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J Cancer Metastasis Treat 2016;2 Suppl 1

           (O2._), which  stimulating  all  three stages of cancer:   Key words:
           initiation, promotion and progression. In this work, we   Superoxide  anion,  cancer  stem cell, melanoma,
           analyzed the effects of superoxide anion in MSCs in   oxidative stress
           vitro and in vivo. Methods: The study was approved
           by Ethical Committee of the Federal University of Sao   A16
           Paulo, process number: 1523/2008. In this work, the   Non-alcoholic fatty liver disease and risk for
           melanoma  lineage  TM5, was cultured  in long  term   hepatocellular carcinoma - do cancer stem
           under specific medium containing: bFGF, EGF, LIF and   cells matter?
           retinoic acid, giving rise to the MSC as we describe
           in literature. We analyze the viability, proliferation and   Jürgen Borlak
           survivability of MSCs through techniques such as MTT
           (3-(4, 5-dimethylthiazolyl-2)-2,  5-diphenyltetrazolium   Hannover Medical School, Hannover, Germany
           bromide),  flow  cytometry,  neubauer  camera  using
           biomarkers as: Brd-U, Bcl-2 and Ki-67, for after,   Hepatocellular carcinoma (HCC) is a frequently
           evaluate  the presence  of superoxide  anion,  through   diagnosed cancer worldwide and a leading cause of
           dihydroethidium  (DHE) and its  function  in vitro and   cancer  mortality.  This  malignancy  results  primarily
           in vitro using the same mentioned  techniques  and   from  viral  liver  disease,  alcoholic  injury,  aflatoxins
           confocal microscopy and immunohistochemistry.      and to a lesser extent from genetic disorders such
           Results: Long-term culture induced the development   as hemochromatosis. Clinical epidemiology studies
           of cells with some stem cells characteristics. We   suggest an association between non-alcoholic fatty liver
           named these cells as  melanoma stem  cells; these   disease (NAFLD) and risk for liver cancer. Given the
           form  an adherent and nonadherent  spheres as  well   epidemic in fatty liver disease the risk for HCC appears
           as they showed an increased pigmentation. MSC      to be particularly increased in NASH cirrhosis patients. [1]
           possess an enhanced ability to survive and adapt after
           changing  the culture  medium (epigenetic  effect).  In   The mechanisms leading  to tumor growth in fatty
           vitro, MSC shows an outgrowth and quiescence state   liver disease are unknown, nonetheless may involve
           and  self-renewal. MSC presented  less expression   the complex  interplay  of adipokines  and  cytokines
                                                                                                [2,3]
           of Ki-67 when compared with melanoma  control      in promoting  hepatocarcinogenesis.   Importantly,
           cells and both: MSC and control cells presents good   research identified a decisive role of hepatic stem cells
           viability. The levels of the O2._ in MSCs are increased   in the development of liver cancer. However, it remains
           significantly compared to the melanoma control cells,   enigmatic why stem cells become cancerous (CSC).
                                                              Several landmark  papers evidence dysregulation  of
           suggesting  a possible  protection against apoptosis   signalling pathways in the control of self-renewal and
           in MSCs, because occurred a concomitant increase
           of expression of the anti-apoptotic protein Bcl-2 and   differentiation of hepatic stem cells and include PI3K/
                                                              Akt, JAK/STAT, Wnt/β-catenin, hedgehog, Notch, NF-
           these cells presented more survival capacity.  In   κB  and  ABC  transporters  to  influence  stemness  of
           vivo, occurred a decrease in the levels of O2._, this   CSCs. [4,5]  Knowledge on these pathways permits the
           reduction may be involved in increased of malignancy   development of molecularly targeted therapies.
           of melanoma. It  was observed an increasing  of the
           expression of the Ki-67 e decreased of the Bcl-2. The   In my presentation I will report recent findings on the
           microenvironment, in vivo, could change the behavior   regulation of cancer stem cells in steatotic human
           of the MSC, increasing its proliferation and migration   hepatoma cells to mimic the condition of NAFLD. I will
           and invasion capacity to  the neighboring  tissues.   particularly focus on signalling pathways either linked
           Conclusion:  These results indicate  two different   to WNT and Hedgehog signalling, cell cycle regulation
           conclusions:  In vitro, O2._ increases  and  protects   and  chromatin  organisation  and  provide  an  overview
           MSC against apoptosis, and participates in the survival   on the surplus of putative targets obtained from a
           of these cells and differentiation process. In vivo, was   wide range of cell biology, life cell imaging, genomics
           observed the less expression of: O2._ and Bcl-2, and   and computational biology studies. I will also discuss
           the greater expression of Ki-67, suggesting that in vivo,   the possibilities for therapeutic intervention studies in
           the O2._ play an important role in cellular proliferation   preventing the induction of CSC in NAFLD patients and
           due its interaction with the microenvironment, acting in   this includes some preliminary findings with dual kinase
           ways that promotes progression and invasion tumor.   inhibitors obtained from the Botta-lab of Siena, Italy.
           Finally,  our results imply that  the different levels of
           O2._ acts in different signaling cascades to promote   Key words:
           cell proliferation or differentiation.             Non-alcoholic  fatty liver disease, hepatocellular
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