Mesenchymal stem cells (MSCs) exert a
tumor-promoting effect in a variety of human
cancers. This study was designed to identify the molecular mechanisms related to the
tumor-promoting effect of MSCs in
colorectal cancer. In vitro analysis of
colorectal cancer cell lines cultured in MSC
conditioned media (MSC-CM) showed that MSC-CM significantly promoted the progression of the
cancer cells by enhancing cell proliferation, migration and colony formation. The tumorigenic effect of MSC-CM was attributed to altered expression of
cell cycle regulatory proteins and inhibition of apoptosis. Furthermore, MSC-CM induced high level expression of a number of pluripotency factors in the
cancer cells. ELISAs revealed MSC-CM contained higher levels of
IL-6 and
IL-8, which are associated with the progression of
cancer. Moreover, MSC-CM downregulated AMPK
mRNA and
protein phosphorylation, but upregulated mTOR
mRNA and
protein phosphorylation. The NF-κB pathway was activated after addition of MSC-CM. An in vivo model in Balb/C mice confirmed the ability of MSC-CM to promote the invasion and proliferation of
colorectal cancer cells. This study indicates that MSCs promote the progression of
colorectal cancer via AMPK/mTOR-mediated NF-κB activation.