Abstract
Purpose
The existence of cancer stem cells (CSCs) is closely related to tumor recurrence, metastasis, and resistance to chemoradiotherapy. In addition, given the unique physical and biological advantages of charged particle, we hypothesized that charged particle irradiation would produce strong killing effects on CSCs. The purpose of our systematic review is to evaluate the biological effects of CSCs irradiated by charged particle, including proliferation, invasion, migration, and changes in the molecular level.
Methods
We searched PubMed, EMBASE, and Web of Science until 17 march 2022 according to the key words. Included studies have to be vitro studies of CSCs irradiated by charged particle. Outcomes included one or more of radiation sensitivity, proliferation, metastasis, invasion, and molecular level changes, like DNA damage after been irradiated.
Results
Eighteen studies were included in the final analysis. The 18 articles include 12-carbon ion irradiation, 4-proton irradiation, 1 α-particle irradiation, 1-carbon ion combine proton irradiation.
Conclusion
Through the extraction and analysis of data, we came to this conclusion: CSCs have obvious radio-resistance compared with non-CSCs, and charged particle irradiation or in combination with drugs could overcome this resistance, specifically manifested in inhibiting CSCs’ proliferation, invasion, migration, and causing more and harder to repair DNA double-stranded breaks (DSB) of CSCs.
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Data availability
The datasets generated during and/or analyzed during the current study are available in the PubMed: https://pubmed.ncbi.nlm.nih.gov/, Web of Science: https://www.webofscience.com/wos/alldb/basic-search, and EMBASE: https://www.embase.com/.
Abbreviations
- CSCs:
-
Cancer stem cells
- SCID:
-
Severe combined immune deficiency
- RT:
-
Radiotherapy
- LET:
-
Linear energy transfer
- RBE:
-
Relative biological effects
- CIRT:
-
Carbon ion radiotherapy
- DNA:
-
Deoxyribonucleic acid
- DSB:
-
Double-strand breaks
- OER:
-
Oxygen enhancement ratio
- SOBP:
-
Spread-out Bragg peak
- HNSCC:
-
Head and neck squamous cell carcinoma
- PRISMA:
-
Preferred Reporting Items for Systematic Review and Meta-Analysis
- ATG:
-
Autophagy-related genes
- ALDH:
-
Aldehyde dehydrogenase
- FACS:
-
Fluorescence-activated cell sorter
- MACS:
-
Magnetic-activated cell sorting
- MBM:
-
Mixed beam model
- NIRS:
-
National Institute of Radiological Sciences
- MKM:
-
Microdosimetric-kinetic model
- LEM:
-
Local effect model
- NHEJ:
-
Non-homologous end joining
- HR:
-
Homologous recombination
- DNA-PK:
-
DNA-dependent protein kinase
- ROS:
-
Reactive oxygen species
References
Al-Hajj M, Wicha M, Benito-Hernandez A, Morrison S, Clarke M (2003) Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci USA 100(7):3983–3988
Bao S, Wu Q, Mclendon R, Hao Y, Shi Q, Hjelmeland A, Dewhirst M, Bigner D, Rich J (2006) Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Nature 444(7120):756–760
Beerman I, Seita J, Inlay M, Weissman I, Rossi D (2014) Quiescent hematopoietic stem cells accumulate DNA damage during aging that is repaired upon entry into cell cycle. Cell Stem Cell 15(1):37–50
