- Open Access
Reciprocal activation between STAT3 and miR-181b regulates the proliferation of esophageal cancer stem-like cells via the CYLD pathway
- Dan-dan Xu†1, 2,
- Peng-jun Zhou†3,
- Ying Wang†1, 4,
- Li Zhang1,
- Wu-yu Fu5,
- Bi-bo Ruan5,
- Hai-peng Xu1,
- Chao-zhi Hu1,
- Lu Tian1,
- Jin-hong Qin1,
- Sheng Wang1,
- Xiao Wang1,
- Yi-cheng Li1,
- Qiu-ying Liu1,
- Zhe Ren1,
- Rong Zhang6Email author and
- Yi-fei Wang1, 2Email author
© Xu et al. 2016
Received: 19 January 2016
Accepted: 5 May 2016
Published: 17 May 2016
Recent studies have suggested that cancer cells contain subpopulations that can initiate tumor growth, self-renew, and maintain tumor cell growth. However, for esophageal cancer cells, the relationship between STAT3, microRNAs and cancer stem cells remains unclear.
Serum-free culture was used to enrich esophageal cancer stem-like cells (ECSLC). Flow cytometry determined the proportion of ECSLC. qPCR were performed to examine expression level of stemness factors, mesenchymal markers, ATP-binding cassette (ABC) transporters, STAT3, miR-181b, CYLD. Western blot were performed to analyze the expression of STAT3, p-STAT3 and CYLD (cylindromatosis). BALB/c mice xenograft studies were conducted to evaluate the tumorigenicity of enriched ECSLC. Sphere formation assay and colony formation assays were employed to analyze the relationship between STAT3 and miR-181b. Luciferase assays were used to evaluate activity which CYLD is a target of miR-181b.
Sphere formation cells (SFCs) with properties of ECSLC were enriched. Enriched SFCs in serum-free suspension culture exhibited cancer stem-like cell properties and increased single-positive CD44 + CD24-, stemness factor, mesenchymal marker expression ABC transporters and tumorigenicity in vivo compared with the parental cells. Additionally, we found that reciprocal activation between STAT3 and miR-181b regulated SFCs proliferation. Moreover, STAT3 directly activated miR-181b transcription in SFCs and miR-181b then potentiated p-STAT3 activity. Luciferase assays indicated that CYLD was a direct and functional target of miR-181b.
The mutual regulation between STAT3 and miR-181b in SFCs was required for proliferation and apoptosis resistance. STAT3 and miR-181b control each other’s expression in a positive feedback loop that regulates SFCs via CYLD pathway. These findings maybe is helpful for targeting ECSLC and providing approach for esophageal cancer treatments.
Esophageal cancer includes two major pathological types: esophageal adenocarcinomas and esophageal squamous cell carcinoma (ESCC). ESCC is an aggressive malignant cancer and is the sixth most common cancer type . The 5-year survival rate of esophageal cancer patients is only 10 % . ESCC often occurs in developing countries, including China and other countries in Asia [3, 4]. Although researchers have made much progress in the diagnosis and treatment of ESCC, the mortality rate has not been significantly reduced because of late diagnosis, metastasis, and a lack of understanding of the cellular and molecular mechanisms underlying the initiation and progression of ESCC .
Cancer stem cells (CSCs) or tumor-initiating cells are small subpopulations of cancer cells originally identified in leukemia cells [6, 7]. CSCs have been isolated and identified in many solid tumors, including prostate, brain, colorectal, pancreatic, and breast cancers . This fraction of cells exhibits critical properties, such as self-renewal, which maintains the proliferation and growth of tumors [8, 9]. CSCs can be isolated from solid tumors using three distinct methods based on the CSC properties [10–12]. First, CSCs can be isolated by flow cytometry using CSC-specific cell surface markers such as CD44 or CD133 [13, 14]. For example, the CSCs of gliomas are isolated by cell sorting with CD133+ cells , although CD133 was first identified on hematopoietic stem cells . Second, the side populations display properties of CSCs and the capacity for intracellular Hoechst 33342 exclusion in vitro [16, 17]. ABCG2, an ATPase transporter protein, is closely correlated with the side population phenotype . However, ABCG2+ and ABCG2—cancer cells are similarly tumorigenic . Third, the sphere formation of CSCs is enriched in defined serum-free medium containing growth factors from solid tumors, which maintain the CSCs in an undifferentiated state [19–22].
CSCs are regulated by many factors, including cytokines, chemokines, the microenvironment, and stemness factors [9, 23]. Signal transducer and activators of transcription 3 (STAT3), a transcription factor that is constitutively activated in several cancer types and is correlated with tumorigenesis, is considered to be an oncogene . Previous studies have indicated that STAT3 is critical in liver cancer stem cells and glioma stem cells [25, 26]. In addition, over-activation of STAT3 has been correlated with tumor invasion and metastasis . However, it is not clear whether STAT3 regulates esophageal cancer stem cells. The molecular mechanism underlying the maintenance of self-renewal in esophageal cancer stem cells has yet not been determined.
