Related Experiment Video
Updated: Sep 19, 2025

A Three-dimensional Model of Spheroids to Study Colon Cancer Stem Cells
Published on: January 22, 2021
The Combination of PF-543 and TRAIL Effectively Induces Apoptotic Cell Death and Inhibits Stem Cell-Like Properties
Se Lim Kim1,2, Min Woo Shin1,2, Byung Chul Jin1,2
1Department of Internal Medicine, Research Institute of Clinical Medicine of Jeonbuk National University Medical School, 20, Geonji-ro, Deokjin-gu, Jeonju, Jeonbuk, 54907, Republic of Korea.
Purpose:
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) induces apoptosis in various tumor cell types. Although TRAIL can directly trigger cell death, cancer cells may acquire resistance to its apoptotic effects during treatment. Sphingosine kinase 1 (SPHK1) is a key regulator of cancer progression and resistance to therapy. In this study, we determined whether combining TRAIL with PF-543, a specific SPHK1 inhibitor, could circumvent TRAIL resistance in previously established TRAIL-resistant colorectal cancer cells (HCT116-TR cells).
Methods:
HCT116-TR cells were treated with TRAIL and/or PF-543. Apoptotic cell death and signaling pathways were evaluated using MTT assay, colony formation assay, and flow cytometry analysis. Cell aggressiveness and cancer stemness were assessed through wound healing assay, Matrigel-coated Transwell assay, and tumorsphere formation assay. The underlying molecular mechanisms were examined by Western blotting.
Results:
Combined treatment with PF-543 significantly enhanced TRAIL-induced apoptosis in HCT116-TR cells and exhibited a synergistic effect. Mechanistically, PF-543 sensitized HCT116-TR cells to TRAIL by activating the mitochondrial apoptosis pathway. Moreover, PF-543 increased TRAIL sensitivity by regulating DcR1 and DR5 through the SPHK1/S1PR1/STAT3 pathway. In addition, combination treatment reduced the aggressiveness and cancer stemness of HCT116-TR cells by modulating the epithelial-mesenchymal transition (EMT) pathway as well as cancer stemness markers.
Conclusion:
We identified the molecular mechanisms underlying acquired TRAIL resistance in CRC cells and suggest that targeting SPHK1 represents a potential strategy to overcome TRAIL resistance and inhibit CRC metastasis.
Insights
Combining a TRAIL-resistant colorectal cancer (CRC) cell line with a sphingosine kinase 1 (SPHK1) inhibitor, PF-543, overcomes resistance. This combination therapy enhances apoptosis and reduces cancer stemness in CRC cells.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) induces apoptosis in cancer cells, but resistance can develop.
- Sphingosine kinase 1 (SPHK1) is implicated in cancer progression and therapeutic resistance.
- Colorectal cancer (CRC) cells can acquire resistance to TRAIL-induced apoptosis.
Purpose of the Study:
- To investigate if combining TRAIL with a specific SPHK1 inhibitor (PF-543) can overcome TRAIL resistance in CRC cells.
- To elucidate the molecular mechanisms by which PF-543 sensitizes TRAIL-resistant CRC cells.
- To assess the impact of combination therapy on cancer cell aggressiveness and stemness.
Main Methods:
- TRAIL-resistant colorectal cancer cells (HCT116-TR) were treated with TRAIL and/or PF-543.
- Apoptosis, cell signaling, aggressiveness, and cancer stemness were evaluated using assays like MTT, Western blotting, and wound healing.
- Molecular mechanisms were examined via Western blotting to analyze key pathways.
Main Results:
- Combined PF-543 and TRAIL treatment synergistically enhanced apoptosis in HCT116-TR cells.
- PF-543 sensitized cells to TRAIL by activating the mitochondrial apoptosis pathway and regulating DcR1/DR5 via the SPHK1/S1PR1/STAT3 pathway.
- Combination therapy reduced cell aggressiveness and cancer stemness by modulating epithelial-mesenchymal transition (EMT) and stemness markers.
Conclusions:
- Targeting SPHK1 with PF-543 is a viable strategy to overcome TRAIL resistance in colorectal cancer.
- The SPHK1/S1PR1/STAT3 pathway plays a critical role in mediating TRAIL resistance in CRC.
- Combination therapy holds potential for inhibiting CRC metastasis and improving treatment outcomes.
More Related Videos
Related Concept Videos
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
The Intrinsic Apoptotic Pathway