Bird RP, Burki HJ (1975) Survival of synchronized Chinese hamster cells exposed to radiation of different linear-energy transfer. Int J Radiat Biol Relat Stud Phys Chem Med 27(2):105–120
Bonnet D, Dick J (1997) Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat Med 3(7):730–737
Chen YC, Chen YW, Hsu HS, Tseng LM, Huang PI, Lu KH, Chen DT, Tai LK, Yung MC, Chang SC (2009) Aldehyde dehydrogenase 1 is a putative marker for cancer stem cells in head and neck squamous cancer. Biochem Biophy Res Comm. 11:231
Chiblak S, Tang Z, Campos B, Gal Z, Unterberg A, Debus J, Herold-Mende C, Abdollahi A (2016) Radiosensitivity of Patient-Derived Glioma Stem Cell 3-Dimensional Cultures to Photon, Proton, and Carbon Irradiation. Int J Radiat Oncol Biol Phys 95(1):112–119
Cho IC, Niu H, Liu YC, Lee TF, Chen FH (2019) Application of a vertical charged-particle irradiation platform in glioblastoma multiforme cancer stem cell research. Nucl Instr Method Phy Res 441:102–107
Clarke M, Dick J, Dirks P, Eaves C, Jamieson C, Jones D, Visvader J, Weissman I, Wahl G (2006) Cancer stem cells–perspectives on current status and future directions: AACR Workshop on cancer stem cells. Can Res 66(19):9339–9344
Collins A, Berry P, Hyde C, Stower M, Maitland N (2005) Prospective identification of tumorigenic prostate cancer stem cells. Can Res 65(23):10946–10951
Cui X, Oonishi K, Tsujii H, Yasuda T, Matsumoto Y, Furusawa Y, Akashi M, Kamada T, Okayasu R (2011) Effects of Carbon Ion Beam on Putative Colon Cancer Stem Cells and Its Comparison with X-rays. Can Res 71(10):3676–3687
Diehn M, Cho RW, Lobo NA, Kalisky T, Clarke MF (2009) Association of Reactive Oxygen Species Levels and Radioresistance in Cancer Stem Cells. Nature 458(7239):780–783
Fulawka L, Donizy P, Halon A (2014) Cancer stem cells–the current status of an old concept: literature review and clinical approaches. Biol Res 47:66
Gao MQ, Choi YP, Kang S, Youn JH, Cho NH (2010) CD24+ cells from hierarchically organized ovarian cancer are enriched in cancer stem cells. Oncogene 29(18):2672–2680
Greve B, Beller C, Cassens U, Sibrowski W (2010) The Impact of Erythrocyte Lysing Procedures on the Recovery of Hematopoietic Progenitor Cells in Flow Cytometric Analysis. Stem Cells 24(3):793–799
Hamada N (2009) Recent Insights into the Biological Action of Heavy-Ion Radiation. J Radiat Res 1:1–9
Hawkins R (1998) A microdosimetric-kinetic theory of the dependence of the RBE for cell death on LET. Med Phys 25:1157–1170
Higgins JPT, Green S (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0. http://handbook.cochrane.org/
Inaniwa T, Furukawa T, Kase Y, Matsufuji N, Toshito T, Matsumoto Y, Furusawa Y, Noda K (2010) Treatment planning for a scanned carbon beam with a modified microdosimetric kinetic model. Phys Med Biol 55(22):6721–6737
Ishimoto T, Nagano O, Yae T, Tamada M, Motohara T, Oshima H, Oshima M, Ikeda T, Asaba R, Yagi H, Masuko T, Shimizu T, Ishikawa T, Kai K, Takahashi E, Imamura Y, Baba Y, Ohmura M, Suematsu M, Baba H, Saya H (2011) CD44 Variant Regulates Redox Status in Cancer Cells by Stabilizing the xCT Subunit of System xc− and Thereby Promotes Tumor Growth. Cancel Cell. 19:387