microRNAs (miRNAs) are small non-coding RNAs that suppress gene expression at the post-transcriptional and translational levels by degrading target mRNA or blocking mRNA translation . As endogenous regulators of gene expression, miRNAs play an important role in diverse biological processes, including embryonic stem cell development, stemness maintenance of stem cells, proliferation, and apoptosis of cancer cells. Previous studies demonstrated that abnormal expression or functional dysregulation of miRNAs is involved in various human cancers and that miRNAs can function as tumor suppressors or oncogenes . Recently, miRNAs have been implicated in the promotion or suppression of stemness maintenance of cancer stem cells [30, 31]. Recent studies have demonstrated that miR-181b plays an important role in regulating cellular growth, invasion, and apoptosis in different cancers, including gastric adenocarcinomas, chronic lymphocytic leukemia, ovarian cancer, and cervical cancer [32, 33]. Additionally, miR-181b was expressed more significantly in papillary thyroid carcinoma than in counterpart normal tissue [34, 35]. In addition, STAT3 activation of miR-181b is important for cellular transformation . However, the regulatory relationship in esophageal cancer stem-like cells between STAT3 and miR-181b remains unclear.
In this present study, we enriched SFCs and investigated the function and mutual regulation mechanism of STAT3 and miR-181b in esophageal cancer stem-like cells. STAT3 trans-activates the transcription of miR-181b, whereas miR-181b positively regulates p-STAT3. Reciprocal regulation between STAT3 and miR-181b is required for proliferation and anti-apoptosis. We further demonstrated that CYLD is a direct and functional target of miR-181b in SFCs. Finally, in clinical human ESCC there is a positive relationship between STAT3 and miR-181b and miR-181b is inversely association with CYLD.
Isolation and identification of sphere formation cells (SFCs)
To investigate the cancer stem cell characteristics of SFCs, stemness factor expression was analyzed. We first compared the expression levels of Nanog, Oct4, Sox2, and Bmi1 between parental cells and SFCs from Eca109 cells. qPCR analysis demonstrated that the expression levels of these stemness markers were clearly increased (Fig. 1c). However, an increase in stemness factor expression was not observed in both cells types from Eca9706 (Fig. 1d). Stem cell induction, metastasis, and dedifferentiation have been correlated with the epithelial-to-mesenchymal transition in different tumor cells . To evaluate whether the transition to mesenchymal traits was coupled by increased stemness transcription factor expression, we quantified the expression of mesenchymal markers. Mesenchymal markers including Snail, Slug, N-cadherin, ZEB1, and ZEB2 were increased significantly (Fig. 1e). However, increased mesenchymal markers in SFCs from Eca9706 were not observed (Fig. 1f). Based on the above studies and to better understand the properties of esophageal cancer stem cell-like cells, we chose the Eca109 cell line to perform subsequent experiments.
SFCs exhibited proliferation and tumorigenicity characteristics of cancer stem cells in vivo
STAT3 increased sphere formation through miR-181b pathway
miR-181b modulates drug resistance in gastric and lung cancer cells and promotes tumorigenicity in hepatocellular carcinoma [44, 45]. However, the relationship between STAT3 and miR-181b has not been investigated in SFCs. Our studies demonstrated STAT3 depletion reduced the expression level of miR-181b in SFCs (Fig. 3d). Consistently, the expression level of miR-181b was also decreased after the addition of JSI-124, which is a pharmacological inhibitor of STAT3. In contrast, overexpression of STAT3 strongly enhanced the expression level of miR-181b (Fig. 3d). Moreover, activated STAT3 by IL-6 treatment in SFCs resulted in upregulation of this miRNA (Fig. 3e). These results demonstrate that STAT3 trans-activates the transcription of miR-181b. After determining the molecular mechanism by which STAT3 promotes the expression of miR-181b, we performed a luciferase reporter assay.
Through bioinformatics analysis using rVista 2.0, we identified a conserved E-box motif (CANNTG) at 1650 bp relative to the transcription start site (+1) of the human miR-181b stem-loop (Fig. 3f). To determine whether STAT3 influences miR-181 expression, we constructed a 2-kb fragment upstream of the human miR-181b stem-loop and inserted the fragment into the luciferase reporter plasmid pGL4.11. This plasmid and the vector expressing STAT3 were cotransfected into SFCs. We observed a greater increase in luciferase activity by STAT3 compared with the empty vector (Fig. 3g). In addition, when the E-box sequence was mutated, luciferase activity was abrogated (Fig. 3g), indicating that the E-box sequence is necessary for STAT3 regulation of miR-181b and that STAT3 binds to the promoter of miR181b. Concordantly, forced expression of STAT3 increased the expression levels of primary-miR-181b and mature miR-181b (Fig. 3h). Collectively, these results suggest that STAT3 regulates SFCs proliferation and increases colony formation of SFCs by trans-activating miR-181b.
miR-181b regulates colony formation of SFCs via p-STAT3
To evaluate whether miR-181b regulates STAT3 expression, we conducted western blot analysis to detect STAT3. The expression of p-STAT3 protein was significantly increased after transfection with the miR-181b mimic, whereas its expression was suppressed by miR-181b inhibitors (Fig. 4f). Consistently, these results supported those observations obtained using the p-STAT3 inhibitor JSI-124 (Fig. 4f). Collectively, miR-181b positively regulates p-STAT3 in SFCs.
