Skip to main content

Therapeutics Targeting Cancer Stem Cell Signalling Pathways

  • Chapter
  • First Online:
Cancer Stem Cells: Basic Concept and Therapeutic Implications

Abstract

Cancer stem cells (CSCs) are a small population of G0-arrested tumor cells. They contribute to the metastasis, recurrence, and heterogeneity of cancers. CSCs render conventional therapies, such as chemotherapy and radiation, to be inadequate in several cancer types. Aberrant signalling pathways in these CSCs, which lead to their self-renewal and proliferative capacity, have been an area of research for which cancer therapeutics are targeted against. These signalling pathways include Wnt, Notch, Hedgehog, NF-Kβ, JAK-STAT, TGF-β/Smad, and PI3K/Akt/mTOR. Majority of the therapeutics targeted against these pathways are under clinical trials. These include antibodies, small molecules, synthetic compounds, and phytomedicines. This chapter will provide an overview of the signalling pathways in CSCs, examples of cancers in which aberrant signalling occurs, and the potential therapies targeted against these pathways.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

β-TrCP:

β transducin repeat-containing protein

ALDH:

Aldehyde dehygrogenase

APC:

Adenomatous Polyposis Coli

Bcl:

B cell lymphoma

Bcl-xl:

B cell lymphoma-extra large

CD:

Cluster of differentiation

CK1-α:

Casein kinase 1-α

DLL:

Delta-like ligand

Dvl:

Disheveled

Fc:

Fragment crystallizable

Fzd:

Frizzled

Gli:

Glioma-associated oncogene

GSK-3β:

Glycogen synthase kinase-3β

Hes1:

Hairy and enhancer of split-1

Ig:

Immunoglobulin

IGF-2:

Insulin-like growth factor 2

IkB:

Nuclear factor of kappa light polypeptide gene enhancer in B cell inhibitor

IL:

Interleukin

JAG:

Jagged ligand

MCF7:

Michigan Cancer Foundation-7

Myc:

Master Regulator of Cell Cycle Entry and Proliferative Metabolism

Oct4:

Octamer-binding transcription factor 4

PHLPP:

Pleckstrin homology (PH) domain leucine-rich repeat protein phosphatase

PP2A:

Protein phosphatase 2A

PTEN:

Phosphatase and tensin homologue

RANK:

Receptor Activator of Nuclear Factor-kappa B

RNA:

Ribonucleic acid

TNF:

Tumor necrosis factor

Wnt:

Wingless and integration 1

References

  • Ahmadipour F, Noordin MI, Mohan S, Arya A, Paydar M, Looi CY et al (2015) Koenimbin, a natural dietary compound of Murraya koenigii (L) Spreng: inhibition of MCF7 breast cancer cells and targeting of derived MCF7 breast cancer stem cells (CD44(+)/CD24(−/low)): an in vitro study. Drug Des Devel Ther 9:1193–1208

    PubMed  PubMed Central  Google Scholar 

  • An HJ, Choi EK, Kim JS, Hong SW, Moon JH, Shin JS et al (2014) INCB018424 induces apoptotic cell death through the suppression of pJAK1 in human colon cancer cells. Neoplasma 61(1):56–62

    Article  CAS  PubMed  Google Scholar 

  • Array BioPharma (2017) Study of WNT974 in combination with LGX818 and Cetuximab in patients with BRAF-mutant metastatic colorectal cancer (mCRC) and Wnt pathway mutations. https://ClinicalTrials.gov/show/NCT02278133

  • Azmi AS, Khan HY, Muqbil I, Aboukameel A, Neggers JE, Daelemans D et al (2020) Preclinical assessment with clinical validation of Selinexor with gemcitabine and nab-paclitaxel for the treatment of pancreatic ductal adenocarcinoma. Clin Cancer Res 26(6):1338

    Article  CAS  PubMed  Google Scholar 

  • Batlle E, Clevers H (2017) Cancer stem cells revisited. Nat Med 23(10):1124–1134

    Article  CAS  PubMed  Google Scholar 

  • Boareto M, Jolly MK, Lu M, Onuchic JN, Clementi C, Ben-Jacob E (2015) Jagged–Delta asymmetry in Notch signaling can give rise to a Sender/Receiver hybrid phenotype. Proc Natl Acad Sci 112(5):E402

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bray SJ (2006) Notch signalling: a simple pathway becomes complex. Nat Rev Mol Cell Biol 7(9):678–689

    Article  CAS  PubMed  Google Scholar 

  • Brown JA, Yonekubo Y, Hanson N, Sastre-Perona A, Basin A, Rytlewski JA et al (2017) TGF-β-induced quiescence mediates chemoresistance of tumor-propagating cells in squamous cell carcinoma. Cell Stem Cell 21(5):650–64.e8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chang L, Graham PH, Hao J, Ni J, Bucci J, Cozzi PJ et al (2013) Acquisition of epithelial-mesenchymal transition and cancer stem cell phenotypes is associated with activation of the PI3K/Akt/mTOR pathway in prostate cancer radioresistance. Cell Death Dis 4(10):e875