Jung MH, Park JC (2015) ERK/p38 MAPK inhibition reduces radio-resistance to a pulsed proton beam in breast cancer stem cells. J Korean Phys Soc 67(8):1444–1447
Kakeji Y, Kurita K, Minami Y, Takiguchi G, Nishita M (2016) Wnt5a-Ror2 signaling in mesenchymal stem cells promotes proliferation of gastric cancer cells by activating CXCL16-CXCR6 axis. Cancer Sci 21:321
Kanai T, Endo M, Minohara S, Miyahara N, Koyama-ito H, Tomura H, Matsufuji N, Futami Y, Fukumura A, Hiraoka T, Furusawa Y, Ando K, Suzuki M, Soga F, Kawachi K (1999) Biophysical characteristics of HIMAC clinical irradiation system for heavy-ion radiation therapy. Int J Radiat Oncol Biol Phys 44(1):201–210
Karger C, Peschke P (2017) RBE and related modeling in carbon-ion therapy. Phys Med Biol 63(1):102
Karger C, Peschke P, Sanchez-Brandelik R, Scholz M, Debus J (2006) Radiation tolerance of the rat spinal cord after 6 and 18 fractions of photons and carbon ions: experimental results and clinical implications. Int J Radiat Oncol Biol Phys 66(5):1488–1497
Keysar S, Jimeno A (2010) More than markers: biological significance of cancer stem cell-defining molecules. Mol Cancer Ther 9(9):2450–2457
Koom WS, Sai S, Suzuki M, Fujimori A, Yamada S, Tsujii H (2020) Superior Effect of the Combination of Carbon-Ion Beam Irradiation and 5-Fluorouracil on Colorectal Cancer Stem Cells in vitro and in vivo. Onco Targets Ther 13:12625–12635
Lapidot T, Sirard, and Christian. (1994) A cell initiating human acute myeloid leukaemia after transplantation into SCID mice. Nature 367(6464):645–645
Li C (2007) Identification of pancreatic cancer stem cells. Cancer Res 67:333
Lianidou E, Markou A (2011) Circulating Tumor Cells in Breast Cancer: Detection Systems, Molecular Characterization, and Future Challenges. Clin Chem 57(9):1242–1255
Mavragani I, Nikitaki Z, Souli M, Aziz A, Nowsheen S, Aziz K, Rogakou E, Georgakilas A (2017) Complex DNA Damage: A Route to Radiation-Induced Genomic Instability and Carcinogenesis. Cancers 11:333
Mihatsch J, Toulany M, Bareiss PM, Grimm S, Lengerke C, Kehlbach R, Rodemann HP (2011) Selection of radioresistant tumor cells and presence of ALDH1 activity in vitro. Radiother Oncol 99(3):300–306
Miyasaka Y, Komatsu S, Abe T, Kubo N, Okano N, Shibuya K, Shirai K, Kawamura H, Saitoh JI, Ebara T (2021) Comparison of Oncologic Outcomes between Carbon Ion Radiotherapy and Stereotactic Body Radiotherapy for Early-Stage Non-Small Cell Lung Cancer. Cancers 13(2):176
Moertel H, Georgi J, Distel L, Eyrich W, Fritsch M, Grabenbauer G, Sauer R (2004) Effects of low energy protons on clonogenic survival, DSB repair and cell cycle in human glioblastoma cells and B14 fibroblasts. Radiother Oncol 73:S115-118
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 4(1):1–9
Narang H, Kumar A, Bhat N, Pandey BN, Ghosh A (2015) Effect of proton and gamma irradiation on human lung carcinoma cells: Gene expression, cell cycle, cell death, epithelial-mesenchymal transition and cancer-stem cell trait as biological end points. Mutat Res 780:35–46