Reciprocal activation between STAT3 and miR-181b is critical for resistance of SFCs to apoptosis
CYLD is a direct and functional target of miR-181b
Analysis using publicly available algorithms (TargetScan and microRNA) predicted CYLD as a target of miR-181b in Eca109 SFCs (Fig. 6c). Moreover, the 3′-UTR sequences of CYLD were found to be highly conserved among different species and showed three possible binding sites for miR-181b (Fig. 6c, D). To determine whether CYLD is direct target of miR-181b, we engineered the 3′-UTR fragments, in which wild-type and mutant binding sites were inserted into the region immediately downstream of the luciferase reporter gene (Fig. 6d). Luciferase reporter assays showed that miR-181b transfection significantly repressed the luciferase activity of the CYLD 3′-UTR, whereas mutations in the binding sites did not decreased the luciferase activity (Fig. 6e). Moreover, qPCR analysis showed that overexpression or inhibition of miR-181b had no effect on the CYLD mRNA expression level (Fig. 6f). However, western blot analysis showed that overexpression of miR-181b remarkably suppressed CYLD expression in SFCs and that inhibition of miR-181b increased CYLD expression in SFCs (Fig. 6g), indicating that miR-181b regulates CYLD in SFCs at the post-transcriptional level. Taken together, these results demonstrate that miR-181b regulates CYLD expression by directly targeting its 3′-UTR.
According to previous studies, CYLD is a deubiquitinating enzyme that negatively regulates NF-κB activity [36, 47, 48]. To further assess the effect miR-181b targeting CYLD, the activities of NF-κB and IL-6 were measured. miR-181b transfection increased NF-κB activity, while inhibition of miR-181b decreased this activity (Fig. 6h). This alteration was also observed for IL-6 activity, which is a target of NF-κB (Fig. 6i). NF-κB and IL-6 activity were increased, which in turn increased p-STAT3 level by western blot analysis. p-STAT3 expression level was decreased by IL-6 antibody treatment (Additional file 1: Fig. S2). These results are consistent with Fig. 4f. These results further suggest that CYLD is a target of miR-181b.
miR-181b regulates the SFC proliferation through CYLD pathway
To address whether the above observations in SFC are relevant to human cancer, we examine the relationship between STAT3 and miR-181b expression levels in human ESCC specimens. We collected clinical samples of ESCC (Additional file 1: Table S1) and enriched the SFCs using serum-free culture. There is a positive correlation between STAT3 and miR-181b expression levels in the cancer specimens (r = 0.683) (Fig. 7b). In addition, we found an inverse correlation between miR-181b and CYLD (r = -0.867) (Fig. 7c). These data further support the notion that there is a positive and mutual regulation between STAT3 and miR-181b and that CYLD is a target of miR-181b. Collectively, these studies demonstrate that miR-181b regulates the proliferation of SFCs through CYLD pathway.
The CSC hypothesis suggests that current therapies fail to prevent cancer relapse and metastasis because of the existence of a small population of tumor stem cells . The tumorsphere, side population cells, and drug-resistant cells have cancer stem cell-likes properties . Side population cell sorting technology is widely used to identify cancer stem cell-like cells in cancer, and the ABC transporter family member ABCG2 is an unfavorable prognostic factor in ESCC [50–52]. In addition, stemness factors including Nanog, Sox2, Oct4, and Bmi1 are highly expressed in cancer cells and have cancer stem cell properties [53–57]. Previous studies demonstrated that the tumor sphere can be applied to isolate a CSC population from cancer cells [19–21, 37]. According to these studies, tumor sphere-forming cells have the capacity for proliferation and self-renewal and possess high tumorigenicity.
In this present study, we isolated cancer stem cells using suspension culture methods and enriched high levels of stemness factors from SFCs. Furthermore, qPCR analysis showed that mesenchymal trait factors including ZEB1, ZEB2, Slug, Snail, and N-cadherin were expressed at higher levels in Eca109 cells than in the parental cells, suggesting that these SFCs transition to mesenchymal traits, which is linked to the epithelial-to-mesenchymal transition. In addition, stemness factors, such as Nanog, Oct4, Sox2, and Bmi1, showed higher expression in SFCs in Eca109 cells but not in Eca9706 cells compared to the parental cells. These results demonstrate that Eca109 cells can be enriched for esophageal CSC more easily than Eca9706 cells. Other studies revealed CD44 expression in CSCs, including in ESCC tumor-initiating cells [38, 58, 59]. Our results agree with these previous results. In addition, SFCs expressed CD44 + CD24-, and in vivo studies demonstrated that SFCs possessed stronger tumorigenicity than the parental cells.
We found that mutual regulation between STAT3 and miR-181b is essential for regulating the proliferation and resistance of SFCs. First, STAT3, a constitutively expressed factor, is critical in several types of cancers [41, 43, 60, 61]. In our study, p-STAT3 showed increased expression in SFCs compared to that in parental cells and STAT3 increased the number of SFC colonies. Moreover, STAT3 could bind to the promoter of miR-181b, suggesting that STAT3 is a direct transcriptional activator of miR-181b. This is in accordance with the results of Iliopoulos et al. . Additionally, STAT3 increased miR-181b expression level in our study. Second, miR-181b increased the number of colonies of SFCs. Western blot analysis showed that miR-181b increased p-STAT3 expression. Third, both STAT3 and miR-181b inhibition sensitized SFCs to apoptosis. These observations indicate that reciprocal regulation between STAT3 and miR-181b is critical for regulating the proliferation of SFCs.
miRNAs have emerged as important regulators of gene expression at the post-transcriptional level and regulate physiological processes and tumor progression . In our study, potential targets of miR-181b were analyzed using different algorithms. Our study to determine the biological role of miR-181b in SFCs identified CYLD as a downstream target. Luciferase reporter assays revealed that CYLD is a target of miR-181b. In addition, according to previous studies, CYLD negatively regulates NF-κB activity [47, 48]. Our results demonstrated that exogenous miR-181b increased NF-κB activity. In this study, the miR-181b mimic also increased IL-6 expression level.