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen WJ, Huang RS (2018) Low-folate stress reprograms cancer stem cell-like potentials and bioenergetics metabolism through activation of mTOR signaling pathway to promote in vitro invasion and in vivo tumorigenicity of lung cancers. J Nutr Biochem 53:28–38

    Article  CAS  PubMed  Google Scholar 

  • Chen W, Dong J, Haiech J, Kilhoffer M-C, Zeniou M (2016) Cancer stem cell quiescence and plasticity as major challenges in cancer therapy. Stem Cells Int 2016:1740936

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen L, Chan LS, Lung HL, Yip TTC, Ngan RKC, Wong JWC et al (2019) Crucifera sulforaphane (SFN) inhibits the growth of nasopharyngeal carcinoma through DNA methyltransferase 1 (DNMT1)/Wnt inhibitory factor 1 (WIF1) axis. Phytomedicine 63:153058

    Article  CAS  PubMed  Google Scholar 

  • Chiorean EG, LoRusso P, Strother RM, Diamond JR, Younger A, Messersmith WA et al (2015) A phase I first-in-human study of enoticumab (REGN421), a fully human delta-like ligand 4 (Dll4) monoclonal antibody in patients with advanced solid tumors. Clin Cancer Res 21(12):2695

    Article  CAS  PubMed  Google Scholar 

  • Clark R (2020) A study of vantictumab (OMP-18R5) in combination with nab-paclitaxel and gemcitabine in previously untreated stage IV pancreatic cancer United States: https://ClinicalTrials.gov/show/NCT02005315

  • Clement V, Sanchez P, de Tribolet N, Radovanovic I, Ruiz i Altaba A. (2007) HEDGEHOG-GLI1 signaling regulates human glioma growth, cancer stem cell self-renewal, and tumorigenicity. Curr Biol 17(2):165–172

    Article  CAS  PubMed  Google Scholar 

  • Cook N, Basu B, Smith D-M, Gopinathan A, Evans J, Steward WP et al (2018) A phase I trial of the γ-secretase inhibitor MK-0752 in combination with gemcitabine in patients with pancreatic ductal adenocarcinoma. Br J Cancer 118(6):793–801

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cortes J (2016) Safety and efficacy study of PRI-724 in subjects with advanced myeloid malignancies United States. https://ClinicalTrials.gov/show/NCT01606579

  • Cortes JE, Faderl S, Pagel J, Jung CW, Yoon S-S, Koh Y et al (2015) Phase 1 study of CWP232291 in relapsed/refractory acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). J Clin Oncol 33(15_suppl):7044–7044

    Article  Google Scholar 

  • Cortes JE, Douglas Smith B, Wang ES, Merchant A, Oehler VG, Arellano M et al (2018) Glasdegib in combination with cytarabine and daunorubicin in patients with AML or high-risk MDS: phase 2 study results. Am J Hematol 93(11):1301–1310

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cortes JE, Heidel FH, Hellmann A, Fiedler W, Smith BD, Robak T et al (2019) Randomized comparison of low dose cytarabine with or without glasdegib in patients with newly diagnosed acute myeloid leukemia or high-risk myelodysplastic syndrome. Leukemia 33(2):379–389

    Article  CAS  PubMed  Google Scholar 

  • De Jesus-Acosta A, Laheru D, Maitra A, Arcaroli J, Rudek MA, Dasari A et al (2014) A phase II study of the gamma secretase inhibitor RO4929097 in patients with previously treated metastatic pancreatic adenocarcinoma. Investig New Drugs 32(4):739–745

    Article  Google Scholar 

  • Deng S, Wong CKC, Lai HC, Wong AST (2017) Ginsenoside-Rb1 targets chemotherapy-resistant ovarian cancer stem cells via simultaneous inhibition of Wnt/β-catenin signaling and epithelial-to-mesenchymal transition. Oncotarget 8(16):25897–25914

    Article  PubMed  Google Scholar 

  • Diaz-Padilla I, Hirte H, Oza AM, Clarke BA, Cohen B, Reedjik M et al (2013) A phase Ib combination study of RO4929097, a gamma-secretase inhibitor, and temsirolimus in patients with advanced solid tumors. Investig New Drugs 31(5):1182–1191

    Article  CAS  Google Scholar 

  • Diaz-Padilla I, Wilson MK, Clarke BA, Hirte HW, Welch SA, Mackay HJ et al (2015) A phase II study of single-agent RO4929097, a gamma-secretase inhibitor of notch signaling, in patients with recurrent platinum-resistant epithelial ovarian cancer: a study of the Princess Margaret, Chicago and California phase II consortia. Gynecol Oncol 137(2):216–222

