Sulfasalazine, a therapeutic agent for ulcerative colitis, inhibits the growth of CD44v9+ cancer stem cells in ulcerative colitis-related cancer

Summary Background and objective Sulfasalazine reduces the risk of ulcerative colitis (UC)-related cancer through its anti-inflammatory effect and induction of oxidative stress in cancer cells by inhibiting the glutamate–cystine transporter, which is closely associated with the cancer stem cell surf...

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Veröffentlicht in:Clinics and research in hepatology and gastroenterology 2016-09, Vol.40 (4), p.487-493
Hauptverfasser: Seishima, Ryo, Okabayashi, Koji, Nagano, Osamu, Hasegawa, Hirotoshi, Tsuruta, Masashi, Shimoda, Masayuki, Kameyama, Kaori, Saya, Hideyuki, Kitagawa, Yuko
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container_title Clinics and research in hepatology and gastroenterology
container_volume 40
creator Seishima, Ryo
Okabayashi, Koji
Nagano, Osamu
Hasegawa, Hirotoshi
Tsuruta, Masashi
Shimoda, Masayuki
Kameyama, Kaori
Saya, Hideyuki
Kitagawa, Yuko
description Summary Background and objective Sulfasalazine reduces the risk of ulcerative colitis (UC)-related cancer through its anti-inflammatory effect and induction of oxidative stress in cancer cells by inhibiting the glutamate–cystine transporter, which is closely associated with the cancer stem cell surface marker CD44v9. This study aimed to quantify the effects of sulfasalazine on CD44v9 expression and pathological factors in colorectal cancers (CRCs) arising from UC. Methods Twenty-six patients with UC-related cancer were classified into groups according to the length of sulfasalazine treatment as follows: (1) long-term (LT) (≥ 5 years) and (2) short-term (ST) (
doi_str_mv 10.1016/j.clinre.2015.11.007
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This study aimed to quantify the effects of sulfasalazine on CD44v9 expression and pathological factors in colorectal cancers (CRCs) arising from UC. Methods Twenty-six patients with UC-related cancer were classified into groups according to the length of sulfasalazine treatment as follows: (1) long-term (LT) (≥ 5 years) and (2) short-term (ST) (&lt; 5 years). Using immunohistochemistry, we compared CD44v9 and Ki-67 expression and pathological characteristics of each group's tumors. In vitro assay was performed to investigate the effect of sulfasalazine on epithelial differentiation and proliferation of CD44+ cancer cells. Results Immunohistochemical analysis revealed that CD44v9 expression tended to be lower in the LT group (LT:ST = 15.4%:46.2%, P = 0.20), and Ki-67/CD44v9 double-stained cells were significantly lower in the LT group (LT:ST = 0%:6.9%, P = 0.01). Pathologically, the frequency of well-differentiated adenocarcinomas was higher in the LT group (LT:ST = 84.6%:38.5%, P = 0.04). In vitro assay revealed that sulfasalazine promoted the expression of epithelial differentiation markers (E-cadherin and CDX2) and inhibited the proliferation of CD44+ cancer cells. Conclusions Long-term sulfasalazine administration reduced proliferative CD44v9+ cells and increased the degree of differentiation of adenocarcinomas. These findings indicate the importance of CD44v9+ cells in UC-related cancer progression and suggest that sulfasalazine may serve as a novel therapeutic agent that targets CD44v9+ cells.