In this study we enriched esophageal cancer stem-like cells in the Eca109 cell line and determined their tumorigenicity. Mutual regulation between STAT3 and miR-181b is essential for SFCs to regulate proliferation and the resistance to apoptosis. Furthermore, CYLD is a direct and functional target of miR-181b. This study provides insight into the mechanisms underlying the reciprocal regulation between STAT3 and miR-181b to regulate the proliferation of esophageal cancer cells with cancer stem-like cells properties via the CYLD pathway. These findings maybe is helpful for targeting esophageal cancer stem-like cells and providing therapeutic approach for esophageal cancer treatments.
Esophageal cancer cell suspension culture conditions
Eca109 and Eca9706 cells were cultured in serum-free DMEM/F12 medium (SFDM) (Gibco, Grand Island, NY, USA) supplemented with B27 (Gibco), 20 ng/mL basic fibroblast growth factor (bFGF) (Pepro Tech, Inc., Rocky Hill, NJ, USA), 20 ng/mL epidermal growth factor (EGF) (Pepro Tech, Inc.), and 1 % penicillin and streptomycin using ultra-low attachment plates (Corning, Inc., Corning, NY, USA). Spheres were dissociated using trypsin every 5 days. Human esophageal cancer tissue were collected in Sun Yet-Sen University cancer center. Written informed consent was obtained from all esophageal cancer patients before the study. The use of the clinical specimens for research purposes was approved by the Jinan University Ethics Committee.
RNA isolation and qPCR analysis
Total RNA was extracted using Trizol reagent (Tiangen, Beijing, China) and were reverse-transcribed into cDNA by using PrimerScript Master mix (TaKaRa Biotechnology, China) according to the manufacturer’s protocol. The PCR primers for miR-181b and U6 were purchased from RiBoBio (Guangzhou, China). The following PCR conditions were used on the Light Cycler: 95 °C for 5 s, 60 °C for 5 s, followed by 42 cycles of 95 °C for 15 s and 60 °C for 1 min in a 10 μL reaction volume. The expression of U6 or β-actin was used as an internal control. All experiments were conducted in triplicate. Real-time quantitative PCR was performed using the Bio-Rad system (Hercules, CA, USA) and TaqMan system (Applied Biosystems, Foster City, CA, USA).
Western blot analysis
Proteins were harvested in cold RIPA buffer. Samples were collected and measured for protein concentration (BCA protein A assay, Byotime, Haimen, China). Proteins were separated by SDS–PAGE and transferred onto polyvinylidene fluoride membranes (Millipore, Billerica, MA, USA). Membranes were blocked in TBST-0.1 % (0.1 % Tween-20 in Tris-base buffer) skim milk and blotted with primary antibodies including STAT3, p-STAT3, CYLD, and β-actin (#9139, #9145, #8462, #4970,respectively, all from Cell Signaling Technology, Danvers, MA, USA) at 4 °C overnight. IL-6 neutralising antibody (#ab6672) was purchased from abcam (USA). Next day the membranes were washed three times TBST-0.1 % buffer. Then the membranes were then incubated with secondary antibodies (Millipore). The signals on the membranes were revealed with ECL reagent (Thermo Scientific, Waltham, MA, USA).
Flow cytometry analysis
For flow cytometry analysis, 1 × 106 cells were incubated with anti-CD44 (eBioscience, San Diego, CA, USA) PE-conjugated antibody, and anti-CD24 (BD Biosciences, Franklin Lakes, NJ, USA) FITC-conjugated antibody for 30 min, washed three times, and resuspended in PBS. Data were analyzed using Flow Jo software (Tree Star, Ashland, OR, USA). CD44 and CD24 double-negative and single-positive staining controls were used for compensation. Cell staining was visualized using a Nikon inverted microscope (Tokyo, Japan).
Sphere formation assay
According to previous studies [20, 63], sphere formation assays were performed using 96-well ultra-low attachment cell culture plates. Eca109 cells were mixed with serum-free DMEM/F12 sphere culture media containing B27, EGF, and bFGF and then seeded into each well. Plates were incubated for 2 weeks until spheres formed; wells containing spheroid cells were counted.
Colony formation assay
According to previous studies [20, 63], colony formation assays were performed using 6-well cell culture plates coated with 0.5 mL bottom soft agar mixture (DMEM/F12, 20 % FBS, 0.6 % soft agar). After the bottom layer had solidified, the cells were mixed with top agar (DMEM/F12, 20 % FBS, 0.3 % soft agar), and seeded into each well (3 wells for each concentration). Plates were incubated for 2 weeks until colonies were large enough to be visualized. Colonies were stained with 0.5 % crystal violet for 30 min and counted.
miRNA mimic and transfection
The miR-181b mimic, miR-181b inhibitor, and NC cells were purchased from RIBOBIO (Guangzhou, China). The sequence containing the pre-miR-181b was cloned into the pGCSIL-GFP lentiviral. The miR-181b mimic and siRNA were used with Lipofectamine 2000 reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s protocol. The siRNA against CYLD was refered to Yang’s study  and was purchased from Genechem (Shanghai, China). Targeted cells were infected using 1 × 108 lentivirus transducing unit with 8 μg/mL polybreneaccording to the manufacturer's instructions.
