Sulforaphane (SF) increases drug-mediated effects on cell viability, clonogenicity and induction of apoptosis in pancreatic cancer stem cells (CSCs). (a) CSChigh pancreatic cancer cells were left untreated (CO), or were treated with SF (5 µmol/l), cisplatin (CIS), gemcitabine (GEM), doxorubicin (DOX) or 5-flurouracil (5-FU) in concentrations indicated alone or in combination with SF as indicated. Seventy-two hours later viability was determined by MTT assay (upper panel). Data are presented as mean ± SD (*P < 0.05 compared with treatment in the absence of SF). Representative pictures of cells were taken at ×100 magnification (lower panel). (b) To examine clonogenic cell division, CSChigh pancreatic cancer cells were seeded in 6-well tissue culture plates and treated with SF (5 µmol/l) and GEM (5 nmol/l) alone or in combination (SF+GEM). Seventy-two hours later cells were trypsinized and re-plated at low density in 6-well plates. Ten days later colonies containing >50 cells were counted under a dissecting Zeiss Stemi DV4 microscope. Data are presented as mean ± SD. Photographs of the fixed and stained colonies are presented on the left panel. (c) MIA-PaCa2 cells were seeded in 6-well tissue culture plates and treated similar to the previous MTT assay. Induction of apoptosis was evaluated by annexin V staining of the cells and flow cytometry. Induction of apoptosis is presented as percentage of annexin-positive cells. Data are presented as mean ± SD (*P < 0.05).