</description><identifier>ISSN: 2210-7401</identifier><identifier>EISSN: 2210-741X</identifier><identifier>DOI: 10.1016/j.clinre.2015.11.007</identifier><identifier>PMID: 26775891</identifier><language>eng</language><publisher>France</publisher><subject>Adenocarcinoma - pathology ; Adult ; Aged ; Cadherins - metabolism ; CDX2 Transcription Factor - metabolism ; Cell Differentiation - drug effects ; Cell Proliferation - drug effects ; Colitis, Ulcerative - drug therapy ; Colorectal Neoplasms - pathology ; Down-Regulation ; Female ; Gastroenterology and Hepatology ; Gastrointestinal Agents - pharmacology ; Humans ; Hyaluronan Receptors - genetics ; Hyaluronan Receptors - metabolism ; Immunohistochemistry ; Internal Medicine ; Ki-67 Antigen - metabolism ; Male ; Middle Aged ; Neoplastic Stem Cells - drug effects ; Retrospective Studies ; RNA, Messenger - metabolism ; Sulfasalazine - pharmacology</subject><ispartof>Clinics and research in hepatology and gastroenterology, 2016-09, Vol.40 (4), p.487-493</ispartof><rights>Elsevier Masson SAS</rights><rights>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-3b970133adeaf00f7e2fc67d47e10be9c93fd560d2d7bc6e4e80b07c9333e0b13</citedby><cites>FETCH-LOGICAL-c428t-3b970133adeaf00f7e2fc67d47e10be9c93fd560d2d7bc6e4e80b07c9333e0b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26775891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seishima, Ryo</creatorcontrib><creatorcontrib>Okabayashi, Koji</creatorcontrib><creatorcontrib>Nagano, Osamu</creatorcontrib><creatorcontrib>Hasegawa, Hirotoshi</creatorcontrib><creatorcontrib>Tsuruta, Masashi</creatorcontrib><creatorcontrib>Shimoda, Masayuki</creatorcontrib><creatorcontrib>Kameyama, Kaori</creatorcontrib><creatorcontrib>Saya, Hideyuki</creatorcontrib><creatorcontrib>Kitagawa, Yuko</creatorcontrib><title>Sulfasalazine, a therapeutic agent for ulcerative colitis, inhibits the growth of CD44v9+ cancer stem cells in ulcerative colitis-related cancer</title><title>Clinics and research in hepatology and gastroenterology</title><addtitle>Clin Res Hepatol Gastroenterol</addtitle><description>Summary Background and objective Sulfasalazine reduces the risk of ulcerative colitis (UC)-related cancer through its anti-inflammatory effect and induction of oxidative stress in cancer cells by inhibiting the glutamate–cystine transporter, which is closely associated with the cancer stem cell surface marker CD44v9. This study aimed to quantify the effects of sulfasalazine on CD44v9 expression and pathological factors in colorectal cancers (CRCs) arising from UC. Methods Twenty-six patients with UC-related cancer were classified into groups according to the length of sulfasalazine treatment as follows: (1) long-term (LT) (≥ 5 years) and (2) short-term (ST) (&lt; 5 years). Using immunohistochemistry, we compared CD44v9 and Ki-67 expression and pathological characteristics of each group's tumors. In vitro assay was performed to investigate the effect of sulfasalazine on epithelial differentiation and proliferation of CD44+ cancer cells. Results Immunohistochemical analysis revealed that CD44v9 expression tended to be lower in the LT group (LT:ST = 15.4%:46.2%, P = 0.20), and Ki-67/CD44v9 double-stained cells were significantly lower in the LT group (LT:ST = 0%:6.9%, P = 0.01). Pathologically, the frequency of well-differentiated adenocarcinomas was higher in the LT group (LT:ST = 84.6%:38.5%, P = 0.04). In vitro assay revealed that sulfasalazine promoted the expression of epithelial differentiation markers (E-cadherin and CDX2) and inhibited the proliferation of CD44+ cancer cells. Conclusions Long-term sulfasalazine administration reduced proliferative CD44v9+ cells and increased the degree of differentiation of adenocarcinomas. These findings indicate the importance of CD44v9+ cells in UC-related cancer progression and suggest that sulfasalazine may serve as a novel therapeutic agent that targets CD44v9+ cells.