Medical non-
thermal plasma (NTP) treatments for various types of
cancers have been reported. Cells with tumorigenic potential (
cancer-initiating cells; CICs) are few in number in many types of
tumors. CICs efficiently eliminate anti-
cancer chemicals and exhibit high-level
aldehyde dehydrogenase (ALDH) activity. We previously examined the effects of direct irradiation via NTP on
cancer cells; even though we targeted CICs expressing high levels of ALDH, such treatment affected both non-CICs and CICs. Recent studies have shown that plasma-activated medium (PAM) (culture medium irradiated by NTP) selectively induces apoptotic death of
cancer but not normal cells. Therefore, we explored the anti-
cancer effects of PAM on CICs among
endometrioid carcinoma and
gastric cancer cells. PAM reduced the viability of cells expressing both low and high levels of ALDH. Combined PAM/
cisplatin appeared to kill
cancer cells more efficiently than did PAM or
cisplatin alone. In a mouse
tumor xenograft model, PAM exerted an anti-
cancer effect on CICs. Thus, our results suggest that PAM effectively kills both non-CICs and CICs, as does NTP. Therefore, PAM may be a useful new anti-
cancer therapy, targeting various
cancer cells including CICs.