Anlotinib exerts anti-cancer efficiency on lung cancer stem cells in vitro and in vivo through reducing NF-κB
Zhuohong Li1, Juncai Tian2,3, Lei Du1
1Department of Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Abstract:
Anlotinib is a multi-target tyrosine kinase inhibitor. Previous studies confirmed that anlotinib exerts anti-cancer efficiency. However, the functional roles of anlotinib on cancer stem cells (CSCs) are yet to be elucidated. In this study, lung CSCs were isolated and identified in vitro, and mouse xenografts were established in vivo. MTT assays, tumour sphere formation assays, TdT-mediated dUTP nick-end labelling (TUNEL) staining, Annexin V-FITC/PI staining, immunofluorescence analysis and Western blot were performed to investigate the anti-cancer effects of anlotinib on lung CSCs. The results showed that anlotinib inhibits the growth of lung CSCs in vitro and in vivo. In addition, anlotinib induced apoptosis of these cells along with down-regulated expression level of Bcl-2 whereas up-regulated Bax and cleaved caspase-3 expression. It also sensitized lung CSCs to the cytotoxicity of cisplatin and paclitaxel; the tumour sphere formation and expression levels of multiple stemness-associated markers, such as ALDH1 and CD133, were also decreased. Furthermore, the underlying mechanism indicated that anlotinib reduces the phosphorylated levels of NF-κB p65 and IκB-α in lung CSCs. Taken together, these findings suggested that anlotinib exerts potent anti-cancer effects against lung CSCs through apoptotic induction and stemness phenotypic attenuation. The mechanism could be associated with the suppression of NF-κB activity.
Insights
Anlotinib effectively inhibits lung cancer stem cells (CSCs) by inducing apoptosis and reducing stemness. This multi-target tyrosine kinase inhibitor shows promise in targeting CSCs, a key factor in cancer recurrence.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Stem Cell Research
Background:
- Anlotinib is a known anti-cancer agent, but its effects on cancer stem cells (CSCs) remain unclear.
- Lung CSCs play a critical role in tumor growth and treatment resistance.
Purpose of the Study:
- To investigate the anti-cancer effects of anlotinib on lung CSCs in vitro and in vivo.
- To elucidate the underlying mechanisms of anlotinib's action on lung CSCs.
Main Methods:
- Isolation and identification of lung CSCs.
- In vitro and in vivo experiments including MTT assays, tumor sphere formation assays, TUNEL staining, Annexin V-FITC/PI staining, immunofluorescence, and Western blot.
- Analysis of apoptosis-related proteins (Bcl-2, Bax, cleaved caspase-3) and stemness markers (ALDH1, CD133).
- Investigation of the NF-κB signaling pathway.
Main Results:
- Anlotinib significantly inhibited the growth of lung CSCs both in vitro and in vivo.
- Anlotinib induced apoptosis in lung CSCs by down-regulating Bcl-2 and up-regulating Bax and cleaved caspase-3.
- Anlotinib decreased tumor sphere formation and expression of stemness markers (ALDH1, CD133), and sensitized CSCs to chemotherapy.
- Anlotinib suppressed the phosphorylation of NF-κB p65 and IκB-α, indicating inhibition of NF-κB activity.
Conclusions:
- Anlotinib exhibits potent anti-cancer effects against lung CSCs.
- Anlotinib acts by inducing apoptosis and attenuating stemness phenotypes.
- The mechanism involves the suppression of NF-κB signaling pathway activity.
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