</description><subject>Adenocarcinoma - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Cadherins - metabolism</subject><subject>CDX2 Transcription Factor - metabolism</subject><subject>Cell Differentiation - drug effects</subject><subject>Cell Proliferation - drug effects</subject><subject>Colitis, Ulcerative - drug therapy</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Down-Regulation</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastrointestinal Agents - pharmacology</subject><subject>Humans</subject><subject>Hyaluronan Receptors - genetics</subject><subject>Hyaluronan Receptors - metabolism</subject><subject>Immunohistochemistry</subject><subject>Internal Medicine</subject><subject>Ki-67 Antigen - metabolism</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplastic Stem Cells - drug effects</subject><subject>Retrospective Studies</subject><subject>RNA, Messenger - metabolism</subject><subject>Sulfasalazine - pharmacology</subject><issn>2210-7401</issn><issn>2210-741X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1u1DAUhS0EolXbN0DISySa9F7nx8kGCU35kyqxKEjsLMe56XjwJIPtDGqfoo-Mwwxd4Y2tq3OO7fMx9gohR8D6apMbZ0dPuQCscsQcQD5jp0IgZLLEH8-fzoAn7CKEDaRVVtBIfMlORC1l1bR4yh5vZzfooJ1-sCNdcs3jmrze0Ryt4fqOxsiHyfPZmTSOdk_cTM5GGy65Hde2szEsFn7np99xzaeBr67Lct--5UaPycNDpC035FxIhv_kZJ6cjtQf9efsxaBdoIvjfsa-f_zwbfU5u_n66cvq_U1mStHErOhaCVgUuic9AAySxGBq2ZeSEDpqTVsMfVVDL3rZmZpKaqADmcZFQdBhccbeHHJ3fvo1U4hqa8PyTD3SNAeFTSoQq0pAkpYHqfFTCJ4GtfN2q_29QlALDrVRBxxqwaEQVcKRbK-PN8zdlvon07_yk-DdQUDpn3tL_m-KNdr9pHsKm2n2Y6pAoQpCgbpdiC5AsQIQTQPFH5sqnv8</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Seishima, Ryo</creator><creator>Okabayashi, Koji</creator><creator>Nagano, Osamu</creator><creator>Hasegawa, Hirotoshi</creator><creator>Tsuruta, Masashi</creator><creator>Shimoda, Masayuki</creator><creator>Kameyama, Kaori</creator><creator>Saya, Hideyuki</creator><creator>Kitagawa, Yuko</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Sulfasalazine, a therapeutic agent for ulcerative colitis, inhibits the growth of CD44v9+ cancer stem cells in ulcerative colitis-related cancer</title><author>Seishima, Ryo ; Okabayashi, Koji ; Nagano, Osamu ; Hasegawa, Hirotoshi ; Tsuruta, Masashi ; Shimoda, Masayuki ; Kameyama, Kaori ; Saya, Hideyuki ; Kitagawa, Yuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-3b970133adeaf00f7e2fc67d47e10be9c93fd560d2d7bc6e4e80b07c9333e0b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adenocarcinoma - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Cadherins - metabolism</topic><topic>CDX2 Transcription Factor - metabolism</topic><topic>Cell Differentiation - drug effects</topic><topic>Cell Proliferation - drug effects</topic><topic>Colitis, Ulcerative - drug therapy</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Down-Regulation</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Gastrointestinal Agents - pharmacology</topic><topic>Humans</topic><topic>Hyaluronan Receptors - genetics</topic><topic>Hyaluronan Receptors - metabolism</topic><topic>Immunohistochemistry</topic><topic>Internal Medicine</topic><topic>Ki-67 Antigen - metabolism</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplastic Stem Cells - drug effects</topic><topic>Retrospective Studies</topic><topic>RNA, Messenger - metabolism</topic><topic>Sulfasalazine - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seishima, Ryo</creatorcontrib><creatorcontrib>Okabayashi, Koji</creatorcontrib><creatorcontrib>Nagano, Osamu</creatorcontrib><creatorcontrib>Hasegawa, Hirotoshi</creatorcontrib><creatorcontrib>Tsuruta, Masashi</creatorcontrib><creatorcontrib>Shimoda, Masayuki</creatorcontrib><creatorcontrib>Kameyama, Kaori</creatorcontrib><creatorcontrib>Saya, Hideyuki</creatorcontrib><creatorcontrib>Kitagawa, Yuko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinics