Abstract. Background Colorectal cancer (CRC) is one of the most common cancer types in the world and carries the second highest mortality rate (1). Although initial events in CRC are relatively well studied and treatment for early-stage disease has significantly improved over the past decades, the mechanisms of metastasis and relapse, which are the main causes of death, remain poorly characterized (2). Currently, no effective therapy is available for advanced or metastatic disease and the survival rate at 5 years of follow-up is approximately 50% (3). Thus, a novel therapeutic strategy is urgently required for improving the clinical outcome of CRC.Recent studies suggest that a small subpopulation of cells, so-called cancer stem cells (CSCs), possess high tumorigenicity (4-6). CSCs have the unique features of selfrenewal and asymmetrical division, and are resistant to radio-and chemotherapy (7,8). The CSCs remaining after conventional therapies may promote the high metastasis and relapse of CRC. Therefore, suppression of CSCs is considered a promising approach to improve therapeutic effects on many types of cancers including CRC.Most CRCs carry somatic mutations in one of two genes, adenomatous polyposis coli (APC) and β-catenin (CTNNB1) (9-11). Defect of these genes activates the canonical winglesstype MMTV integration site family (WNT)/β-catenin signaling pathway. It has been shown that the WNT/β-catenin signaling regulates expression levels of CSC marker genes and is essential for maintenance of the undifferentiated status and self-renewal capability of CSCs (12-14). Since we recently developed a derivative of a WNT/β-catenin signaling inhibitor, IC-2, which efficiently suppresses WNT/β-catenin transcriptional activity and induces hepatic differentiation of human mesenchymal stem cells (MSCs) (15, 16), we explored its effect on colorectal cancer cells.
Materials and MethodsSmall molecular compounds. We recently developed WNT/β-catenin signaling inhibitors. IC-2, a derivative of ICG-001, efficiently represses WNT/β-catenin signaling and most effectively induces hepatic differentiation of human MSCs (16). The DNA/RNA synthesis inhibitor, 5-fluorouracil (5-FU) was purchased from Nacalai tesque inc. (Kyoto, Japan). The compounds were 4085