%0 Journal Article %@ 03088146 %A Cianciosi, Danila %A Forbes-Hernández, Tamara Y. %A Regolo, Lucia %A Alvarez-Suarez, José M. %A Quinzi, Denise %A Sargenti, Azzurra %A Bai, Weibin %A Tian, Lingmin %A Giampieri, Francesca %A Battino, Maurizio %D 2022 %F uneatlantico:564 %J Food Chemistry %K Apoptosis; Cancer; Chemosensibility; Honey; Spheroids; Stemness. %P 131753 %T Manuka honey in combination with 5-Fluorouracil decreases physical parameters of colonspheres enriched with cancer stem-like cells and reduces their resistance to apoptosis %U http://repositorio.uneatlantico.es/id/eprint/564/ %V 374 %X The aim of the present work was to evaluate the in vitro effect of Manuka honey and its combination with 5-Fu, the most common drug used in the treatment of colon cancer, on the morphological and physical parameters of colonspheres enriched with cancer stem-like cells deriving from HCT-116 colon adenocarcinoma cell line and on the apoptosis rate. Manuka honey, alone and more in combination with 5-Fu, reduced the weight, the diameter and mass density of the spheroids and induced apoptosis through the downregulation of many apoptosis inhibitors, including IAPs (Livin, Survivin, XIAP), IGFs (IGF-I, IGF-II and IGF-IR) and HSPs (HSP-27, HSP-60 and HSP-70). These results led to a reduction in the survival ability of cancer stem-like cells, as well as to a chemosensitizing effect of honey towards 5-Fu, considering that apoptosis resistance is one of the main causes of cancer stem-like cells chemoresistance.