Niclosamide Treatment Suppressed Metastatic, Apoptotic, and Proliferative Characteristics of MDA-MB-231 Cancer Stem

Özlem Altundag-Erdogan1,2, Betül Çelebi-Saltik1,2

  • 1Hacettepe University, Graduate School of Health Sciences Department of Stem Cell Sciences, Sihhiye, Ankara, TR 06100, Turkey.

ACS Omega
|June 16, 2025
PubMed

Insights

Niclosamide effectively targets aggressive breast cancer stem cells (CSCs) in a 3D model, inducing apoptosis and suppressing key genes involved in metastasis and drug resistance. This suggests niclosamide can enhance CSC sensitivity to treatment, potentially preventing tumor recurrence.

Area of Science:

  • Pharmacology and Toxicology
  • Cancer Biology
  • Biomedical Engineering

Background:

  • Triple-negative breast cancer (TNBC) is characterized by aggressive behavior and high recurrence rates, often driven by cancer stem cells (CSCs).
  • Developing effective therapeutic strategies targeting CSCs is crucial for improving treatment outcomes and preventing tumor relapse.

Purpose of the Study:

  • To evaluate the efficacy of niclosamide in inhibiting aggressive TNBC CSCs within a 3D bone-mimicking model.
  • To investigate the molecular mechanisms underlying niclosamide's action on CSCs, including apoptosis induction and suppression of key oncogenic pathways.

Main Methods:

  • Determination of the IC50 dose of niclosamide for inducing apoptosis in MDA-MB-231 CSCs (CD44+/CD24-) using Annexin V/7AAD and WST-1 assays.
  • Analysis of protein level changes (p-STAT3, Bax, Bcl-2, Vimentin, ZEB1) via Western Blot.
  • Assessment of gene expression alterations (CXCR4, MMP2/9, ABCG1/2, OCT4, NANOG, CCND1, AXIN2, LGR5) using RT-qPCR in a 3D model.

Main Results:

  • Niclosamide at 100 μM induced apoptosis in approximately 50% of TNBC CSCs and arrested cells in the G0-G1 phase.
  • Treatment significantly suppressed p-STAT3, Bax, Vimentin, ZEB1, and genes associated with metastasis, drug resistance, stemness, and proliferation.
  • Niclosamide demonstrated a targeted impact on the CD44+/CD24- CSC population, increasing Bax and decreasing Bcl-2 protein levels.

Conclusions:

  • Niclosamide effectively inhibits aggressive TNBC CSCs in a 3D bone-mimicking model by inducing apoptosis and suppressing critical oncogenic pathways.
  • The drug's ability to target CSCs and reduce their metastatic and drug-resistant potential suggests it could be a valuable therapeutic agent.
  • Niclosamide may enhance CSC sensitivity to conventional treatments, offering a potential strategy to prevent tumor recurrence in TNBC.

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