Tumor and Stem Cell Biology Notch Signaling Drives Stemness and Tumorigenicity of Esophageal Adenocarcinoma

نویسندگان

  • Zhiqiang Wang
  • Thiago G. Da Silva
  • Ke Jin
  • Xiaoqing Han
  • Prathibha Ranganathan
  • Xiaoxia Zhu
  • Avencia Sanchez-Mejias
  • Feng Bai
  • Bin Li
  • Dennis Liang Fei
  • Kelly Weaver
  • Rodrigo Vasquez-Del Carpio
  • Anna E. Moscowitz
  • Vadim P. Koshenkov
  • Lilly Sanchez
  • Lynne Sparling
  • Xin-Hai Pei
  • Dido Franceschi
  • Afonso Ribeiro
  • David J. Robbins
  • Alan S. Livingstone
  • Anthony J. Capobianco
چکیده

Esophageal adenocarcinoma ranks sixth in cancer mortality in the world and its incidence has risen dramatically in the Western population over the last decades. Data presented herein strongly suggest that Notch signaling is critical for esophageal adenocarcinoma and underlies resistance to chemotherapy. We present evidence that Notch signaling drives a cancer stem cell phenotype by regulating genes that establish stemness. Using patient-derived xenograft models, we demonstrate that inhibition of Notch by gamma-secretase inhibitors (GSI) is efficacious in downsizing tumor growth. Moreover, we demonstrate that Notch activity in a patient's ultrasound-assisted endoscopic–derived biopsy might predict outcome to chemotherapy. Therefore, this study provides a proof of concept that inhibition of Notch activity will have efficacy in treating esophageal adenocarcinoma, offering a rationale to lay the foundation for a clinical trial to evaluate the efficacy of GSI in esophageal adenocarcinoma treatment. Cancer Res; 74(21); 6364–74. 2014 AACR.

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تاریخ انتشار 2014