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Updated: Sep 3, 2025

Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
A Novel ALDH1A1 Inhibitor Blocks Platinum-Induced Senescence and Stemness in Ovarian Cancer
Vaishnavi Muralikrishnan1, Fang Fang2, Tyler C Given1
1Cell, Molecular and Cancer Biology Graduate Program, Medical Sciences Department, Indiana University School of Medicine, Bloomington, IN 47405, USA.
Abstract:
Ovarian cancer is a deadly disease attributed to late-stage detection as well as recurrence and the development of chemoresistance. Ovarian cancer stem cells (OCSCs) are hypothesized to be largely responsible for the emergence of chemoresistant tumors. Although chemotherapy may initially succeed at decreasing the size and number of tumors, it leaves behind residual malignant OCSCs. In this study, we demonstrate that aldehyde dehydrogenase 1A1 (ALDH1A1) is essential for the survival of OCSCs. We identified a first-in-class ALDH1A1 inhibitor, compound 974, and used 974 as a tool to decipher the mechanism of stemness regulation by ALDH1A1. The treatment of OCSCs with 974 significantly inhibited ALDH activity, the expression of stemness genes, and spheroid and colony formation. An in vivo limiting dilution assay demonstrated that 974 significantly inhibited CSC frequency. A transcriptomic sequencing of cells treated with 974 revealed a significant downregulation of genes related to stemness and chemoresistance as well as senescence and the senescence-associated secretory phenotype (SASP). We confirmed that 974 inhibited the senescence and stemness induced by platinum-based chemotherapy in functional assays. Overall, these data establish that ALDH1A1 is essential for OCSC survival and that ALDH1A1 inhibition suppresses chemotherapy-induced senescence and stemness. Targeting ALDH1A1 using small-molecule inhibitors in combination with chemotherapy therefore presents a promising strategy to prevent ovarian cancer recurrence and has the potential for clinical translation.
Insights
Aldehyde dehydrogenase 1A1 (ALDH1A1) is crucial for ovarian cancer stem cell (OCSC) survival. Inhibiting ALDH1A1 with compound 974 reduces chemoresistance and recurrence, offering a potential clinical strategy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Ovarian cancer is often detected late, leading to recurrence and chemoresistance.
- Ovarian cancer stem cells (OCSCs) are implicated in the development of chemoresistant tumors.
- Residual OCSCs survive chemotherapy, contributing to disease relapse.
Purpose of the Study:
- To investigate the role of aldehyde dehydrogenase 1A1 (ALDH1A1) in OCSC survival.
- To identify and characterize a novel ALDH1A1 inhibitor, compound 974.
- To elucidate the mechanism by which ALDH1A1 regulates stemness in OCSCs.
Main Methods:
- Treatment of OCSCs with compound 974.
- Assays for ALDH activity, stemness gene expression, and spheroid/colony formation.
- In vivo limiting dilution assay to assess CSC frequency.
- Transcriptomic sequencing to analyze gene expression changes.
- Functional assays to confirm inhibition of chemotherapy-induced senescence and stemness.
Main Results:
- Compound 974 significantly inhibited ALDH activity, stemness gene expression, and OCSC formation in vitro.
- In vivo studies showed that 974 significantly reduced the frequency of cancer stem cells (CSCs).
- Transcriptomic analysis revealed downregulation of stemness, chemoresistance, and senescence-associated secretory phenotype (SASP) genes.
- Compound 974 inhibited platinum-based chemotherapy-induced senescence and stemness.
Conclusions:
- ALDH1A1 is essential for the survival and stemness of ovarian cancer stem cells.
- Inhibition of ALDH1A1 by compound 974 suppresses OCSC stemness and chemotherapy-induced senescence.
- Targeting ALDH1A1 with small-molecule inhibitors in combination with chemotherapy is a promising strategy to prevent ovarian cancer recurrence with clinical potential.
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