Nikolova T, Ensminger M, Brich ML, Kaina B (2010) Homologous recombination protects mammalian cells from replication-associated DNA double-strand breaks arising in response to methyl methanesulfonate. DNA Repair 9(10):1050–1063
O’Brien C, Pollett A, Gallinger S, Dick J (2007) A human colon cancer cell capable of initiating tumour growth in immunodeficient mice. Nature 445(7123):106–110
Odoux C, Fohrer H, Hoppo T, Guzik L, Stolz DB, Lewis DW, Gollin SM, Gamblin TC, Geller DA, Lagasse E (2008) A Stochastic Model for Cancer Stem Cell Origin in Metastatic Colon Cancer. Can Res 68(17):6932
Oonishi K, Cui X, Hirakawa H, Fujimori A, Kamijo T, Yamada S, Yokosuka O, Kamada T (2012) Different effects of carbon ion beams and X-rays on clonogenic survival and DNA repair in human pancreatic cancer stem-like cells. Radiother Oncol 105(2):258–265
Paganetti H (2014) Relative biological effectiveness (RBE) values for proton beam therapy. Variations as a function of biological endpoint, dose, and linear energy transfer. Phys Med Biol 59:419–472
Paganetti H, Niemierko A, Ancukiewicz M, Gerweck EL, Goitein M (2002) Relative biological effectiveness (RBE) values for proton beam therapy. Inter J Rad Oncol 53:407–421
Park SJ, Heo K, Choi C, Yang K, Adachi A, Okada H, Yoshida Y, Ohno T, Nakano T, Takahashi A (2017) Carbon ion irradiation abrogates Lin28B-induced X-ray resistance in melanoma cells. J Radiat Res 58(6):765–771
Pece S, Tosoni D, Confalonieri S, Mazzarol G, Vecchi M, Ronzoni S, Bernard L, Viale G, Pelicci P, Fiore PD (2010) Biological and Molecular Heterogeneity of Breast Cancers Correlates with Their Cancer Stem Cell Content. Cell 1:140
Pedroni E, Bacher R, Blattmann H, Böhringer T, Coray A, Lomax A, Lin S, Munkel G, Scheib S, Schneider U (1995) The 200-MeV proton therapy project at the Paul Scherrer Institute: conceptual design and practical realization. Med Phys 22(1):37–53
Phillips TM, Mcbride WH, Pajonk F (2006) The Response of CD24-/low/CD44+ Breast Cancer-Initiating Cells to Radiation. J Natl Cancer Inst 98:1777–1785
Plaks V, Kong N, Werb Z (2015) The Cancer Stem Cell Niche: How Essential Is the Niche in Regulating Stemness of Tumor Cells? Cell Stem Cell 16(3):225–238
Podberezin M, Wen J, Chang CCJ (2012) Cancer Stem Cells A Review of Potential Clinical Applications. Arch Pathol Lab Med 137(8):1111
Prince M, Sivanandan R, Kaczorowski A, Wolf G, Kaplan M, Dalerba P, Weissman I, Clarke M, Ailles L (2007) Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma. Proc Natl Acad Sci U S A 104(3):973–978
Qiu S, Liu J, Xing F (2017) “Hints” in the killer protein gasdermin D: unveiling the secrets of gasdermins driving cell death. Cell Death Differ 24(4):588–596
Ricci-Vitiani L, Lombardi DG, Pilozzi E, Biffoni M, Todaro M, Peschle C, Maria RD (2007) Identification and expansion of human colon-cancer-initiating cells. Nature 445(7123):111
S., Chakraborty, J., M., Stark, C.-L., Sun, H., Modi, and W. 2012. Chronic myelogenous leukemia stem and progenitor cells demonstrate chromosomal instability related to repeated breakage-fusion-bridge cycles mediated by increased nonhomologous end joining. Blood.