    Article  CAS  PubMed  Google Scholar 

  • Dolatabadi S, Jonasson E, Lindén M, Fereydouni B, Bäcksten K, Nilsson M et al (2019) JAK-STAT signalling controls cancer stem cell properties including chemotherapy resistance in myxoid liposarcoma. Int J Cancer 145(2):435–449

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dotan E, Cardin DB, Lenz H-J, Messersmith W, Neil B, Cohen SJ et al (2020) Phase Ib study of Wnt inhibitor Ipafricept with gemcitabine and nab-paclitaxel in patients with previously untreated stage IV pancreatic cancer. Clin Cancer Res 26(20):5348

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dréno B, Kunstfeld R, Hauschild A, Fosko S, Zloty D, Labeille B et al (2017) Two intermittent vismodegib dosing regimens in patients with multiple basal-cell carcinomas (MIKIE): a randomised, regimen-controlled, double-blind, phase 2 trial. Lancet Oncol 18(3):404–412

    Article  PubMed  Google Scholar 

  • Dubrovska A, Kim S, Salamone RJ, Walker JR, Maira S-M, García-Echeverría C et al (2009) The role of PTEN/Akt/PI3K signaling in the maintenance and viability of prostate cancer stem-like cell populations. Proc Natl Acad Sci U S A 106(1):268–273

    Article  CAS  PubMed  Google Scholar 

  • Faivre S, Santoro A, Gane E, Kelley R, Hourmand I, Assenat E et al (2016) A phase 2 study of galunisertib, a novel transforming growth factor-beta (TGF-β) receptor I kinase inhibitor, in patients with advanced hepatocellular carcinoma (HCC) and low serum alpha fetoprotein (AFP). J Clin Oncol 34:4070

    Article  Google Scholar 

  • Fitzgerald TL, Lertpiriyapong K, Cocco L, Martelli AM, Libra M, Candido S et al (2015) Roles of EGFR and KRAS and their downstream signaling pathways in pancreatic cancer and pancreatic cancer stem cells. Adv Biol Regul 59:65–81

    Article  CAS  PubMed  Google Scholar 

  • Garcia-Heredia JM, Lucena-Cacace A, Verdugo-Sivianes EM, Pérez M, Carnero A (2017) The cargo protein MAP17 (PDZK1IP1) regulates the cancer stem cell Pool activating the notch pathway by abducting NUMB. Clin Cancer Res 23(14):3871

    Article  CAS  PubMed  Google Scholar 

  • Giancotti FG (2013) Mechanisms governing metastatic dormancy and reactivation. Cell 155(4):750–764

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gonzalez-Torres C, Gaytan-Cervantes J, Vazquez-Santillan K, Mandujano-Tinoco EA, Ceballos-Cancino G, Garcia-Venzor A et al (2017) NF-κB participates in the stem cell phenotype of ovarian cancer cells. Arch Med Res 48(4):343–351

    Article  CAS  PubMed  Google Scholar 

  • Gupta PK, Saraff M, Gahtori R, Negi N, Tripathi SK, Kumar J et al (2021) Phytomedicines targeting cancer stem cells: therapeutic opportunities and prospects for pharmaceutical development. Pharmaceuticals 14(7):676

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Harrison H, Farnie G, Howell SJ, Rock RE, Stylianou S, Brennan KR et al (2010) Regulation of breast cancer stem cell activity by signaling through the Notch4 receptor. Cancer Res 70(2):709–718

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hayden MS, Ghosh S (2008) Shared principles in NF-kappaB signaling. Cell 132(3):344–362

    Article  CAS  PubMed  Google Scholar 

  • Heng WS, Cheah SC (2020) Chelerythrine chloride downregulates β-catenin and inhibits stem cell properties of non-small cell Lung carcinoma. Molecules 25(1)

    Google Scholar 

  • Hoesel B, Schmid JA (2013) The complexity of NF-κB signaling in inflammation and cancer. Mol Cancer 12:86

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Huynh DL, Koh H, Chandimali N, Zhang JJ, Kim N, Kang TY et al (2019) BRM270 inhibits the proliferation of CD44 positive pancreatic ductal adenocarcinoma cells via downregulation of Sonic Hedgehog signaling. Evid Based Complement Alternat Med 2019:8620469

    Article  PubMed  PubMed Central  Google Scholar 

  • Ji C, Yang L, Yi W, Xiang D, Wang Y, Zhou Z et al (2018) Capillary morphogenesis gene 2 maintains gastric cancer stem-like cell phenotype by activating a Wnt/β-catenin pathway. Oncogene 37(29):3953–3966

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jiang F, Mu J, Wang X, Ye X, Si L, Ning S et al (2014) The repressive effect of miR-148a on TGF beta-SMADs signal pathway is involved in the glabridin-induced inhibition of the cancer stem cells-like properties in hepatocellular carcinoma cells. PLoS One 9(5):e96698