Luciferase reporter assay
The plasmid pcDNA3.1-STAT3-wt UTR was constructed by inserting the STAT3 cDNA into the pcDNA3.1 vector (Invitrogen) at the Xhol and Xbal sites. To construct a luciferase reporter vector, the wild-type 3′-UTR of CYLD, containing three putative binding sites for miR-181b, was PCR-amplified using genomic cDNA from SFCs as templates. The corresponding mutant constructs were created by mutating the seed regions of the miR-181b-binding sites. Both wild-type and mutant 3′-UTRs were cloned downstream of the luciferase gene in the luciferase vector. For luciferase reporter assays, SFCs were transiently transfected with the reporter plasmid and miRNA using Lipofectamine 2000. After 48 h, the cells were harvested and lysed, and luciferase activity was measured using the Luciferase Reporter Assay System (Promega, Madison, WI, USA). Renilla luciferase was used for normalization. For each plasmid construct, the transfection experiments were performed in triplicate.
Animals and xenograft model
The handling of mice and experimental protocol were approved by the Experiment Animal Care Committee of Jinan University (Guangzhou, China). 5-week-old male Balb/c mice were purchased from the Animal center of Guangdong Province (Guangzhou, China). Cells from Eca109 cancer parental cell lines or from the SFCs were trypsinized, washed twice, and counted. Next, 5 × 105 cells were resuspended in 100 μL PBS, mixed an equal volume of Matrigel (BD Biosciences) and injected subcutaneously into the neck area of each mouse. Mice were sacrificed after 4 weeks and the tumors were harvested and measured. Tumor weight was measured for statistical analysis. Xenografts were divided into two parts and one was snap-frozen in liquid nitrogen for RNA isolation while the other was used for western blot analysis. Animal studies were approved by the Jinan University Ethics Committee.
The SPSS19.0 program (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. Experimental data are presented as the means ± SD for at least three independent experiments. Student’s t-tests were used for two-group comparisons. Differences between groups were assessed by one-way analysis of variance when more than two groups were compared. Spearman analysis were employed to analyzed the relationship between STAT3 and miR-181b, miR-181b and CYLD. Differences were considered statistically significant at *P < 0.05 and **P < 0.01.
This study was supported by Grants from the Twelfth Five-Year National Science and Technology Support Program (No. 2012BAI29B06), the Administration of Ocean and Fisheries of Guangdong Province Program (No. A1201301C06 and GD2013-B02-003), Science and Technology Program Project of Guangdong Province (no. 2013B091000010), China Postdoctoral Science Foundation (no. 2015M572414), the Fundamental Research Funds for the Central Universities (no.21615410), and Guangdong Natural Science Foundation (2016A030310096).
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- Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global Cancer Statistics. Ca-a Cancer J Clinicians. 2011;61:69–90.View ArticleGoogle Scholar
- Ekman S, Dreilich M, Lennartsson J, Wallner B, Brattstrom D, Sundbom M, Bergqvist M. Esophageal cancer: current and emerging therapy modalities. Expert Rev Anticancer Ther. 2008;8:1433–48.View ArticlePubMedGoogle Scholar
- Vizcaino AP, Moreno V, Lambert R, Parkin DM. Time trends incidence of both major histologic types of esophageal carcinomas in selected countries, 1973–1995. Int J Cancer. 2002;99:860–8.View ArticlePubMedGoogle Scholar
- Ke L. Mortality and incidence trends from esophagus cancer in selected geographic areas of China circa 1970–90. Int J Cancer. 2002;102:271–4.View ArticlePubMedGoogle Scholar
- Tang KH, Dai YD, Tong M, Chan YP, Kwan PS, Fu L, Qin YR, Tsao SW, Lung HL, Lung ML. A CD90(+) Tumor-Initiating Cell Population with an Aggressive Signature and Metastatic Capacity in Esophageal Cancer. Cancer Res. 2013;73:2322–32.View ArticlePubMedGoogle Scholar
- Lapidot T, Sirard C, Vormoor J, Murdoch B, Hoang T, Caceres-Cortes J, Minden M, Paterson B, Caligiuri MA, Dick JE. A cell initiating human acute myeloid leukaemia after transplantation into SCID mice. Nature. 1994;367:645–8.View ArticlePubMedGoogle Scholar
