title: Stemness and chemoresistance in epithelial ovarian carcinoma cells under shear stress.
abstract: One of greatest challenges to the successful treatment of cancer is drug resistance. An exciting approach is the eradication of cancer stem cells (CSCs). However, little is known about key signals regulating the formation and expansion of CSCs. Moreover, lack of a reliable predictive preclinical model has been a major obstacle to discover new cancer drugs and predict their clinical activity. Here, in ovarian cancer, a highly chemoresistant tumor that is rapidly fatal, we provide the first evidence demonstrating the causal involvement of mechanical stimulus in the CSC phenotype using a customizable microfluidic platform and three-dimensional spheroids, which most closely mimic tumor behavior. We found that ovarian cancer cells significantly acquired the expression of epithelial-to-mesenchymal transition and CSC markers and a remarkable chemoresistance to clinically relevant doses of frontline chemotherapeutic drugs cisplatin and paclitaxel when grown under fluid shear stress, which corroborates with the physiological attainable levels in the malignant ascites, but not under static condition. Furthermore, we uncovered a new link of microRNA-199a-3p, phosphatidylinositol 3-kinase/Akt, and multidrug transporter activation in shear stress-induced CSC enrichment. Our findings shed new light on the significance of hydrodynamics in cancer progression, emphasizing the need of a flow-informed framework in the development of therapeutics.
authors.affiliation: School of Biological Sciences, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Carman K M
authors.initials: CK
authors.lastname: Ip
authors.affiliation: School of Biological Sciences, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Shan-Shan
authors.initials: SS
authors.lastname: Li
authors.affiliation: Department of Mechanical Engineering, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Matthew Y H
authors.initials: MY
authors.lastname: Tang
authors.affiliation: Department of Mechanical Engineering, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Samuel K H
authors.initials: SK
authors.lastname: Sy
authors.affiliation: Department of Mechanical, Materials &Manufacturing Engineering, University of Nottingham Ningbo China, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Ren
authors.affiliation: Department of Mechanical Engineering, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Ho Cheung
authors.initials: HC
authors.lastname: Shum
authors.affiliation: School of Biological Sciences, University of Hong Kong, Pokfulam Road, Hong Kong.
authors.forename: Alice S T
authors.initials: AS
authors.lastname: Wong
mesh_terms: D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1 / Q000502:physiology; D000070997:ATP Binding Cassette Transporter, Subfamily G, Member 2 / Q000502:physiology; D000818:Animals; D001201:Ascites / Q000473:pathology; D002277:Carcinoma / Q000473:pathology*; D019008:Drug Resistance, Neoplasm; D058750:Epithelial-Mesenchymal Transition; D005260:Female; D064593:Heterografts; D006801:Humans; D057446:Hydrodynamics; D056656:Lab-On-A-Chip Devices; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D035683:MicroRNAs / Q000502:physiology; D009363:Neoplasm Proteins / Q000502:physiology; D014411:Neoplastic Stem Cells / Q000166:cytology* / Q000187:drug effects / Q000637:transplantation; D010051:Ovarian Neoplasms / Q000473:pathology*; D012334:RNA, Neoplasm / Q000502:physiology; D033081:Shear Strength; D015398:Signal Transduction; D018874:Spheroids, Cellular; D014407:Tumor Cells, Cultured
chemical_list: C116614:ABCG2 protein, human; D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1; D000070997:ATP Binding Cassette Transporter, Subfamily G, Member 2; D035683:MicroRNAs; D009363:Neoplasm Proteins; D012334:RNA, Neoplasm; C531408:mirn199 microRNA, human