    Article  PubMed  PubMed Central  Google Scholar 

  • Jiang C, Long J, Liu B, Xu M, Wang W, Xie X et al (2017) miR-500a-3p promotes cancer stem cells properties via STAT3 pathway in human hepatocellular carcinoma. J Exp Clin Cancer Res 36(1):99

    Article  PubMed  PubMed Central  Google Scholar 

  • Justilien V, Walsh MP, Ali SA, Thompson EA, Murray NR, Fields AP (2014) The PRKCI and SOX2 oncogenes are coamplified and cooperate to activate Hedgehog signaling in lung squamous cell carcinoma. Cancer Cell 25(2):139–151

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kim H, Yu Y, Choi S, Lee H, Yu J, Lee J-H et al (2019) Evodiamine eliminates colon cancer stem cells via suppressing notch and Wnt signaling. Molecules (Basel, Switzerland) 24(24):4520

    Article  CAS  PubMed  Google Scholar 

  • Kim B-G, Malek E, Choi SH, Ignatz-Hoover JJ, Driscoll JJ (2021) Novel therapies emerging in oncology to target the TGF-β pathway. J Hematol Oncol 14(1):55

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kovall RA (2008) More complicated than it looks: assembly of notch pathway transcription complexes. Oncogene 27(38):5099–5109

    Article  CAS  PubMed  Google Scholar 

  • Kummar S, O'Sullivan Coyne G, Do KT, Turkbey B, Meltzer PS, Polley E et al (2017) Clinical activity of the γ-secretase inhibitor PF-03084014 in adults with desmoid tumors (aggressive fibromatosis). J Clin Oncol 35(14):1561–1569

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Le PN, McDermott JD, Jimeno A (2015) Targeting the Wnt pathway in human cancers: therapeutic targeting with a focus on OMP-54F28. Pharmacol Ther 146:1–11

    Article  CAS  PubMed  Google Scholar 

  • Lear JT, Migden MR, Lewis KD, Chang ALS, Guminski A, Gutzmer R et al (2018) Long-term efficacy and safety of sonidegib in patients with locally advanced and metastatic basal cell carcinoma: 30-month analysis of the randomized phase 2 BOLT study. J Eur Acad Dermatol Venereol 32(3):372–381

    Article  CAS  PubMed  Google Scholar 

  • Lecarpentier Y, Schussler O, Hébert J-L, Vallée A (2019) Multiple targets of the canonical WNT/β-catenin signaling in cancers. Front Oncol 9(1248)

    Google Scholar 

  • Lee SH, Hong HS, Liu ZX, Kim RH, Kang MK, Park N-H et al (2012) TNFα enhances cancer stem cell-like phenotype via notch-Hes1 activation in oral squamous cell carcinoma cells. Biochem Biophys Res Commun 424(1):58–64

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lee K-W, Park YS, Ahn JB, Lee JK, Ryu J, Oh B et al (2020) 332 novel TGF-β signatures in metastatic colorectal cancer patients treated with vactosertib in combination with pembrolizumab. J Immunother Cancer 8(Suppl 3):A203

    Google Scholar 

  • Leonard WJ, O'Shea JJ (1998) Jaks and STATs: biological implications. Annu Rev Immunol 16:293–322

    Article  CAS  PubMed  Google Scholar 

  • Li SH, Fu J, Watkins DN, Srivastava RK, Shankar S (2013) Sulforaphane regulates self-renewal of pancreatic cancer stem cells through the modulation of Sonic hedgehog-GLI pathway. Mol Cell Biochem 373(1–2):217–227

    Article  CAS  PubMed  Google Scholar 

  • Li C, Du Y, Yang Z, He L, Wang Y, Hao L et al (2016) GALNT1-mediated glycosylation and activation of sonic hedgehog signaling maintains the self-renewal and tumor-initiating capacity of bladder cancer stem cells. Cancer Res 76(5):1273–1283

    Article  CAS  PubMed  Google Scholar 

  • Liao Y, Hung M-C (2010) Physiological regulation of Akt activity and stability. Am J Transl Res 2(1):19–42

    CAS  PubMed  PubMed Central  Google Scholar 

  • Lim ST, Jeon YW, Gwak H, Kim SY, Suh YJ (2018) Synergistic anticancer effects of ruxolitinib and calcitriol in estrogen receptor-positive, human epidermal growth factor receptor 2-positive breast cancer cells. Mol Med Rep 17(4):5581–5588

    CAS  PubMed  PubMed Central  Google Scholar 

  • LoConte NK, Razak ARA, Ivy P, Tevaarwerk A, Leverence R, Kolesar J et al (2015) A multicenter phase 1 study of γ -secretase inhibitor RO4929097 in combination with capecitabine in refractory solid tumors. Investig New Drugs 33(1):169–176

