PMID- 19921751 OWN - NLM STAT- MEDLINE DCOM- 20100301 LR - 20220311 IS - 1549-4918 (Electronic) IS - 1066-5099 (Print) IS - 1066-5099 (Linking) VI - 28 IP - 1 DP - 2010 Jan TI - Notch promotes radioresistance of glioma stem cells. PG - 17-28 LID - 10.1002/stem.261 [doi] AB - Radiotherapy represents the most effective nonsurgical treatments for gliomas. However, gliomas are highly radioresistant and recurrence is nearly universal. Results from our laboratory and other groups suggest that cancer stem cells contribute to radioresistance in gliomas and breast cancers. The Notch pathway is critically implicated in stem cell fate determination and cancer. In this study, we show that inhibition of Notch pathway with gamma-secretase inhibitors (GSIs) renders the glioma stem cells more sensitive to radiation at clinically relevant doses. GSIs enhance radiation-induced cell death and impair clonogenic survival of glioma stem cells but not non-stem glioma cells. Expression of the constitutively active intracellular domains of Notch1 or Notch2 protect glioma stem cells against radiation. Notch inhibition with GSIs does not alter the DNA damage response of glioma stem cells after radiation but rather reduces Akt activity and Mcl-1 levels. Finally, knockdown of Notch1 or Notch2 sensitizes glioma stem cells to radiation and impairs xenograft tumor formation. Taken together, our results suggest a critical role of Notch signaling to regulate radioresistance of glioma stem cells. Inhibition of Notch signaling holds promise to improve the efficiency of current radiotherapy in glioma treatment. FAU - Wang, Jialiang AU - Wang J AD - Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA. jialiang.wang@duke.edu FAU - Wakeman, Timothy P AU - Wakeman TP FAU - Lathia, Justin D AU - Lathia JD FAU - Hjelmeland, Anita B AU - Hjelmeland AB FAU - Wang, Xiao-Fan AU - Wang XF FAU - White, Rebekah R AU - White RR FAU - Rich, Jeremy N AU - Rich JN FAU - Sullenger, Bruce A AU - Sullenger BA LA - eng GR - NS054276/NS/NINDS NIH HHS/United States GR - R01 CA116659/CA/NCI NIH HHS/United States GR - R01 NS054276-03/NS/NINDS NIH HHS/United States GR - F32 CA142159/CA/NCI NIH HHS/United States GR - R01 CA116659-05/CA/NCI NIH HHS/United States GR - HHMI/Howard Hughes Medical Institute/United States GR - CA129958/CA/NCI NIH HHS/United States GR - R01 CA116659-04/CA/NCI NIH HHS/United States GR - CA116659/CA/NCI NIH HHS/United States GR - NS047409/NS/NINDS NIH HHS/United States GR - R01 CA129958/CA/NCI NIH HHS/United States GR - R01 CA129190-01A2/CA/NCI NIH HHS/United States GR - R01 CA129958-02/CA/NCI NIH HHS/United States GR - R01 CA129190/CA/NCI NIH HHS/United States GR - R01 NS054276/NS/NINDS NIH HHS/United States GR - R01 CA129958-01A1/CA/NCI NIH HHS/United States GR - R01 NS054276-04/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - Stem Cells JT - Stem cells (Dayton, Ohio) JID - 9304532 RN - 0 (AC133 Antigen) RN - 0 (Antigens, CD) RN - 0 (Enzyme Inhibitors) RN - 0 (Glycoproteins) RN - 0 (Mcl1 protein, mouse) RN - 0 (Myeloid Cell Leukemia Sequence 1 Protein) RN - 0 (Peptides) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Radiation-Sensitizing Agents) RN - 0 (Receptor, Notch1) RN - 0 (Receptor, Notch2) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.4.- (Amyloid Precursor Protein Secretases) SB - IM MH - AC133 Antigen MH - Amyloid Precursor Protein Secretases/antagonists & inhibitors/metabolism MH - Animals MH - Antigens, CD/metabolism MH - Cell Death MH - Cell Proliferation MH - Cell Survival MH - Dose-Response Relationship, Radiation MH - Enzyme Inhibitors/pharmacology MH - Glioblastoma/drug therapy/metabolism/pathology/*radiotherapy MH - Glycoproteins/metabolism MH - Humans MH - Mice MH - Mice, Nude MH - Myeloid Cell Leukemia Sequence 1 Protein MH - Neoplastic Stem Cells/drug effects/metabolism/pathology/*radiation effects MH - Peptides/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - RNA Interference MH - *Radiation Tolerance/drug effects MH - Radiation-Sensitizing Agents/pharmacology MH - Receptor, Notch1/genetics/*metabolism MH - Receptor, Notch2/genetics/*metabolism MH - Signal Transduction/radiation effects MH - Spheroids, Cellular MH - Time Factors MH - Transfection MH - Tumor Burden MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays PMC - PMC2825687 MID - NIHMS165162 EDAT- 2009/11/19 06:00 MHDA- 2010/03/02 06:00 PMCR- 2011/01/01 CRDT- 2009/11/19 06:00 PHST- 2009/11/19 06:00 [entrez] PHST- 2009/11/19 06:00 [pubmed] PHST- 2010/03/02 06:00 [medline] PHST- 2011/01/01 00:00 [pmc-release] AID - 10.1002/stem.261 [doi] PST - ppublish SO - Stem Cells. 2010 Jan;28(1):17-28. doi: 10.1002/stem.261.