Mihic-Probst Daniela, Kuster Ariana, Kilgus Sandra, Bode-Lesniewska Beata, Ingold-Heppner Barbara, Leung Carly, Storz Martina, Seifert Burkhardt, Marino Silvia, Schraml Peter, Dummer Reinhard, Moch Holger
Department of Pathology, Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland.
Int J Cancer. 2007 Oct 15;121(8):1764-70. doi: 10.1002/ijc.22891.
Stem cell-like cells have recently been identified in melanoma cell lines, but their relevance for melanoma pathogenesis is controversial. To characterize the stem cell signature of melanoma, expression of stem cell markers BMI-1 and nestin was studied in 64 cutaneous melanomas, 165 melanoma metastases as well as 53 melanoma cell lines. Stem cell renewal factor BMI-1 is a transcriptional repressor of the Ink4a/Arf locus encoding p16(ink4a) and p14(Arf). Increased nuclear BMI-1 expression was detectable in 41 of 64 (64%) primary melanomas, 117 of 165 melanoma metastases (71%) and 15 of 53 (28%) melanoma cell lines. High nestin expression was observed in 14 of 56 primary melanomas (25%), 84 of 165 melanoma metastases (50%) and 21 of 53 melanoma cell lines (40%). There was a significant correlation between BMI-1 and nestin expression in cell lines (p = 0.001) and metastases (p = 0.02). These data indicate that cells in primary melanomas and their metastases may have stem cell properties. Cell lines obtained from melanoma metastases showed a significant higher BMI-1 expression compared to cell lines from primary melanoma (p = 0.001). Further, primary melanoma lacking lymphatic metastases at presentation (pN0, n = 40) was less frequently BMI-1 positive than melanomas presenting with lymphatic metastases (pN1; n = 24; 52% versus 83%; p = 0.01). Therefore, BMI-1 expression appears to induce a metastatic tendency. Because BMI-1 functions as a transcriptional repressor of the Ink4a/Arf locus, p16(ink4a) and p14(Arf) expression was also analyzed. A high BMI-1/low p16(ink4a) expression pattern was a significant predictor of metastasis by means of logistic regression analysis (p = 0.005). This suggests that BMI-1 mediated repression of p16(ink4a) may contribute to an increased aggressive behavior of stem cell-like melanoma cells.
最近在黑色素瘤细胞系中发现了类似干细胞的细胞,但其与黑色素瘤发病机制的相关性仍存在争议。为了表征黑色素瘤的干细胞特征,研究了64例皮肤黑色素瘤、165例黑色素瘤转移灶以及53个黑色素瘤细胞系中干细胞标志物BMI-1和巢蛋白的表达情况。干细胞更新因子BMI-1是编码p16(ink4a)和p14(Arf)的Ink4a/Arf基因座的转录抑制因子。在64例原发性黑色素瘤中有41例(64%)、165例黑色素瘤转移灶中有117例(71%)以及53个黑色素瘤细胞系中有15例(28%)可检测到核BMI-1表达增加。在56例原发性黑色素瘤中有14例(25%)、165例黑色素瘤转移灶中有84例(50%)以及53个黑色素瘤细胞系中有21例(40%)观察到巢蛋白高表达。在细胞系(p = 0.001)和转移灶(p = 0.02)中,BMI-1与巢蛋白表达之间存在显著相关性。这些数据表明原发性黑色素瘤及其转移灶中的细胞可能具有干细胞特性。与来自原发性黑色素瘤的细胞系相比,从黑色素瘤转移灶获得的细胞系BMI-1表达显著更高(p = 0.001)。此外,初诊时无淋巴转移的原发性黑色素瘤(pN0,n = 40)中BMI-1阳性的频率低于伴有淋巴转移的黑色素瘤(pN1;n = 24;52%对83%;p = 0.01)。因此,BMI-1表达似乎诱导了转移倾向。由于BMI-1作为Ink4a/Arf基因座的转录抑制因子发挥作用,因此还分析了p16(ink4a)和p14(Arf)的表达。通过逻辑回归分析,高BMI-1/低p16(ink4a)表达模式是转移的显著预测指标(p = 0.005)。这表明BMI-1介导的对p16(ink4a)的抑制可能导致类似干细胞的黑色素瘤细胞侵袭性行为增加。