Growth inhibition of ovarian tumor-initiating cells by niclosamide

• Published in: Molecular cancer therapeutics 2012-08, Vol.11 (8), p.1703-1712
• Main Authors: Yo, Yi-Te, Lin, Ya-Wen, Wang, Yu-Chi, Balch, Curt, Huang, Rui-Lan, Chan, Michael W Y, Sytwu, Huey-Kang, Chen, Chi-Kuan, Chang, Cheng-Chang, Nephew, Kenneth P, Huang, Tim, Yu, Mu-Hsien, Lai, Hung-Cheng
• Format: Article
• Language: English
• Subjects: Animals; Antineoplastic Agents - administration & dosage; Antineoplastic Agents - pharmacology; Cell Line, Tumor; Cell Proliferation - drug effects; Cluster Analysis; Drug Screening Assays, Antitumor; Female; Gene Expression Profiling; Gene Expression Regulation, Neoplastic - drug effects; High-Throughput Screening Assays; Humans; Mice; Neoplastic Stem Cells - drug effects; Neoplastic Stem Cells - metabolism; Niclosamide - administration & dosage; Niclosamide - pharmacology; Ovarian Neoplasms - drug therapy; Ovarian Neoplasms - genetics; Ovarian Neoplasms - metabolism; Ovarian Neoplasms - pathology; Side-Population Cells - drug effects; Side-Population Cells - metabolism; Small Molecule Libraries; Tumor Burden - drug effects; Xenograft Model Antitumor Assays
• ISSN: 1535-7163; 1538-8514
• DOI: 10.1158/1535-7163.MCT-12-0002

A recent hypothesis for cancer chemoresistance posits that cytotoxic survival of a subpopulation of tumor progenitors drives the propagation of recurrent disease, underscoring the need for new therapeutics that target such primitive cells. To discover such novel compounds active against drug-resistant ovarian cancer, we identified a subset of chemoresistant ovarian tumor cells fulfilling current definitions of cancer-initiating cells from cell lines and patient tumors using multiple stemness phenotypes, including the expression of stem cell markers, membrane dye efflux, sphere formation, potent tumorigenicity, and serial tumor propagation. We then subjected such stem-like ovarian tumor-initiating cells (OTIC) to high-throughput drug screening using more than 1,200 clinically approved drugs. Of 61 potential compounds preliminarily identified, more stringent assessments showed that the antihelmintic niclosamide selectively targets OTICs in vitro and in vivo. Gene expression arrays following OTIC treatment revealed niclosamide to disrupt multiple metabolic pathways affecting biogenetics, biogenesis, and redox regulation. These studies support niclosamide as a promising therapy for ovarian cancer and warrant further preclinical and clinical evaluation of this safe, clinically proven drug for the management of this devastating gynecologic malignancy.