Sai S, Vares G, Kim EH, Karasawa K, Wang B, Nenoi M, Horimoto Y, Hayashi M (2015a) Carbon ion beam combined with cisplatin effectively disrupts triple negative breast cancer stem-like cells in vitro. Mol Cancer 14:1–13
Sai S, Wakai T, Vares G, Yamada S, Kamijo T, Kamada T, Shirai T (2015b) Combination of carbon ion beam and gemcitabine causes irreparable DNA damage and death of radioresistant pancreatic cancer stem-like cells in vitro and in vivo. Oncotarget 6(8):5517–5535
Sai S, Kim EH, Vares G, Suzuki M, Hayashi M (2020) Combination of carbon-ion beam and dual tyrosine kinase inhibitor, lapatinib, effectively destroys HER2 positive breast cancer stem-like cells. Am J Cancer Res 10(8):2371–2386
Sai S, Kim EH, Koom WS, Vares G, Suzuki M, Yamada S, Hayashi M (2021) Carbon-Ion Beam Irradiation and the miR-200c Mimic Effectively Eradicate Pancreatic Cancer Stem Cells Under in vitro and in vivo Conditions. Onco Targets Ther 14:4749–4760
Schieber M, Chandel N (2013) ROS links glucose metabolism to breast cancer stem cell and EMT phenotype. Cancer Cell 23(3):265–267
Schniewind I, Hadiwikarta WW, Grajek J, Poleszczuk J, Richter S, Peitzsch M, Muller J, Klusa D, Beyreuther E, Lock S, Luhr A, Frosch S, Groeben C, Sommer U, Krause M, Dubrovska A, von Neubeck C, Kurth I, Peitzsch C (2022) Cellular plasticity upon proton irradiation determines tumor cell radiosensitivity. Cell Rep 38(8):1104
Scholz M, Kellerer A, Kraft-Weyrather W, Kraft G (1997) Computation of cell survival in heavy ion beams for therapy The model and its approximation. Radiat Environ Biophys 36(1):59–66
Shiba S, Okamoto M, Kiyohara H, Okazaki S, Kaminuma T, Shibuya K, Kohama I, Saito K, Yanagawa T, Chikuda H (2021) Impact of Carbon Ion Radiotherapy on Inoperable Bone Sarcoma. Cancers 13:1099
Singh S, Clarke I, Terasaki M, Bonn V, Hawkins C, Squire J, Dirks P (2003) Identification of a cancer stem cell in human brain tumors. Can Res 63(18):5821–5828
Suetsugi A, Nagaki M, Aoki H, Motohashi T, Kunisada T, Moriwaki H (2006) Characterization of CD133(+) hepatocellular carcinoma cells as cancer stem/progenitor cells. Biochem Biophys Res Commun 4:351
Suit H, DeLaney T, Goldberg S, Paganetti H, Clasie B, Gerweck L, Niemierko A, Hall E, Flanz J, Hallman J, Trofimov A (2010) Proton vs carbon ion beams in the definitive radiation treatment of cancer patients. Radiother Oncol 95(1):3–22
Takahashi A, Kubo M, Ma H, Nakagawa A, Yoshida Y, Isono M, Kanai T, Ohno T, Furusawa Y, Funayama T (2014a) Nonhomologous end-joining repair plays a more important role than homologous recombination repair in defining radiosensitivity after exposure to high-LET radiation. Radiat Res 182(3):338
Takahashi M, Hirakawa H, Yajima H, Izumi-Nakajima N, Okayasu R, Fujimori A (2014b) Carbon ion beam is more effective to induce cell death in sphere-type A172 human glioblastoma cells compared with X-rays. Int J Radiat Biol 90(12):1125–1132
Tang DG, Patrawala L, Calhoun T, Bhatia B, Choy G, Schneider-Broussard R, Jeter C (2010) Prostate cancer stem/progenitor cells: Identification, characterization, and implications. Mol Carcinog 46(1):1–14
Todaro M, Alea MP, Stefano A, Cammareri P, Vermeulen L, Iovino F, Tripodo C, Russo A, Gulotta G, Medema JP (2007) Colon Cancer Stem Cells Dictate Tumor Growth and Resist Cell Death by Production of Interleukin-4. Cell Stem Cell 1(4):389–402
Vares G, Ahire V, Sunada S, Kim EH, Sai S, Chevalier F, Romeo PH, Yamamoto T, Nakajima T, Saintigny Y (2020) A multimodal treatment of carbon ions irradiation, miRNA-34 and mTOR inhibitor specifically control high-grade chondrosarcoma cancer stem cells. Radiother Oncol 150:253–261
