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Updated: Jul 12, 2025

Author Spotlight: Exploring the Role of Ion Channels in Cancer: Characterization and Potential Treatment Approaches
Published on: June 16, 2023
[Identification of ion channel/transporter expression profiles in digestive cancer stem cells for novel targeting
Atsushi Shiozaki1, Michihiro Kudou1, Kenichi Takemoto1
1Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine.
Abstract:
Recent evidence suggests that the targeting of membrane transporters specifically activated in cancer stem cells (CSCs) is an important strategy for cancer therapy. The objectives of the present study were to investigate the ion channel expression profiles in digestive CSCs. Cells strongly expressing CSC markers, such as ALDH1A1 and CD44, were separated from the human esophageal squamous cell carcinoma, gastric cancer, and pancreatic cancer cell lines using fluorescence-activated cell sorting, and CSCs were identified based on tumorsphere formation. Messenger RNA levels of CSC markers were higher in CSCs than in non-CSCs. These CSCs also exhibited resistance to anticancer agents. The microarray analysis revealed that the expression of transient receptor potential vanilloid 2 (TRPV2), voltage-gated calcium channels (VGCCs), and voltage-gated potassium channels (VGKCs) were upregulated in esophageal, gastric, and pancreatic CSCs, respectively, compared with non-CSCs. The TRPV2 inhibitor tranilast, VGCCs inhibitors amlodipine and verapamil, and VGKC inhibitor 4-aminopyridine exhibited greater cytotoxicity in CSCs compared with non-CSCs, and their inhibitory effects were also confirmed in a xenograft model in nude mice. Taking these results, phase I/II study to investigate clinical safety and efficacy of neoadjuvant combination chemotherapy of tranilast in advanced esophageal squamous cell carcinoma (TNAC study) is ongoing. These researches identified a role of ion channels in the persistence of CSCs and suggested that their inhibitors may have potential as a therapeutic agent for digestive cancers.
Insights
Targeting ion channels in cancer stem cells (CSCs) is a promising therapeutic strategy. Inhibiting TRPV2, VGCCs, and VGKCs showed significant cytotoxicity against digestive CSCs, offering new treatment avenues.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cancer stem cells (CSCs) are crucial for tumor growth and resistance.
- Targeting CSC-specific membrane transporters is a potential cancer therapy strategy.
- Ion channel expression in digestive CSCs remains largely unexplored.
Purpose of the Study:
- To investigate ion channel expression profiles in digestive CSCs.
- To evaluate the therapeutic potential of ion channel inhibitors against digestive CSCs.
- To identify novel therapeutic targets for digestive cancers.
Main Methods:
- Isolation of CSCs from esophageal, gastric, and pancreatic cancer cell lines using fluorescence-activated cell sorting (FACS) based on CSC markers (ALDH1A1, CD44).
- Identification of CSCs through tumorsphere formation assays.
- Microarray analysis to determine ion channel expression profiles (TRPV2, VGCCs, VGKCs).
- Assessment of cytotoxicity of ion channel inhibitors (tranilast, amlodipine, verapamil, 4-aminopyridine) in CSCs and non-CSCs.
- Validation of inhibitory effects in a xenograft mouse model.
Main Results:
- CSCs exhibited higher expression of CSC markers and resistance to anticancer agents compared to non-CSCs.
- TRPV2, VGCCs, and VGKCs were significantly upregulated in esophageal, gastric, and pancreatic CSCs, respectively.
- TRPV2, VGCCs, and VGKCs inhibitors demonstrated greater cytotoxicity against CSCs.
- Inhibitory effects were confirmed in vivo using a xenograft model.
Conclusions:
- Ion channels play a significant role in the persistence and drug resistance of CSCs.
- Targeting specific ion channels (TRPV2, VGCCs, VGKCs) with inhibitors represents a potential therapeutic strategy for digestive cancers.
- A Phase I/II clinical trial is underway to evaluate tranilast in advanced esophageal squamous cell carcinoma, supporting the clinical relevance of these findings.
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