Regulation of Inflammation by the NF-κB Pathway in Ovarian Cancer Stem Cells

Problem The NF kappa B pathway is a major source of pro-inflammatory cytokines, which may contribute to cancer chemoresistance. We showed that constitutive NF kappa B activity is characteristic of the ovarian cancer stem cells (OCSCs). The aim of this study is to determine whether the inhibition of NF kappa B by Eriocalyxin B (EriB) in the OCSCs may induce cell death in otherwise chemoresistant cells. Methods OCSCs and mature ovarian cancer cells (mOCCs) were treated with increasing concentrations of EriB. Cell viability was measured using the Celltiter 96 assay, and caspase activity was quantified using Caspase-Glo (TM) assay. Cytokine levels were quantified using xMAP technology. Results EriB decreased the percent of viable cells in all cultures tested with GI(50) of 0.5-1 mu m after 48 hrs of treatment. The intracellular changes associated with EriB-induced cell death are: (i) inhibition of NF-kappa B activity; (ii) decreased cytokine production; (iii) activation of caspases; and (iv) down-regulation of XIAP. In addition, EriB is able to sensitize OCSCs to TNF alpha and FasL-mediated cell death. Conclusion Inhibition of the NF kappa B pathway induces cell death in the OCSCs. Because the OCSCs may represent the source of recurrence and chemoresistance, the use of NF kappa B inhibitors like EriB may prevent recurrence in patients with ovarian cancer.