Vermeulen L, De Sousa F, Melo E, van der Heijden M, Cameron K, de Jong J, Borovski T, Tuynman J, Todaro M, Merz C, Rodermond H, Sprick M, Kemper K, Richel D, Stassi G, Medema J (2010) Wnt activity defines colon cancer stem cells and is regulated by the microenvironment. Nat Cell Biol 12(5):468–476
Vermeulen L, de Sousa e Melo F, Richel, DJ, Medema JP (2012) The developing cancer stem-cell model: clinical challenges and opportunities. The Lancet. Oncology 13(2):e83–e89. https://doi.org/10.1016/S1470-2045(11)70257-1
Wang H (2009) S-phase cells are more sensitive to high-linear energy transfer radiation. Int J Radiat Oncol Biol Phys 74(4):1236–1241
Wang J, Wakeman TP, Lathia JD, Hjelmeland AB, Wang XF, White RR, Rich JN, Sullenger BA (2010) Notch Promotes Radioresistance of Glioma Stem Cells. STEM CELLS 28(1):17–28
Wang WJ, Wu SP, Liu JB, Shi YS, Huang X, Zhang QB, Yao KT (2013) MYC Regulation of CHK1 and CHK2 Promotes Radioresistance in a Stem Cell-like Population of Nasopharyngeal Carcinoma Cells. Can Res 73(3):1219–1231
Weyrather W, Ritter S, Scholz M, Kraft G (1999) RBE for carbon track-segment irradiation in cell lines of differing repair capacity. Int J Radiat Biol 75(11):1357–1364
Wozny AS, Vares G, Alphonse G, Lauret A, Monini C, Magne N, Cuerq C, Fujimori A, Monboisse JC, Beuve M, Nakajima T, Rodriguez-Lafrasse C (2019) ROS Production and Distribution: A New Paradigm to Explain the Differential Effects of X-ray and Carbon Ion Irradiation on Cancer Stem Cell Migration and Invasion. Cancers 11(4):468
Wozny AS, Alphonse G, Cassard A, Malesys C, Louati S, Beuve M, Lalle P, Ardail D, Nakajima T, Rodriguez-Lafrasse C (2020) Impact of hypoxia on the double-strand break repair after photon and carbon ion irradiation of radioresistant HNSCC cells. Sci Rep 10(1):1–18
Wu C, Alman BA (2008) Side population cells in human cancers. Cancer Lett 268(1):1–9
Yang G, Lu CY, Mei ZS, Sun XY, Han JT, Qian J, Liang YL, Pan Z, Kong DF, Xu SR, Liu ZP, Gao Y, Qi GJ, Shou YR, Chen SY, Cao ZX, Zhao Y, Lin C, Zhao YY, Geng YX, Ma WJ, Yan XQ (2021) Association of Cancer Stem Cell Radio-Resistance Under Ultra-High Dose Rate FLASH Irradiation With Lysosome-Mediated Autophagy. Frontiers Cell Develop Biol. 9:1388–1414
Zhang M, Atkinson L, Rachel M, Jeffrey R (2010) Selective targeting of radiation-resistant tumor-initiating cells. Proc Natl Acad Sci USA 107:3522–3527
Zhu L, Gibson P, Currle DS, Tong Y, Richardson RJ, Bayazitov IT, Poppleton H, Zakharenko S, Ellison DW, Gilbertson RJ (2009) Prominin 1 marks intestinal stem cells that are susceptible to neoplastic transformation. Nature 457(7229):603–607
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This research was funded by Science and Technology Plan Project of Chengguan District of Lanzhou, No.2020–2-2–5, National Key Research and Development Program of China, No. 2022YFC2401505, Talent innovation and venture project of Lanzhou city, No. 2021-RC-125 and Key R&D Program of Science and Technology Department of Gansu Province, No. 20YF8FA116.
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QW and RL contributed equally to this study. Conceptualization, QZ and XW; methodology, KY and JT; literature screening, XW, TD and YC; formal analysis, MT; data extraction, HL, ZL and SS; writing—original draft preparation, QW; writing—review and editing, RL; supervision, QZ and XW; funding acquisition, XW. All the authors have read and agreed to the published version of the manuscript.
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Wang, Q., Liu, R., Zhang, Q. et al. Biological effects of cancer stem cells irradiated by charged particle: a systematic review of in vitro studies. J Cancer Res Clin Oncol 149, 6625–6638 (2023). https://doi.org/10.1007/s00432-022-04561-6
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DOI: https://doi.org/10.1007/s00432-022-04561-6