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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.
Abstract:
This study evaluated the efficacy of niclosamide after the invasion of aggressive TNBC breast CSCs into a 3D bone-mimicking model. Initially, the optional dose required for triggering apoptosis was determined for MDA-MB-231 CSCs (CD44+ and CD24-). Our findings revealed that approximately 50% of the cells showed apoptotic properties, as assessed with Annexin V/7AAD assay and WST-1 at IC50 = 100 μM (6 h). Additionally, this treatment suppressed p-STAT3 protein levels and increased Bax levels (p < 0.05), as determined by Western Blot. The expression of genes associated with metastasis and cell migration (CXCR4, MMP2, MMP9), drug resistance (ABCG1, ABCG2), stemness (OCT4, NANOG) and cell cycle and proliferation (CYCLIN D1) was found to be significantly suppressed (p < 0.05). Therefore, after validating the efficacy of the 100 μM dose on CSCs, cell cycle, ELISA, Western Blot, and RT-qPCR analyses were conducted in the 3D model. It was found that the cells were arrested in the G0-G1 phase (p < 0.05). 100 μM Niclosamide suppressed the levels of EMT markers, Vimentin (p > 0.05) and ZEB1 (p < 0.05). Additionally, RT-qPCR results indicated a significant downregulation of CXCR4, ABCG1, ABCG2, MMP2, OCT4, CCND1, AXIN2, and LGR5 gene expressions following niclosamide treatment in both CD133+ and CD133- groups (p < 0.05). The increase in the Bax protein, a key player in apoptosis induction, along with the decrease in the anti-apoptotic protein Bcl-2, suggests the activation of cell death mechanisms. Notably, its targeted impact on the CD44+/CD24- population suggests that niclosamide could enhance the sensitivity of CSCs to treatment, thereby preventing tumor recurrence.
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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