and research in hepatology and gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seishima, Ryo</au><au>Okabayashi, Koji</au><au>Nagano, Osamu</au><au>Hasegawa, Hirotoshi</au><au>Tsuruta, Masashi</au><au>Shimoda, Masayuki</au><au>Kameyama, Kaori</au><au>Saya, Hideyuki</au><au>Kitagawa, Yuko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sulfasalazine, a therapeutic agent for ulcerative colitis, inhibits the growth of CD44v9+ cancer stem cells in ulcerative colitis-related cancer</atitle><jtitle>Clinics and research in hepatology and gastroenterology</jtitle><addtitle>Clin Res Hepatol Gastroenterol</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>40</volume><issue>4</issue><spage>487</spage><epage>493</epage><pages>487-493</pages><issn>2210-7401</issn><eissn>2210-741X</eissn><abstract>Summary Background and objective Sulfasalazine reduces the risk of ulcerative colitis (UC)-related cancer through its anti-inflammatory effect and induction of oxidative stress in cancer cells by inhibiting the glutamate–cystine transporter, which is closely associated with the cancer stem cell surface marker CD44v9. This study aimed to quantify the effects of sulfasalazine on CD44v9 expression and pathological factors in colorectal cancers (CRCs) arising from UC. Methods Twenty-six patients with UC-related cancer were classified into groups according to the length of sulfasalazine treatment as follows: (1) long-term (LT) (≥ 5 years) and (2) short-term (ST) (&lt; 5 years). Using immunohistochemistry, we compared CD44v9 and Ki-67 expression and pathological characteristics of each group's tumors. In vitro assay was performed to investigate the effect of sulfasalazine on epithelial differentiation and proliferation of CD44+ cancer cells. Results Immunohistochemical analysis revealed that CD44v9 expression tended to be lower in the LT group (LT:ST = 15.4%:46.2%, P = 0.20), and Ki-67/CD44v9 double-stained cells were significantly lower in the LT group (LT:ST = 0%:6.9%, P = 0.01). Pathologically, the frequency of well-differentiated adenocarcinomas was higher in the LT group (LT:ST = 84.6%:38.5%, P = 0.04). In vitro assay revealed that sulfasalazine promoted the expression of epithelial differentiation markers (E-cadherin and CDX2) and inhibited the proliferation of CD44+ cancer cells. Conclusions Long-term sulfasalazine administration reduced proliferative CD44v9+ cells and increased the degree of differentiation of adenocarcinomas. These findings indicate the importance of CD44v9+ cells in UC-related cancer progression and suggest that sulfasalazine may serve as a novel therapeutic agent that targets CD44v9+ cells.</abstract><cop>France</cop><pmid>26775891</pmid><doi>10.1016/j.clinre.2015.11.007</doi><tpages>7</tpages></addata></record>
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subjects Adenocarcinoma - pathology
Adult
Aged
Cadherins - metabolism
CDX2 Transcription Factor - metabolism
Cell Differentiation - drug effects
Cell Proliferation - drug effects
Colitis, Ulcerative - drug therapy
Colorectal Neoplasms - pathology
Down-Regulation
Female
Gastroenterology and Hepatology
Gastrointestinal Agents - pharmacology
Humans
Hyaluronan Receptors - genetics
Hyaluronan Receptors - metabolism
Immunohistochemistry
Internal Medicine
Ki-67 Antigen - metabolism
Male
Middle Aged
Neoplastic Stem Cells - drug effects
Retrospective Studies
RNA, Messenger - metabolism
Sulfasalazine - pharmacology
title Sulfasalazine, a therapeutic agent for ulcerative colitis, inhibits the growth of CD44v9+ cancer stem cells in ulcerative colitis-related cancer
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