[HTML][HTML] NOTCH1 inhibition enhances the efficacy of conventional chemotherapeutic agents by targeting head neck cancer stem cell

ZL Zhao, L Zhang, CF Huang, SR Ma, LL Bu, JF Liu… - Scientific reports, 2016 - nature.com
ZL Zhao, L Zhang, CF Huang, SR Ma, LL Bu, JF Liu, GT Yu, B Liu, JS Gutkind, AB Kulkarni
Scientific reports, 2016nature.com
Cancer stem cells (CSCs) are considered responsible for tumor initiation and
chemoresistance. This study was aimed to investigate the possibility of targeting head neck
squamous cell carcinoma (HNSCC) by NOTCH1 pathway inhibition and explore the
synergistic effect of combining NOTCH inhibition with conventional chemotherapy.
NOTCH1/HES1 elevation was found in human HNSCC, especially in tissue post
chemotherapy and lymph node metastasis, which is correlated with CSCs markers …
Abstract
Cancer stem cells (CSCs) are considered responsible for tumor initiation and chemoresistance. This study was aimed to investigate the possibility of targeting head neck squamous cell carcinoma (HNSCC) by NOTCH1 pathway inhibition and explore the synergistic effect of combining NOTCH inhibition with conventional chemotherapy. NOTCH1/HES1 elevation was found in human HNSCC, especially in tissue post chemotherapy and lymph node metastasis, which is correlated with CSCs markers. NOTCH1 inhibitor DAPT (GSI-IX) significantly reduces CSCs population and tumor self-renewal ability in vitro and in vivo. Flow cytometry analysis showed that NOTCH1 inhibition reduces CSCs frequency either alone or in combination with chemotherapeutic agents, namely, cisplatin, docetaxel, and 5-fluorouracil. The combined strategy of NOTCH1 blockade and chemotherapy synergistically attenuated chemotherapy-enriched CSC population, promising a potential therapeutic exploitation in future clinical trial.
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