Despite recent advancement in medicine, nearly 50% of patients with
colorectal cancer show recurrence of the disease. Although the reasons for the high relapse are not fully understood, the presence of chemo- and
radiotherapy-resistant
cancer stem/stem-like cells, where many oncomirs like microRNA-21 (miR-21) are upregulated, could be one of the underlying causes. miR-21 regulates the processes of invasion and
metastasis by downregulating multiple
tumor/metastatic suppressor genes including
PTEN (phosphatase and
tensin homolog).
Tumor suppressor protein PTEN controls self-renewal of stem cells. Indeed, our current data demonstrate a marked downregulation of PTEN in SCID mice xenografts of miR-21 over-expressing
colon cancer HCT116 cells. Colonospheres that are highly enriched in
cancer stem/stem like cells reveal increased miR-21 expression and decreased PTEN. Difluorinated
curcumin (CDF), a novel analog of the dietary ingredient
curcumin, which has been shown to inhibit the growth of 5-Flurouracil +
Oxaliplatin resistant
colon cancer cells, downregulated miR-21 in chemo-resistant
colon cancer HCT116 and HT-29 cells and restored PTEN levels with subsequent reduction in Akt phosphorylation. Similar results were also observed in metastatic
colon cancer SW620 cells. Since PTEN-Akt confers drug resistance to different
malignancies including
colorectal cancer, our observation of normalization of miR-21-PTEN-Akt pathway by CDF suggests that the compound could be a potential therapeutic agent for
chemotherapy-resistant
colorectal cancer.