    Article  CAS  Google Scholar 

  • Logan CY, Nusse R (2004) The Wnt signaling pathway in development and disease. Annu Rev Cell Dev Biol 20:781–810

    Article  CAS  PubMed  Google Scholar 

  • Lu J, Song G, Tang Q, Yin J, Zou C, Zhao Z et al (2017) MiR-26a inhibits stem cell-like phenotype and tumor growth of osteosarcoma by targeting Jagged1. Oncogene 36(2):231–241

    Article  CAS  PubMed  Google Scholar 

  • Luistro L, He W, Smith M, Packman K, Vilenchik M, Carvajal D et al (2009) Preclinical profile of a potent gamma-secretase inhibitor targeting notch signaling with in vivo efficacy and pharmacodynamic properties. Cancer Res 69(19):7672–7680

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Martinez-Font E, Pérez-Capó M, Ramos R, Felipe I, Garcías C, Luna P et al (2020) Impact of Wnt/β-catenin inhibition on cell proliferation through CDC25A downregulation in soft tissue sarcomas. Cancers (Basel) 12(9):2556

    Article  CAS  PubMed  Google Scholar 

  • McWilliams RR (2017) Safety and efficacy study of PRI-724 plus gemcitabine in subjects with advanced or metastatic pancreatic adenocarcinoma United States. https://ClinicalTrials.gov/show/NCT01764477

  • Melisi D, Garcia-Carbonero R, Macarulla T, Pezet D, Deplanque G, Fuchs M et al (2018) Galunisertib plus gemcitabine vs. gemcitabine for first-line treatment of patients with unresectable pancreatic cancer. Br J Cancer 119(10):1208–1214

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Memmi EM, Sanarico AG, Giacobbe A, Peschiaroli A, Frezza V, Cicalese A et al (2015) p63 sustains self-renewal of mammary cancer stem cells through regulation of Sonic Hedgehog signaling. Proc Natl Acad Sci 112(11):3499

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Merchant AA, Matsui W (2010) Targeting Hedgehog — a cancer stem cell pathway. Clin Cancer Res 16(12):3130

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mero BioPharma (2020a) A study of Vantictumab (OMP-18R5) in combination with paclitaxel in locally recurrent or metastatic breast cancer United States. https://ClinicalTrials.gov/show/NCT01973309

  • Mero BioPharma (2020b) A study of Vantictumab (OMP-18R5) in combination with docetaxel in patients with previously treated NSCLC United States. https://ClinicalTrials.gov/show/NCT01957007

  • Messersmith WA, Shapiro GI, Cleary JM, Jimeno A, Dasari A, Huang B et al (2015) A phase I, dose-finding study in patients with advanced solid malignancies of the oral γ-secretase inhibitor PF-03084014. Clin Cancer Res 21(1):60–67

    Article  CAS  PubMed  Google Scholar 

  • Miao Z-F, Xu H, Xu H-M, Wang Z-N, Zhao T-T, Song Y-X et al (2017) DLL4 overexpression increases gastric cancer stem/progenitor cell self-renewal ability and correlates with poor clinical outcome via Notch-1 signaling pathway activation. Cancer Med 6(1):245–257

    Article  CAS  PubMed  Google Scholar 

  • Min C-K, Yoon S-S, Kim JS, Manasanch E (2019) Clinical study of CWP232291 in relapsed or refractory myeloma patients Texas, United States; Seoul. https://ClinicalTrials.gov/show/NCT02426723

  • Minami Y, Minami H, Miyamoto T, Yoshimoto G, Kobayashi Y, Munakata W et al (2017) Phase I study of glasdegib (PF-04449913), an oral smoothened inhibitor, in Japanese patients with select hematologic malignancies. Cancer Sci 108(8):1628–1633

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Moore KN, Gunderson CC, Sabbatini P, McMeekin DS, Mantia-Smaldone G, Burger RA et al (2019) A phase 1b dose escalation study of ipafricept (OMP54F28) in combination with paclitaxel and carboplatin in patients with recurrent platinum-sensitive ovarian cancer. Gynecol Oncol 154(2):294–301

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nusse R, Clevers H (2017) Wnt/β-catenin signaling, disease, and emerging therapeutic modalities. Cell 169(6):985–999

    Article  CAS  PubMed  Google Scholar 

  • Pak S, Park S, Kim Y, Park JH, Park CH, Lee KJ et al (2019) The small molecule WNT/β-catenin inhibitor CWP232291 blocks the growth of castration-resistant prostate cancer by activating the endoplasmic reticulum stress pathway. J Exp Clin Cancer Res 38(1):342

    Article  PubMed  PubMed Central  Google Scholar 

  • Pan S, Wu X, Jiang J, Gao W, Wan Y, Cheng D et al (2010) Discovery of NVP-LDE225, a potent and selective smoothened antagonist. ACS Med Chem Lett 1(3):130–134

