Liver tumor-initiating cells (T-ICs) are capable of self-renewal and
tumor initiation and are more chemoresistant to chemotherapeutic drugs. The current therapeutic strategies for targeting stem cell self-renewal pathways therefore represent rational approaches for
cancer prevention and treatment. In the present study, we found that Lup-20(29)-en-3β-ol (
lupeol), a
triterpene found in fruits and vegetables, inhibited the self-renewal ability of liver T-ICs present in both
hepatocellular carcinoma (HCC) cell lines and clinical HCC samples, as reflected by hepatosphere formation. Furthermore,
lupeol inhibited in vivo tumorigenicity in nude mice and down-regulated CD133 expression, which was previously shown to be a T-IC marker for HCC. In addition,
lupeol sensitized HCC cells to chemotherapeutic agents through the
phosphatase and
tensin homolog (PTEN)-Akt-ABCG2 pathway. PTEN plays a crucial role in the self-renewal and chemoresistance of liver T-ICs; down-regulation of PTEN by a lentiviral-based approach reversed the effect of
lupeol on liver T-ICs. Using an in vivo chemoresistant HCC
tumor model,
lupeol dramatically decreased the
tumor volumes of MHCC-LM3 HCC cell line-derived xenografts, and the effect was equivalent to that of combined
cisplatin and
doxorubicin treatment.
Lupeol exerted a synergistic effect without any adverse effects on
body weight when combined with chemotherapeutic drugs.
CONCLUSION: