Asian Liver Center, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305.
Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide. It is intrinsically resistant toward standard chemotherapy, making it imperative to develop novel selective chemotherapeutic agents. The Wnt/beta-catenin pathway plays critical roles in development and oncogenesis, and is dysregulated in HCC. This study aims to evaluate the activity of three small molecule antagonists of the Tcf4/beta-catenin complex (PKF118-310, PKF115-584, and CGP049090) on HCC cell lines in vitro and in vivo. All three chemicals displayed dose-dependent cytotoxicity in vitro against all three HCC cell lines (HepG2, Hep40, and Huh7), but were at least 10-times less cytotoxic to normal hepatocytes (from three donors) by using ATP assay. In HepG2 and Huh7 cells, treatment with the antagonists decreased Tcf4/beta-catenin binding capability and transcriptional activity, associated with down-regulation of the endogenous Tcf4/beta-catenin target genes c-Myc, cyclin D1, and survivin. In HepG2 and Huh7 cells, treatment with the antagonists induced apoptosis and cell cycle arrest at the G1/S phase. All antagonists suppressed in vivo tumor growth in a HepG2 xenograft model, associated with apoptosis and reduced c-Myc, cyclin D1, and survivin expressions. Our results suggest that these three antagonists of the Tcf4/beta-catenin complex are potential chemotherapeutic agents which may offer a pathway specific option for the clinical management of HCC. (c) 2009 UICC.