- Bonnet D, Dick JE. Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat Med. 1997;3:730–7.View ArticlePubMedGoogle Scholar
- Visvader JE, Lindeman GJ. Cancer stem cells in solid tumours: accumulating evidence and unresolved questions. Nat Rev Cancer. 2008;8:755–68.View ArticlePubMedGoogle Scholar
- Reya T, Morrison SJ, Clarke MF, Weissman IL. Stem cells, cancer, and cancer stem cells. Nature. 2001;414:105–11.View ArticlePubMedGoogle Scholar
- Jordan CT, Guzman ML, Noble M. Mechanisms of disease - Cancer stem cells. New England J Med. 2006;355:1253–61.View ArticleGoogle Scholar
- Clarke MF, Dick JE, Dirks PB, Eaves CJ, Jamieson CHM, Jones DL, Visvader J, Weissman IL, Wahl GM. Cancer stem cells--perspectives on current status and future directions: AACR Workshop on cancer stem cells. Cancer Res. 2006;66:9339–44.View ArticlePubMedGoogle Scholar
- Dalerba P, Cho RW, Clarke MF: Cancer stem cells: Models and concepts. In Annual Review of Medicine. 2007;58: 267-284: Annual Review of Medicine]Google Scholar
- Singh SK, Hawkins C, Clarke ID, Squire JA, Bayani J, Hide T, Henkelman RM, Cusimano MD, Dirks PB. Identification of human brain tumour initiating cells. Nature. 2004;432:396–401.View ArticlePubMedGoogle Scholar
- Shipitsin M, Campbell LL, Argani P, Werernowicz S, Bloushtain-Qimron N, Yao J, Nikolskaya T, Serebryiskaya T, Beroukhim R, Hu M, et al. Molecular definition of breast tumor heterogeneity. Cancer Cell. 2007;11:259–73.View ArticlePubMedGoogle Scholar
- Miraglia S, Godfrey W, Yin AH, Atkins K, Warnke R, Holden JT, Bray RA, Waller EK, Buck DW. A novel five-transmembrane hematopoietic stem cell antigen: isolation, characterization, and molecular cloning. Blood. 1997;90:5013–21.PubMedGoogle Scholar
- Kondo T, Setoguchi T, Taga T. Persistence of a small subpopulation of cancer stem-like cells in the C6 glioma cell line. Proc Natl Acad Sci U S A. 2004;101:781–6.View ArticlePubMedPubMed CentralGoogle Scholar
- Chiba T, Kita K, Zheng YW, Yokosuka O, Saisho H, Iwama A, Nakauchi H, Taniguchi H. Side population purified from hepatocellular carcinoma cells harbors cancer stem cell-like properties. Hepatology. 2006;44:240–51.View ArticlePubMedGoogle Scholar
- Patrawala L, Calhoun T, Schneider-Broussard R, Zhou JJ, Claypool K, Tang DG. Side population is enriched in tumorigenic, stem-like cancer cells, whereas ABCG2(+) and ABCG2(-) cancer cells are similarly tumorigenic. Cancer Res. 2005;65:6207–19.View ArticlePubMedGoogle Scholar
- Lichner Z, Saleh C, Subramaniam V, Seivwright A, Prud’homme GJ, Yousef GM. miR-17 inhibition enhances the formation of kidney cancer spheres with stem cell/tumor initiating cell properties. Oncotarget. 2015;6:5567–81.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhao R, Quaroni L, Casson AG. Identification and characterization of stemlike cells in human esophageal adenocarcinoma and normal epithelial cell lines. J Thoracic Cardiovascular Surgery. 2012;144:1192–9.View ArticleGoogle Scholar
- Zhang G, Ma L, Xie Y-K, Miao X-B, Jin C. Esophageal cancer tumorspheres involve cancer stem-like populations with elevated aldehyde dehydrogenase enzymatic activity. Molecular Med Reports. 2012;6:519–24.Google Scholar
- Lee J, Kotliarova S, Kotliarov Y, Li AG, Su Q, Donin NM, Pastorino S, Purow BW, Christopher N, Zhang W, et al. Tumor stem cells derived from glioblastomas cultured in bFGF and EGF more closely mirror the phenotype and genotype of primary tumors than do serum-cultured cell lines. Cancer Cell. 2006;9:391–403.View ArticlePubMedGoogle Scholar
- Dean M, Fojo T, Bates S. Tumour stem cells and drug resistance. Nat Rev Cancer. 2005;5:275–84.View ArticlePubMedGoogle Scholar
- Bromberg JF, Wrzeszczynska MH, Devgan G, Zhao Y, Pestell RG, Albanese C, Darnell JE, Jr. Stat3 as an oncogene. Cell. 1999;98:295–303.Google Scholar
- Wan S, Zhao E, Kryczek I, Vatan L, Sadovskaya A, Ludema G, Simeone DM, Zou W, Welling TH. Tumor-Associated Macrophages Produce Interleukin 6 and Signal via STAT3 to Promote Expansion of Human Hepatocellular Carcinoma Stem Cells. Gastroenterology. 2014;147:1393–404.View ArticlePubMedPubMed CentralGoogle Scholar
