[Hepatocellular Carcinoma Cells with Downregulated ZEB2 Become Resistant to Resveratrol by Concomitant Induction of

P Balcik-Ercin1, M Cetin1, I Yalim-Camci1

  • 1Department of Molecular Biology and Genetics, Laboratory of Molecular Oncology, Gebze Technical University, Gebze, Kocaeli, 41400 Turkey.

Insights

Cancer stem cells (CSCs) in hepatocellular carcinoma (HCC) are linked to treatment resistance. This study found ZEB2 and ABCG2 expression interplay in HCC-CSCs, with resveratrol impacting CSC behavior and potentially overcoming resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Cancer stem cells (CSCs) drive hepatocellular carcinoma (HCC) progression, contributing to drug resistance, epithelial-mesenchymal transition (EMT), and relapse.
  • ZEB1 and ZEB2 are key EMT transcription factors implicated in CSC phenotypes.
  • ABCG2 is a transporter protein often overexpressed in CSCs, conferring multidrug resistance.

Purpose of the Study:

  • To investigate the expression profiles of ZEB1, ZEB2, and ABCG2 in HCC-CSCs.
  • To explore the role of the EMT promoter ZEB2 in HCC-CSCs treated with resveratrol.
  • To elucidate the relationship between ZEB family transcription factors, ABCG2, and resveratrol's effects on HCC-CSCs.

Main Methods:

  • Isolation and characterization of CD133+/CD44+ HCC-CSCs from the PLC/PRF/5 cell line.
  • Analysis of ZEB1, ZEB2, and ABCG2 transcript expression.
  • ZEB2 knockdown experiments in SNU398 cell clones.
  • Treatment of HCC cells with resveratrol and assessment of proliferation, cell cycle, and apoptosis.

Main Results:

  • An inverse correlation was observed between ZEB1/ZEB2 and ABCG2 levels in HCC-CSCs and ZEB2-knockdown cells.
  • Resveratrol treatment significantly reduced cell viability and induced cell cycle arrest in a ZEB2-independent manner.
  • Resveratrol-treated cells with low ZEB2 levels exhibited resistance to apoptosis.

Conclusions:

  • The interplay between ABCG2 expression and ZEB family EMT transcription factors may establish CSC-like phenotypes in HCC cells.
  • These findings suggest a potential mechanism for resveratrol resistance in HCC, highlighting the role of ZEB2 and ABCG2.
  • Targeting ZEB factors and ABCG2 could be a therapeutic strategy to overcome CSC-mediated resistance in HCC.