Background:Previous studies indicate that disulfiram (DS), an anti-alcoholism drug, is cytotoxic to cancer cell lines and reverses anticancer drug resistance. Cancer stem cells (CSCs) are the major cause of chemoresistance leading to the failure of cancer chemotherapy. This study intended to examine the effect of DS on breast cancer stem cells (BCSCs).Methods:The effect of DS on BC cell lines and BCSCs was determined by MTT, western blot, CSCs culture and CSCs marker analysis.Results:Disulfiram was highly toxic to BC cell lines in vitro in a copper (Cu)-dependent manner. In Cu-containing medium (1 μ), the IC50 concentrations of DS in BC cell lines were 200–500 n. Disulfiram/copper significantly enhanced (3.7–15.5-fold) cytotoxicity of paclitaxel (PAC). Combination index isobologram analysis demonstrated a synergistic effect between DS/Cu and PAC. The increased Bax and Bcl2 protein expression ratio indicated that intrinsic apoptotic pathway may be involved in DS/Cu-induced apoptosis. Clonogenic assay showed DS/Cu-inhibited clonogenicity of BC cells. Mammosphere formation and the ALDH1+VE and CD24Low/CD44High CSCs population in mammospheres were significantly inhibited by exposure to DS/Cu for 24 h. Disulfiram/copper induced reactive oxygen species (ROS) generation and activated its downstream apoptosis-related cJun N-terminal kinase and p38 MAPK pathways. Meanwhile, the constitutive NFκB activity in BC cell lines was inhibited by DS/Cu.Conclusion:Disulfiram/copper inhibited BCSCs and enhanced cytotoxicity of PAC in BC cell lines. This may be caused by simultaneous induction of ROS and inhibition of NFκB.

Background:Glioblastoma multiforme (GBM) cells are resistant to anticancer drugs. Cancer stem cells (CSCs) are a key mediator of chemoresistance. We have reported that disulfiram (DS), an aldehyde dehydrogenase (ALDH) inhibitor, targets breast CSC-like cells. In this study, the effect of DS and combination of DS and gemcitabine (dFdC) on GBM cells and GBM stem-like cells was investigated.Methods:1-(4,5-Dimethylthiazol-2-yl)-3,5-diphenylformazan (MTT), combination index (CI)-isobologram, western blot, luciferase reporter gene assay, electrophoretic mobility-shift assay and ALDH analysis were used in this study.Results:Disulfiram is cytotoxic in GBM cell lines in a copper (Cu)-dependent manner. Disulfiram/copper enhances the cytotoxicity of dFdC. Combination index-isobologram analysis indicates a synergistic effect between DS/Cu and dFdC. Disulfiram/copper induces reactive oxygen species (ROS), activates JNK and p38 pathways and inhibits nuclear factor-kappa B activity in GBM cell lines. Disulfiram/copper may trigger intrinsic apoptotic pathway via modulation of the Bcl2 family. Disulfiram/copper abolishes stem-like cell population in GBM cell lines.Conclusion:Our findings indicate that the cytotoxicity of DS/Cu and the enhancing effect of DS/Cu on the cytotoxicity of dFdC in GBM stem-like cells may be caused by induction of ROS and inhibition of both ALDH and the NFkB pathway. Both DS and dFdC can traverse the blood–brain barrier. Further study may lead them into GBM chemotherapy.

Calcium and Ca 2؉ -dependent signals play a crucial role in sperm motility and mammalian fertilization, but the molecules and mechanisms underlying these Ca 2؉ -dependent pathways are incompletely understood. Here we show that homozygous male mice with a targeted gene deletion of isoform 4 of the plasma membrane calcium/ calmodulin-dependent calcium ATPase (PMCA), which is highly enriched in the sperm tail, are infertile due to severely impaired sperm motility. Furthermore, the PMCA inhibitor 5-(and-6)-carboxyeosin diacetate succinimidyl ester reduced sperm motility in wild-type animals, thus mimicking the effects of PMCA4 deficiency on sperm motility and supporting the hypothesis of a pivotal role of the PMCA4 on the regulation of sperm function and intracellular Ca 2؉ levels.Successful fertilization requires the sperm to travel long distances and undergo capacitation prior to reaching the female egg. After reaching their target, the sperm must interact with the extracellular matrix of the egg, including proteins of the zona pellucida, and release acrosomal material. Calcium is considered to exert a function on most, if not all, of these processes. In this field, most of the work on Ca 2ϩ signaling has focused on Ca 2ϩ entry mechanisms, especially on the role of Ca 2ϩ channels (1-4). For example, gene ablation of the cation channel of sperm (CatSper) leads to impaired sperm motility and male infertility (5), and mice lacking the mitochondrial voltage-dependent anion channel type 3 (VDAC3) are also infertile due to immotile sperm (6). These results show that tight regulation of ion entry by ion channels is critical to sperm function. Although there is little doubt as to the importance of calcium homeostasis in sperm motility and fertilization (7-12), the function of the plasma membrane Ca 2ϩ /calmodulin-dependent Ca 2ϩ ATPase (PMCA) 1 during this process remained enigmatic.PMCA represents a family of enzymes that extrude calcium from the cytosol across the plasma membrane of eukaryotic cells. Since their initial identification in erythrocytes (13), four different isoforms have been identified, and multiple splice forms of these isoforms have been described. The well defined tissue-specific expression pattern of different isoforms and splice variants of the pump in various mammalian tissues (14) and the regulated expression pattern during mouse development (15) strongly suggest a specific physiological function for each isoform and splice variant (reviewed in Strehler and Zacharias (16)). The identification of physical and functional interaction partners of the Ca 2ϩ pump has given insights into the putative functions of PMCAs as regulators of Ca 2ϩ -dependent signal transduction processes (17-21). Interaction of PMCA2 and -4 "b" splice variants was shown to be mediated by the PDZ-(PSD-95/Dlg/ZO-1) domain of the corresponding interaction partner and the C termini of the PMCA isoform (which harbors a typical PDZ domain binding motif (17)). Both modes of interaction with PDZ domain-containing proteins, specific and...

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