Abstract. Cancer stem cells (CSCs) have been reported as a major cause of cancer metastasis and the failure of cancer treatment. Cumulative studies have indicated that protein kinase B (Akt) and its downstream signaling pathway, including CSC markers, play a critical role in the aggressive behavior of this cancer. In this study, we investigated whether vanillin, a major component in Vanilla planifolia seed, could suppress cancer stemness phenotypes and related proteins in the human non-small cell lung cancer NCI-H460 cell line. A non-toxic concentration of vanillin suppressed spheroid and colony formation, two hallmarks of the cancer stemness phenotype, in vitro in NCI-H460 cells. Western blot analysis revealed that the CSC markers CD133 and ALDH1A1 and the associated transcription factors, Oct4 and Nanog, were extensively downregulated by vanillin. Vanillin also attenuated the expression and activity of Akt, a transcription regulator upstream of CSCs, an action that was confirmed by treatment with the Akt inhibitor perifosine. Furthermore, the ubiquitination of Akt was elevated in response to vanillin treatment prior to proteasomal degradation. This finding indicates that vanillin can inhibit cancer stem cell-like behavior in NCI-H460 cells through the induction of Akt-proteasomal degradation and reduction of downstream CSC transcription factors. This inhibitory effect of vanillin may be an alternative approach in the treatment against lung cancer metastasis and its resistance to chemotherapy.
IntroductionLung cancer has been reported as a major cause of mortality with a high metastasis rate compared with other types of cancers (1). Lung cancer cells contain a small population called tumor-initiating cells or cancer stem cells (CSCs) that have extremely tumorigenic, self-renewal and differentiating properties, resulting in a prolonged tumor status, resistance to chemotherapy and cancer relapse (2,3). Clinical observation has reported that this CSC subpopulation is found in cancer specimens and remains an obstacle for cancer treatment (4). In vitro and in vivo studies have revealed that lung cancer stem cells are extensively resistant to the first-line therapy cisplatin compared with neighboring cancer cells (5,6). These CSCs can maintain the cell survival signaling that provides their strength under severe environments (7). Therefore, the attenuation or removal of CSCs would be likely to improve patient outcome.Like other types of stem cells, CSCs express specific surface markers, including octamer-binding transcription factor 4 (Oct4), Nanog, ATP-binding cassette subfamily G member 2 (ABCG2), and CD133. Oct4 and Nanog are transcription factors that are responsible for maintaining pluripotency, self-renewal proliferation and tumorigenicity in both normal stem cells and cancer stem cells (8,9). Several studies have reported that an elevation of Oct4 and Nanog is tightly related to a low survival rate and high incidence of cancer metastases (10,11). In lung cancer, both Oct4 and Nanog are required to maintain the...