Methods: UM-SCC-17B cells were exposed to Propolis and analyzed by flow cytometry for the proportion of cancer stem-like cells, defined as ALDH+CD44+ cells. In addition, we sorted ALDH+CD44+ cells from UM-SCC-17B, plated them in ultralow attachment plates, treated with increasing concentrations of Propolis (0-50 µg/ml), and evaluated for generation of orospheres (defined as a non-adherent colony of ≥25 cells). Western blots were performed to evaluate the effect of Propolis on the expression of the self-renewal marker Bmi-1. One-way ANOVA followed by post-hoc tests were used to analyze data.
Results: Propolis decreased the number of orospheres (P=0.037) generated by ALDH+CD44+ cells cultured in ultralow attachment plates. This effect appears to be independent from changes in Bmi-1 expression levels. Surprisingly, Propolis enhanced the fraction of ALDH+CD44+ cells (P<0.001) in unsorted UM-SCC-17 cells cultured in standard cell culture plates.
Conclusion: Within the limitations of this in vitro study, we conclude that Propolis has an inhibitory effect on cancer stem cells cultured under non-adherent conditions.