%D 2022 %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 %V 374 %A Danila Cianciosi %A Tamara Y. Forbes-Hernández %A Lucia Regolo %A José M. Alvarez-Suarez %A Denise Quinzi %A Azzurra Sargenti %A Weibin Bai %A Lingmin Tian %A Francesca Giampieri %A Maurizio Battino %J Food Chemistry %K Apoptosis; Cancer; Chemosensibility; Honey; Spheroids; Stemness. %R doi:10.1016/j.foodchem.2021.131753 %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. %P 131753 %L uneatlantico564