Previous studies have shown that hepatocyte nuclear factor-4␣ (HNF4␣) is a central regulator of differentiated hepatocyte phenotype and forced expression of HNF4␣ could promote reversion of tumors toward a less invasive phenotype. However, the effect of HNF4␣ on cancer stem cells (CSCs) and the treatment of hepatocellular carcinoma (HCC) with HNF4␣ have not been reported. In this study, an adenovirus-mediated gene delivery system, which could efficiently transfer and express HNF4␣, was generated to determine its effect on hepatoma cells (Hep3B and H epatocellular carcinoma (HCC) is one of the most common cancers worldwide, and in the United States its incidence has increased by more than 90% in the past three decades. 1 Despite great advances in detection and treatment of the disease, the mortality rate remains high-especially in the advanced stage, when the disease is usually diagnosed. Even if anticancer therapies could shrink primary and metastatic tumors, such effects are usually transient, and most metastatic cancers relapse frequently.Recent evidence has demonstrated that tumors are organized in a hierarchy of heterogeneous cell populations with different biologic properties and that the populations consist of cancer stem cells (CSCs), proliferating Abbreviations: CSC, cancer stem cell; GFP, green fluorescent protein; HCC, hepatocellular carcinoma; HNF4␣, mRNA, messenger RNA; PBS, PCR, polymerase chain reaction; From the