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pan T, Xu J, Zhu Y (2017) Self-renewal molecular mechanisms of colorectal cancer stem cells. Int J Mol Med 39(1):9–20

    Article  CAS  PubMed  Google Scholar 

  • Papayannidis C, DeAngelo DJ, Stock W, Huang B, Shaik MN, Cesari R et al (2015) A phase 1 study of the novel gamma-secretase inhibitor PF-03084014 in patients with T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma. Blood Cancer J 5(9):e350

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Parker TW, Neufeld KL (2020) APC controls Wnt-induced β-catenin destruction complex recruitment in human colonocytes. Sci Rep 10(1):2957

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Perkins ND, Gilmore TD (2006) Good cop, bad cop: the different faces of NF-κB. Cell Death Diff 13(5):759–772

    Article  CAS  Google Scholar 

  • Po A, Silvano M, Miele E, Capalbo C, Eramo A, Salvati V et al (2017) Noncanonical GLI1 signaling promotes stemness features and in vivo growth in lung adenocarcinoma. Oncogene 36(32):4641–4652

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Prativadibhayankara VS, Li W (2021) A study to evaluate the safety and tolerability of ETC-1922159 as a single agent and in combination with pembrolizumab in advanced solid tumours. https://ClinicalTrials.gov/show/NCT02521844. PubChem. https://pubchem.ncbi.nlm.nih.gov/. Access on November 2022

  • Qi F, Wei L, Shen A, Chen Y, Lin J, Chu J et al (2016) Pien Tze Huang inhibits the proliferation, and induces the apoptosis and differentiation of colorectal cancer stem cells via suppression of the Notch1 pathway. Oncol Rep 35(1):511–517

    Article  CAS  PubMed  Google Scholar 

  • Qiang L, Wu T, Zhang HW, Lu N, Hu R, Wang YJ et al (2012) HIF-1α is critical for hypoxia-mediated maintenance of glioblastoma stem cells by activating notch signaling pathway. Cell Death Differ 19(2):284–294

    Article  CAS  PubMed  Google Scholar 

  • Qureshy Z, Johnson DE, Grandis JR (2020) Targeting the JAK/STAT pathway in solid tumors. J Cancer Metastasis Treatment 6:27

    CAS  Google Scholar 

  • Ranganathan P, Weaver KL, Capobianco AJ (2011) Notch signalling in solid tumours: a little bit of everything but not all the time. Nat Rev Cancer 11(5):338–351

    Article  CAS  PubMed  Google Scholar 

  • Relias V, McBride A, Newman MJ, Paul S, Saneeymehri S, Stanislaus G et al (2021) Glasdegib plus low-dose cytarabine for acute myeloid leukemia: practical considerations from advanced practitioners and pharmacists. J Oncol Pharm Pract 27(3):658–672

    Article  CAS  PubMed  Google Scholar 

  • Reya T, Morrison SJ, Clarke MF, Weissman IL (2001) Stem cells, cancer, and cancer stem cells. Nature 414(6859):105–111

    Article  CAS  PubMed  Google Scholar 

  • Richter S, Bedard PL, Chen EX, Clarke BA, Tran B, Hotte SJ et al (2014) A phase I study of the oral gamma secretase inhibitor R04929097 in combination with gemcitabine in patients with advanced solid tumors (PHL-078/CTEP 8575). Investig New Drugs 32(2):243–249

    Article  CAS  Google Scholar 

  • Sahebjam S, Bedard PL, Castonguay V, Chen Z, Reedijk M, Liu G et al (2013) A phase I study of the combination of ro4929097 and cediranib in patients with advanced solid tumours (PJC-004/NCI 8503). Br J Cancer 109(4):943–949

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sahlgren C, Gustafsson MV, Jin S, Poellinger L, Lendahl U (2008) Notch signaling mediates hypoxia-induced tumor cell migration and invasion. Proc Natl Acad Sci U S A 105(17):6392–6397

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sato C, Zhao G, Ilagan MXG (2012) An overview of notch signaling in adult tissue renewal and maintenance. Curr Alzheimer Res 9(2):227–240

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sekulic A, Migden MR, Oro AE, Dirix L, Lewis KD, Hainsworth JD et al (2012) Efficacy and safety of vismodegib in advanced basal-cell carcinoma. N Engl J Med 366(23):2171–2179

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Smith DC, Eisenberg PD, Manikhas G, Chugh R, Gubens MA, Stagg RJ et al (2014) A phase I dose escalation and expansion study of the anticancer stem cell agent demcizumab (anti-DLL4) in patients with previously treated solid tumors. Clin Cancer Res 20(24):6295–6303

