Decreased mitochondrial priming determines chemoresistance of colon cancer stem cells

Cell Death Differ. 2014 Jul;21(7):1170-7. doi: 10.1038/cdd.2014.37. Epub 2014 Mar 28.

Abstract

Tumor heterogeneity is in part determined by the existence of cancer stem cells (CSCs) and more differentiated tumor cells. CSCs are considered to be the tumorigenic root of cancers and suggested to be chemotherapy resistant. Here we exploited an assay that allowed us to measure chemotherapy-induced cell death in CSCs and differentiated tumor cells simultaneously. This confirmed that CSCs are selectively resistant to conventional chemotherapy, which we revealed is determined by decreased mitochondrial priming. In agreement, lowering the anti-apoptotic threshold using ABT-737 and WEHI-539 was sufficient to enhance chemotherapy efficacy, whereas ABT-199 failed to sensitize CSCs. Our data therefore point to a crucial role of BCLXL in protecting CSCs from chemotherapy and suggest that BH3 mimetics, in combination with chemotherapy, can be an efficient way to target chemotherapy-resistant CSCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Apoptosis*
  • Cell Survival
  • Colonic Neoplasms / drug therapy
  • Colonic Neoplasms / pathology*
  • Drug Resistance, Neoplasm
  • Humans
  • Mitochondria / metabolism*
  • Neoplastic Stem Cells / drug effects
  • Neoplastic Stem Cells / physiology*
  • Tumor Cells, Cultured
  • bcl-X Protein / antagonists & inhibitors

Substances

  • Antineoplastic Agents
  • BCL2L1 protein, human
  • bcl-X Protein