- A-h G, Wei P, Zhang S, Yao J, Yuan Y, Zhou A-d, Lang FF, Heimberger AB, Rao G, Huang S. FoxM1 Drives a Feed-Forward STAT3-Activation Signaling Loop That Promotes the Self-Renewal and Tumorigenicity of Glioblastoma Stem-like Cells. Cancer Res. 2015;75:2337–48.View ArticleGoogle Scholar
- Jarnicki A, Putoczki T, Ernst M. Stat3: linking inflammation to epithelial cancer - more than a “gut” feeling? Cell Division. 2010;5:14.Google Scholar
- Bartel DP. MicroRNAs: Genomics, biogenesis, mechanism, and function. Cell. 2004;116:281–97.View ArticlePubMedGoogle Scholar
- Esquela-Kerscher A, Slack FJ. Oncomirs - microRNAs with a role in cancer. Nat Rev Cancer. 2006;6:259–69.View ArticlePubMedGoogle Scholar
- Chang Y-L, Zhou P-J, Wei L, Li W, Ji Z, Fang Y-X, Gao W-Q. MicroRNA-7 inhibits the stemness of prostate cancer stem-like cells and tumorigenesis by repressing KLF4/PI3K/Akt/p21 pathway. Oncotarget. 2015;6:24017–31.View ArticlePubMedPubMed CentralGoogle Scholar
- Kaid C, Silva PBG, Cortez BA, Rodini CO, Semedo-Kuriki P, Okamoto OK. miR-367 promotes proliferation and stem-like traits in medulloblastoma cells. Cancer Sci. 2015;106:1188–95.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen L, Yang Q, Kong W-Q, Liu T, Liu M, Li X, Tang H. MicroRNA-181b targets cAMP responsive element binding protein 1 in gastric adenocarcinomas. Iubmb Life. 2012;64:628–35.View ArticlePubMedGoogle Scholar
- Yang L, Wang Y-L, Liu S, Zhang P-P, Chen Z, Liu M, Tang H. miR-181b promotes cell proliferation and reduces apoptosis by repressing the expression of adenylyl cyclase 9 (AC9) in cervical cancer cells. Febs Letters. 2014;588:124–30.View ArticlePubMedGoogle Scholar
- Pallante P, Visone R, Ferracin M, Ferraro A, Berlingieri MT, Troncone G, Chiappetta G, Liu CG, Santoro M, Negrini M, et al. MicroRNA deregulation in human thyroid papillary carcinomas. Endocr Relat Cancer. 2006;13:497–508.View ArticlePubMedGoogle Scholar
- Schwertheim S, Sheu SY, Worm K, Grabellus F, Schmid KW. Analysis of Deregulated miRNAs is Helpful to Distinguish Poorly Differentiated Thyroid Carcinoma from Papillary Thyroid Carcinoma. Horm Metab Res. 2009;41:475–81.View ArticlePubMedGoogle Scholar
- Iliopoulos D, Jaeger SA, Hirsch HA, Bulyk ML, Struhl K. STAT3 Activation of miR-21 and miR-181b-1 via PTEN and CYLD Are Part of the Epigenetic Switch Linking Inflammation to Cancer. Mol Cell. 2010;39:493–506.View ArticlePubMedPubMed CentralGoogle Scholar
- Ponti D, Costa A, Zaffaroni N, Pratesi G, Petrangolini G, Coradini D, Pilotti S, Pierotti MA, Daidone MG. Isolation and in vitro propagation of tumorigenic breast cancer cells with stem/progenitor cell properties. Cancer Res. 2005;65:5506–11.View ArticlePubMedGoogle Scholar
- Zhao J-S, Li W-J, Ge D, Zhang P-J, Li J-J, Lu C-L, Ji X-D, Guan D-X, Gao H, Xu L-Y, et al. Tumor Initiating Cells in Esophageal Squamous Cell Carcinomas Express High Levels of CD44. Plos One. 2011;6:e21419.Google Scholar
- Mani SA, Guo W, Liao M-J, Eaton EN, Ayyanan A, Zhou AY, Brooks M, Reinhard F, Zhang CC, Shipitsin M, et al. The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell. 2008;133:704–15.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhang Y, Du X-L, Wang C-J, Lin D-C, Ruan X, Feng Y-B, Huo Y-Q, Peng H, Cui J-L, Zhang T-T, et al. Reciprocal Activation Between PLK1 and Stat3 Contributes to Survival and Proliferation of Esophageal Cancer Cells. Gastroenterology. 2012;142:521–U178.View ArticlePubMedGoogle Scholar
- Bromberg J. Stat proteins and oncogenesis. J Clin Investigation. 2002;109:1139–42.View ArticleGoogle Scholar
- Huang S. Regulation of Metastases by signal transducer and activator of transcription 3 signaling pathway: Clinical implications. Clin Cancer Res. 2007;13:1362–6.View ArticlePubMedGoogle Scholar
- Yu H, Jove R. The stats of cancer - New molecular targets come of age. Nat Rev Cancer. 2004;4:97–105.View ArticlePubMedGoogle Scholar
- Zhu W, Shan X, Wang T, Shu Y, Liu P. miR-181b modulates multidrug resistance by targeting BCL2 in human cancer cell lines. Int J Cancer. 2010;127:2520–9.View ArticlePubMedGoogle Scholar
- Wang B, Hsu SH, Majumder S, Kutay H, Huang W, Jacob ST, Ghoshal K. TGF beta-mediated upregulation of hepatic miR-181b promotes hepatocarcinogenesis by targeting TIMP3. Oncogene. 2010;29:1787–97.View ArticlePubMedPubMed CentralGoogle Scholar