    Article  CAS  PubMed  Google Scholar 

  • Steinbuck MP, Winandy S (2018) A review of notch processing with new insights into ligand-independent notch signaling in T-cells. Front Immunol 9:1230

    Article  PubMed  PubMed Central  Google Scholar 

  • Strosberg JR, Yeatman T, Weber J, Coppola D, Schell MJ, Han G et al (2012) A phase II study of RO4929097 in metastatic colorectal cancer. Eur J Cancer 48(7):997–1003

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Suman S, Das TP, Damodaran C (2013) Silencing NOTCH signaling causes growth arrest in both breast cancer stem cells and breast cancer cells. Br J Cancer 109(10):2587–2596

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sun S-C (2011) Non-canonical NF-κB signaling pathway. Cell Res 21(1):71–85

    Article  CAS  PubMed  Google Scholar 

  • Tiberi L, Bonnefont J, van den Ameele J, Le Bon SD, Herpoel A, Bilheu A et al (2014) A BCL6/BCOR/SIRT1 complex triggers neurogenesis and suppresses medulloblastoma by repressing Sonic Hedgehog signaling. Cancer Cell 26(6):797–812

    Article  CAS  PubMed  Google Scholar 

  • Tolcher AW, Messersmith WA, Mikulski SM, Papadopoulos KP, Kwak EL, Gibbon DG et al (2012) Phase I study of RO4929097, a gamma secretase inhibitor of notch signaling, in patients with refractory metastatic or locally advanced solid tumors. J Clin Oncol 30(19):2348–2353

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • van der Zee M, Sacchetti A, Cansoy M, Joosten R, Teeuwssen M, Heijmans-Antonissen C et al (2015) IL6/JAK1/STAT3 signaling blockade in endometrial cancer affects the ALDHhi/CD126+ stem-like component and reduces tumor burden. Cancer Res 75(17):3608–3622

    Article  PubMed  Google Scholar 

  • Vanhaesebroeck B, Perry MWD, Brown JR, André F (2021) PI3K inhibitors are finally coming of age. Nat Rev Drug Discov 20(10):741–769

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vazquez-Santillan K, Melendez-Zajgla J, Jimenez-Hernandez LE, Gaytan-Cervantes J, Muñoz-Galindo L, Piña-Sanchez P et al (2016) NF-kappaΒ-inducing kinase regulates stem cell phenotype in breast cancer. Sci Rep 6:37340

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang D, Fu L, Sun H, Guo L, DuBois RN (2015) Prostaglandin E2 promotes colorectal cancer stem cell expansion and metastasis in mice. Gastroenterology 149(7):1884–95.e4

    Article  CAS  PubMed  Google Scholar 

  • Wang D, Kong X, Li Y, Qian W, Ma J, Wang D et al (2017) Curcumin inhibits bladder cancer stem cells by suppressing Sonic Hedgehog pathway. Biochem Biophys Res Commun 493(1):521–527

    Article  CAS  PubMed  Google Scholar 

  • Wen Z, Feng S, Wei L, Wang Z, Hong D, Wang Q (2015) Evodiamine, a novel inhibitor of the Wnt pathway, inhibits the self-renewal of gastric cancer stem cells. Int J Mol Med 36(6):1657–1663

    Article  CAS  PubMed  Google Scholar 

  • Wen J, Lee J, Malhotra A, Nahta R, Arnold AR, Buss MC et al (2016) WIP1 modulates responsiveness to Sonic Hedgehog signaling in neuronal precursor cells and medulloblastoma. Oncogene 35(42):5552–5564

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wu J, Zhu P, Lu T, Du Y, Wang Y, He L et al (2019) The long non-coding RNA LncHDAC2 drives the self-renewal of liver cancer stem cells via activation of hedgehog signaling. J Hepatol 70(5):918–929

    Article  CAS  PubMed  Google Scholar 

  • Xia W, Lo CM, Poon RYC, Cheung TT, Chan ACY, Chen L et al (2017) Smad inhibitor induces CSC differentiation for effective chemosensitization in cyclin D1- and TGF-β/Smad-regulated liver cancer stem cell-like cells. Oncotarget 8(24):38811–38824

    Article  PubMed  PubMed Central  Google Scholar 

  • Xiao G, Harhaj EW, Sun SC (2001) NF-kappaB-inducing kinase regulates the processing of NF-kappaB2 p100. Mol Cell 7(2):401–409

    Article  CAS  PubMed  Google Scholar 

  • Xie M, Zhang L, He CS, Xu F, Liu JL, Hu ZH et al (2012) Activation of Notch-1 enhances epithelial-mesenchymal transition in gefitinib-acquired resistant lung cancer cells. J Cell Biochem 113(5):1501–1513

    CAS  PubMed  Google Scholar 

  • Xu Y, Zhu F, Xu S, Liu L (2015) Anti-tumor effect of the extract from qingyihuaji formula on pancreatic cancer by down-regulating Notch-4 and Jagged-1. J Tradit Chin Med 35(1):77–83

