PMID- 25335734 OWN - NLM STAT- MEDLINE DCOM- 20150703 LR - 20221207 IS - 1875-8592 (Electronic) IS - 1574-0153 (Linking) VI - 14 IP - 6 DP - 2014 TI - Metronomic gemcitabine targeted tumor vascular microenvironment decreases the population of CD133(+) cells in hepatocarcinoma xenografts. PG - 427-33 LID - 10.3233/CBM-140419 [doi] AB - Recently, compelling evidence shows that cancer stem-like cells (CSLC) are thought to be critical for initiation and propagation of many types of cancers. Most of CSLC are dependent upon the vascular microenvironments that promote their long-term growth and self-renewal. However, it is not known if when we disrupted their vascular microenvironments, CSLC would be eliminated. Considering these possibilities, we have investigated the influence of different chemotherapy regimens on the CSLC population of hepatocarcinoma xenografts model. The mouse models of hepatocarcinoma were treated with different therapeutic regimens: low-dose metronomic (LDM) regimens, combination therapies of Bolus dose and low-dose metronomic regimens, for the purpose of comparison, a conventional cytotoxic schedule of maximum tolerated dose (MTD) chemotherapy using gemcitabine (GEM). All therapies produced a significant tumor growth delay. LDM GEM and Bolus+LDM GEM significantly reduced the tumor spheres, whereas MTD GEM had no effect on the tumor spheres. Furthermore, Bolus+LDM GEM could more significantly decrease both the population of CSLC and the levels of viable endothelial progenitor cells (EPC). Overall, our data indicate that Bolus+LDM GEM is a potent treatment regimen for inhibiting angiogenesis, attacking the tumor vascular microenvironments, and decreasing the population of CSLC. Targeting the unique microenvironment of CSLC may be the key to effective cancer therapy, and shows great promise for the clinical practice. FAU - Yi, Shan-Yong AU - Yi SY AD - Department of Oncology, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China. FAU - Ruan, Jing AU - Ruan J AD - Department of Optometry, College of Optometry of Tianjin Medical University, Tianjin, China. FAU - Zhao, Ling AU - Zhao L AD - Department of Oncology, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China. FAU - Ke, Yang AU - Ke Y AD - Department of Oncology, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China. FAU - Li, Xiang-Nan AU - Li XN AD - Department of Chest Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Cancer Biomark JT - Cancer biomarkers : section A of Disease markers JID - 101256509 RN - 0 (AC133 Antigen) RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antigens, CD) RN - 0 (Glycoproteins) RN - 0 (PROM1 protein, human) RN - 0 (Peptides) RN - 0 (Prom1 protein, mouse) RN - 0W860991D6 (Deoxycytidine) RN - 0 (Gemcitabine) SB - IM MH - AC133 Antigen MH - Angiogenesis Inhibitors/administration & dosage MH - Animals MH - Antigens, CD/genetics MH - Carcinoma, Hepatocellular/*drug therapy/genetics/pathology MH - Deoxycytidine/administration & dosage/*analogs & derivatives MH - Endothelial Cells/drug effects/metabolism/pathology MH - Glycoproteins/genetics MH - Humans MH - Liver Neoplasms/*drug therapy/genetics/pathology MH - Mice MH - Neoplastic Stem Cells/drug effects/metabolism/pathology MH - Neovascularization, Pathologic/*drug therapy/pathology MH - Peptides/genetics MH - Tumor Microenvironment/drug effects MH - Xenograft Model Antitumor Assays MH - Gemcitabine OTO - NOTNLM OT - Metronomic chemotherapy OT - cancer stem-like cells OT - gemcitabine OT - hepatocarcinoma OT - tumor vascular microenvironment EDAT- 2014/10/23 06:00 MHDA- 2015/07/04 06:00 CRDT- 2014/10/23 06:00 PHST- 2014/10/23 06:00 [entrez] PHST- 2014/10/23 06:00 [pubmed] PHST- 2015/07/04 06:00 [medline] AID - X55P581Q075386K2 [pii] AID - 10.3233/CBM-140419 [doi] PST - ppublish SO - Cancer Biomark. 2014;14(6):427-33. doi: 10.3233/CBM-140419.