Department of Basic Medicine, School of Medicine, Tsinghua University, Beijing, China.
Department of Pharmacology, School of Basic Medicine, Nanjing Medical University, Nanjing, Jiangsu Province, China.
Cancer Res. 2017 Jun 1;77(11):3082-3091. doi: 10.1158/0008-5472.CAN-16-1633. Epub 2017 Apr 17.
Cancer stem-like cells (CSC) are thought to drive tumor initiation, metastasis, relapse, and therapeutic resistance, but their specific pathogenic characters in many cancers, including non-small cell lung cancer (NSCLC), have yet to be well defined. Here, we develop findings that the growth factor HGF promotes CSC sphere formation in NSCLC cell populations. In patient-derived sphere-forming assays (PD-SFA) with HGF, CD49f and CD104 were defined as novel markers of lung CSC (LCSC). In particular, we isolated a subpopulation of CD166CD49fCD104Lin LCSC present in all human specimens of NSCLC examined, regardless of their histologic subtypes or genetic driver mutations. This specific cell population was tumorigenic and capable of self-renewal, giving rise to tumor spheres and orthotopic lung tumors in immune-compromised mice. Mechanistic investigations established that was preferentially expressed in this cell subpopulation and required for self-renewal via the transcription factor HES1. Through a distinct HES1-independent pathway, NOTCH1 also protected LCSCs from cisplatin-induced cell death. Notably, treatment with a γ-secretase inhibitor that blunts NOTCH1 function ablated self-renewing LCSC activity and restored platinum sensitivity and Overall, our results define the pathogenic characters of a cancer stem-like subpopulation in lung cancer, the targeting of which may relieve platinum resistance in this disease. .
癌症干细胞(CSC)被认为是引发肿瘤、转移、复发和治疗抵抗的根源,但它们在许多癌症中的具体致病特征,包括非小细胞肺癌(NSCLC),尚未得到明确界定。在这里,我们发现生长因子 HGF 可促进 NSCLC 细胞群体中 CSC 球体的形成。在有 HGF 的患者来源球体形成分析(PD-SFA)中,CD49f 和 CD104 被定义为肺 CSC(LCSC)的新标志物。特别是,我们从所有检查过的 NSCLC 人类标本中分离出了一个存在于所有 CD166CD49fCD104Lin LCSC 的亚群,无论其组织学亚型或遗传驱动突变如何。这个特定的细胞群具有致瘤性和自我更新能力,能够在免疫缺陷小鼠中产生肿瘤球体和原位肺肿瘤。机制研究表明,在这个细胞亚群中优先表达,并且通过转录因子 HES1 来维持自我更新。通过一个独特的 HES1 非依赖性途径,NOTCH1 也能保护 LCSC 免受顺铂诱导的细胞死亡。值得注意的是,用一种抑制 NOTCH1 功能的 γ-分泌酶抑制剂治疗,可以消除自我更新的 LCSC 活性,并恢复铂类药物的敏感性。总体而言,我们的研究结果定义了肺癌中癌症干细胞样亚群的致病特征,靶向这些特征可能有助于缓解该疾病的铂类耐药性。