem cells (CSCs). RRx-001 targets these CSCs, inhibiting Wnt signaling and potentially overcoming resistance in colon cancer.
Area of Science:
- Oncology
- Cancer Stem Cell Biology
- Molecular Signaling
Background:
- Therapeutic resistance in metastatic cancer is a major challenge, driven by cancer stem cells (CSCs).
- CSCs are quiescent and difficult to eradicate, contributing to treatment failure.
- The Wnt signaling pathway is crucial for CSC regulation and represents a therapeutic target.
Purpose of the Study:
- To investigate the mechanism by which RRx-001, an anticancer agent, overcomes therapeutic resistance.
- To determine if RRx-001 targets cancer stem cells (CSCs) and affects Wnt pathway signaling.
- To evaluate RRx-001's effect on CD133+/CD44+ CSCs in colon cancer cell lines.
Main Methods:
- Treatment of HT-29, Caco-2, and HCT116 colon cancer cell lines with RRx-001.
- Analysis of RRx-001's effect on CD133 and CD44 expression in CSCs.
- Assessment of Wnt pathway signaling inhibition and c-Myc downregulation.
Main Results:
- RRx-001 effectively targets CD133+/CD44+ cancer stem cells (CSCs) in HT-29, Caco-2, and HCT116 cells.
- RRx-001 treatment led to significant inhibition of Wnt pathway signaling.
- Downregulation of c-Myc was observed following RRx-001 administration.
Conclusions:
- RRx-001 demonstrates a mechanism for overcoming therapeutic resistance by targeting CSCs.
- Inhibition of Wnt signaling and c-Myc downregulation are key effects of RRx-001 in CSCs.
- These findings support RRx-001's potential as a radio- and chemosensitizing agent in cancer therapy.
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