Background
Esophageal adenocarcinoma is often considered to arise from a clonal stem like population of cells, potentially responsible for its poor prognosis. TGF-β and Notch signaling pathways play important roles in regulating self-renewal of stem cells, cell-fate determination. Both pathways are frequently implicated in gastrointestinal carcinogenesis. However, their contributions to esophageal adenocarcinoma remain unclear.
Methods
We evaluated TGF-β and Notch signaling components in normal esophagus, Barrett's esophagus and adenocarcinoma tissues and cell lines by IHC and immunoblotting; Hes-1 transcription was assayed using a Hes-1 luciferase reporter.
Results
We demonstrate loss of Smad4 (p<0.05), and β2SP (p<0.01) in 5/10 Barrett's and 17/22 adenocarcinoma tissue sections. Concomitantly, dramatically raised levels of Notch signaling components Hes1 and Jagged1 occur in adenocarcinomas tissues and cell lines, compared to normal tissues. In normal esophagus, Oct3/4 positive cells are located in the basal layer (2-3 per cluster), representing a pool of progenitor cells. We observed an expansion of this pool of Oct3/4 positive cells in esophageal adenocarcinoma (15 per cluster). Furthermore, a panel of SOXs proteins documented for stem cell markers exhibit increased expression in tumor cells indicating expansion of putative cancer stem cells. Finally, we find growth inhibition in BE3 cells with a γ-secretase inhibitor (GSIXXI), but not in SKGT-4 cells. Unlike SKGT-4 cells, BE3 cells have activated Notch signaling with disruption of TGF-β signaling.
Conclusions
Our study demonstrates a potential therapeutic value for targeted therapy in esophageal adenocarcinoma in the setting of loss of β2SP/TGF-β with concomitant constitutively active Notch signaling.