- Li D, Jian W, Wei C, Song H, Gu Y, Luo Y, Fang L. Down-regulation of miR-181b promotes apoptosis by targeting CYLD in thyroid papillary cancer. Int J Clin Exp Pathol. 2014;7:7672–80.PubMedPubMed CentralGoogle Scholar
- Trompouki E, Hatzivassiliou E, Tsichritzis T, Farmer H, Ashworth A, Mosialos G. CYLD is a deubiquitinating enzyme that negatively regulates NF-kappa B activation by TNFR family members. Nature. 2003;424:793–6.View ArticlePubMedGoogle Scholar
- Brummelkamp TR, Nijman SMB, Dirac AMG, Bernards R. Loss of the cylindromatosis tumour suppressor inhibits apoptosis by activating NF-kappa B. Nature. 2003;424:797–801.View ArticlePubMedGoogle Scholar
- Dalerba P, Clarke MF. Cancer stem cells and tumor metastasis: First steps into uncharted territory. Cell Stem Cell. 2007;1:241–2.View ArticlePubMedGoogle Scholar
- Zhou S, Schuetz JD, Bunting KD, Colapietro AM, Sampath J, Morris JJ, Lagutina I, Grosveld GC, Osawa M, Nakauchi H, Sorrentino BP. The ABC transporter Bcrp1/ABCG2 is expressed in a wide variety of stem cells and is a molecular determinant of the side-population phenotype. Nat Med. 2001;7:1028–34.View ArticlePubMedGoogle Scholar
- Wu C, Alman BA. Side population cells in human cancers. Cancer Lett. 2008;268:1–9.View ArticlePubMedGoogle Scholar
- Tsunoda S, Okumura T, Ito T, Kondo K, Ortiz C, Tanaka E, Watanabe G, Itami A, Sakai Y, Shimada Y. ABCG2 expression is an independent unfavorable prognostic factor in Esophageal squamous cell carcinoma. Oncology. 2006;71:251–8.View ArticlePubMedGoogle Scholar
- Zbinden M, Duquet A, Lorente-Trigos A, Ngwabyt S-N, Borges I, Ruiz i Altaba A. NANOG regulates glioma stem cells and is essential in vivo acting in a cross-functional network with GLI1 and p53. Embo Journal. 2010;29:2659–74.View ArticlePubMedPubMed CentralGoogle Scholar
- Boumahdi S, Driessens G, Lapouge G, Rorive S, Nassar D, Le Mercier M, Delatte B, Caauwe A, Lenglez S, Nkusi E, et al. SOX2 controls tumour initiation and cancer stem-cell functions in squamous-cell carcinoma. Nature. 2014;511:246.View ArticlePubMedGoogle Scholar
- Kreso A, van Galen P, Pedley NM, Lima-Fernandes E, Frelin C, Davis T, Cao L, Baiazitov R, Du W, Sydorenko N, et al. Self-renewal as a therapeutic target in human colorectal cancer. Nat Med. 2014;20:29.View ArticlePubMedGoogle Scholar
- Lu Y, Zhu H, Shan H, Lu J, Chang X, Li X, Lu J, Fan X, Zhu S, Wang Y, et al. Knockdown of Oct4 and Nanog expression inhibits the stemness of pancreatic cancer cells. Cancer Lett. 2013;340:113–23.View ArticlePubMedGoogle Scholar
- Santini R, Pietrobono S, Pandolfi S, Montagnani V, D’Amico M, Penachioni JY, Vinci MC, Borgognoni L, Stecca B. SOX2 regulates self-renewal and tumorigenicity of human melanoma-initiating cells. Oncogene. 2014;33:4697–708.View ArticlePubMedPubMed CentralGoogle Scholar
- Al-Hajj M, Wicha MS, Benito-Hernandez A, Morrison SJ, Clarke MF. Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci U S A. 2003;100:3983–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Prince ME, Sivanandan R, Kaczorowski A, Wolf GT, Kaplan MJ, Dalerba P, Weissman IL, Clarke MF, Ailles LE. Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma. Proc Natl Acad Sci U S A. 2007;104:973–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Bowman T, Garcia R, Turkson J, Jove R. STATs in oncogenesis. Oncogene. 2000;19:2474–88.View ArticlePubMedGoogle Scholar
- Siveen KS, Sikka S, Surana R, Dai X, Zhang J, Kumar AP, Tan BKH, Sethi G, Bishayee A. Targeting the STAT3 signaling pathway in cancer: Role of synthetic and natural inhibitors. Biochimica Et Biophysica Acta-Reviews on Cancer. 1845;2014:136–54.Google Scholar
- Bartel DP. MicroRNAs: Target Recognition and Regulatory Functions. Cell. 2009;136:215–33.View ArticlePubMedPubMed CentralGoogle Scholar
- Chiou S-H, Yu C-C, Huang C-Y, Lin S-C, Liu C-J, Tsai T-H, Chou S-H, Chien C-S, Ku H-H, Lo J-F. Positive correlations of Oct-4 and Nanog in oral cancer stem-like cells and high-grade oral squamous cell carcinoma. Clin Cancer Res. 2008;14:4085–95.View ArticlePubMedGoogle Scholar
- Yang Y, Liu M, Li D, Ran J, Gao J, Suo S, Sun S-C, Zhou J. CYLD regulates spindle orientation by stabilizing astral microtubules and promoting dishevelled-NuMA-dynein/dynactin complex formation. Proc Natl Acad Sci U S A. 2014;111:2158–63.View ArticlePubMedPubMed CentralGoogle Scholar