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Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines

  • Authors:
    • Puteri Baharuddin
    • Nazilah Satar
    • Kamal Shaik Fakiruddin
    • Norashikin Zakaria
    • Moon Nian Lim
    • Narazah Mohd Yusoff
    • Zubaidah Zakaria
    • Badrul Hisham Yahaya
  • View Affiliations / Copyright

    Affiliations: Stem Cell Laboratory, Haematology Unit, Cancer Research Centre, Institute for Medical Research (IMR), Jalan Pahang, Kuala Lumpur 50588, Malaysia, Regenerative Medicine Cluster, Advanced Medical and Dental Institute (AMDI), University Sains Malaysia, Kepala Batas, Penang 13200, Malaysia
    Copyright: © Baharuddin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 13-25
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    Published online on: November 2, 2015
       https://doi.org/10.3892/or.2015.4371
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Abstract

Natural compounds such as curcumin have the ability to enhance the therapeutic effectiveness of common chemotherapy agents through cancer stem‑like cell (CSC) sensitisation. In the present study, we showed that curcumin enhanced the sensitivity of the double‑positive (CD166+/EpCAM+) CSC subpopulation in non‑small cell lung cancer (NSCLC) cell lines (A549 and H2170) to cisplatin‑induced apoptosis and inhibition of metastasis. Our results revealed that initial exposure of NSCLC cell lines to curcumin (10‑40 µM) markedly reduced the percentage of viability to an average of ~51 and ~54% compared to treatment with low dose cisplatin (3 µM) with only 94 and 86% in both the A549 and H2170 cells. Moreover, sensitisation of NSCLC cell lines to curcumin through combined treatment enhanced the single effect induced by low dose cisplatin on the apoptosis of the double‑positive CSC subpopulation by 18 and 20% in the A549 and H2170 cells, respectively. Furthermore, we found that curcumin enhanced the inhibitory effects of cisplatin on the highly migratory CD166+/EpCAM+ subpopulation, marked by a reduction in cell migration to 9 and 21% in the A549 and H2170 cells, respectively, indicating that curcumin may increase the sensitivity of CSCs to cisplatin‑induced migratory inhibition. We also observed that the mRNA expression of cyclin D1 was downregulated, while a substantial increased in p21 expression was noted, followed by Apaf1 and caspase‑9 activation in the double‑positive (CD166+/EpCAM+) CSC subpopulation of A549 cells, suggested that the combined treatments induced cell cycle arrest, therefore triggering CSC growth inhibition via the intrinsic apoptotic pathway. In conclusion, we provided novel evidence of the previously unknown therapeutic effects of curcumin, either alone or in combination with cisplatin on the inhibition of the CD166+/EpCAM+ subpopulation of NSCLC cell lines. This finding demonstrated the potential therapeutic approach of using curcumin that may enhance the effects of cisplatin by targeting the CSC subpopulation in NSCLC.
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Baharuddin P, Satar N, Fakiruddin KS, Zakaria N, Lim MN, Yusoff NM, Zakaria Z and Yahaya BH: Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines . Oncol Rep 35: 13-25, 2016.
APA
Baharuddin, P., Satar, N., Fakiruddin, K.S., Zakaria, N., Lim, M.N., Yusoff, N.M. ... Yahaya, B.H. (2016). Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines . Oncology Reports, 35, 13-25. https://doi.org/10.3892/or.2015.4371
MLA
Baharuddin, P., Satar, N., Fakiruddin, K. S., Zakaria, N., Lim, M. N., Yusoff, N. M., Zakaria, Z., Yahaya, B. H."Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines ". Oncology Reports 35.1 (2016): 13-25.
Chicago
Baharuddin, P., Satar, N., Fakiruddin, K. S., Zakaria, N., Lim, M. N., Yusoff, N. M., Zakaria, Z., Yahaya, B. H."Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines ". Oncology Reports 35, no. 1 (2016): 13-25. https://doi.org/10.3892/or.2015.4371
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Spandidos Publications style
Baharuddin P, Satar N, Fakiruddin KS, Zakaria N, Lim MN, Yusoff NM, Zakaria Z and Yahaya BH: Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines . Oncol Rep 35: 13-25, 2016.
APA
Baharuddin, P., Satar, N., Fakiruddin, K.S., Zakaria, N., Lim, M.N., Yusoff, N.M. ... Yahaya, B.H. (2016). Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines . Oncology Reports, 35, 13-25. https://doi.org/10.3892/or.2015.4371
MLA
Baharuddin, P., Satar, N., Fakiruddin, K. S., Zakaria, N., Lim, M. N., Yusoff, N. M., Zakaria, Z., Yahaya, B. H."Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines ". Oncology Reports 35.1 (2016): 13-25.
Chicago
Baharuddin, P., Satar, N., Fakiruddin, K. S., Zakaria, N., Lim, M. N., Yusoff, N. M., Zakaria, Z., Yahaya, B. H."Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines ". Oncology Reports 35, no. 1 (2016): 13-25. https://doi.org/10.3892/or.2015.4371
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