    Article  PubMed  Google Scholar 

  • Yan B, Liu L, Zhao Y, Xiu LJ, Sun DZ, Liu X et al (2014) Xiaotan Sanjie decoction attenuates tumor angiogenesis by manipulating Notch-1-regulated proliferation of gastric cancer stem-like cells. World J Gastroenterol 20(36):13105–13118

    Article  PubMed  PubMed Central  Google Scholar 

  • Yang Y, Shi J, Tolomelli G, Xu H, Xia J, Wang H et al (2013) RARα2 expression confers myeloma stem cell features. Blood 122(8):1437–1447

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yang C, Zhang Y, Zhang Y, Zhang Z, Peng J, Li Z et al (2015) Downregulation of cancer stem cell properties via mTOR signaling pathway inhibition by rapamycin in nasopharyngeal carcinoma. Int J Oncol 47(3):909–917

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yang J, Fang Z, Wu J, Yin X, Fang Y, Zhao F et al (2016) Construction and application of a lung cancer stem cell model: antitumor drug screening and molecular mechanism of the inhibitory effects of sanguinarine. Tumour Biol 37(10):13871–13883

    Article  CAS  PubMed  Google Scholar 

  • Yang Y, Hao E, Pan X, Tan D, Du Z, Xie J et al (2019) Gomisin M2 from Baizuan suppresses breast cancer stem cell proliferation in a zebrafish xenograft model. Aging (Albany NY) 11(19):8347–8361

    Article  CAS  PubMed  Google Scholar 

  • Yang L, Shi P, Zhao G, Xu J, Peng W, Zhang J et al (2020) Targeting cancer stem cell pathways for cancer therapy. Signal Transduction Targeted Therapy 5(1)

    Google Scholar 

  • Yao CJ, Han TY, Shih PH, Yi TY, Lai IC, Chang KH et al (2014) Elimination of cancer stem-like side population in human glioblastoma cells accompanied with stemness gene suppression by Korean herbal recipe MSC500. Integr Cancer Ther 13(6):541–554

    Article  PubMed  Google Scholar 

  • Yoon C, Park DJ, Schmidt B, Thomas NJ, Lee H-J, Kim TS et al (2014) CD44 expression denotes a subpopulation of gastric cancer cells in which hedgehog signaling promotes chemotherapy resistance. Clin Cancer Res 20(15):3974–3988

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yu D, Shin HS, Lee YS, Lee YC (2014) miR-106b modulates cancer stem cell characteristics through TGF-β/Smad signaling in CD44-positive gastric cancer cells. Lab Investig 94(12):1370–1381

    Article  CAS  PubMed  Google Scholar 

  • Zhan T, Rindtorff N, Boutros M (2017) Wnt signaling in cancer. Oncogene 36(11):1461–1473

    Article  CAS  PubMed  Google Scholar 

  • Zhang F, Sun H, Zhang S, Yang X, Zhang G, Su T (2017a) Overexpression of PER3 inhibits self-renewal capability and chemoresistance of colorectal cancer stem-like cells via inhibition of notch and β-catenin signaling. Oncol Res 25(5):709–719

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang K, Guo Y, Wang X, Zhao H, Ji Z, Cheng C et al (2017b) WNT/β-catenin directs self-renewal symmetric cell division of hTERThigh prostate cancer stem cells. Cancer Res 77(9):2534

    Article  CAS  PubMed  Google Scholar 

  • Zhang Q, Li X-T, Chen Y, Chen J-Q, Zhu J-Y, Meng Y et al (2018) Wnt/β-catenin signaling mediates the suppressive effects of diallyl trisulfide on colorectal cancer stem cells. Cancer Chemother Pharmacol 81(6):969–977

    Article  CAS  PubMed  Google Scholar 

  • Zhao Z, Song Z, Liao Z, Liu Z, Sun H, Lei B et al (2016) PKM2 promotes stemness of breast cancer cell by through Wnt/β-catenin pathway. Tumor Biol 37(3):4223–4234

    Article  CAS  Google Scholar 

  • Zhou J, Wulfkuhle J, Zhang H, Gu P, Yang Y, Deng J et al (2007) Activation of the PTEN/mTOR/STAT3 pathway in breast cancer stem-like cells is required for viability and maintenance. Proc Natl Acad Sci U S A 104(41):16158–16163

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Farhadul Islam .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Punnasseril, J.M.J., Gopalan, V., Islam, F. (2023). Therapeutics Targeting Cancer Stem Cell Signalling Pathways. In: Islam, F., Lam, A.K. (eds) Cancer Stem Cells: Basic Concept and Therapeutic Implications. Springer, Singapore. https://doi.org/10.1007/978-981-99-3185-9_11

Download citation

Publish with us

Policies and ethics