Identification and Characterization of CXCR4-Positive Gastric Cancer Stem Cells

PLoS One. 2015 Jun 25;10(6):e0130808. doi: 10.1371/journal.pone.0130808. eCollection 2015.

Abstract

Diffuse-type solid tumors are often composed of a high proportion of rarely proliferating (i.e., dormant) cancer cells, strongly indicating the involvement of cancer stem cells (CSCs) Although diffuse-type gastric cancer (GC) patients have a poor prognosis due to high-frequent development of peritoneal dissemination (PD), it is limited knowledge that the PD-associated CSCs and efficacy of CSC-targeting therapy in diffuse-type GC. In this study, we established highly metastatic GC cell lines by in vivo selection designed for the enrichment of PD-associated GC cells. By microarray analysis, we found C-X-C chemokine receptor type 4 (CXCR4) can be a novel marker for highly metastatic CSCs, since CXCR4-positive cells can grow anchorage-independently, initiate tumors in mice, be resistant to cytotoxic drug, and produce differentiated daughter cells. In clinical samples, these CXCR4-positive cells were found from not only late metastasis stage (accumulated ascites) but also earlier stage (peritoneal washings). Moreover, treatment with transforming growth factor-β enhanced the anti-cancer effect of docetaxel via induction of cell differentiation/asymmetric cell division of the CXCR4-positive gastric CSCs even in a dormant state. Therefore, differentiation inducers hold promise for obtaining the maximum therapeutic outcome from currently available anti-cancer drugs through re-cycling of CSCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Docetaxel
  • Humans
  • Mice
  • Neoplastic Stem Cells / metabolism*
  • Neoplastic Stem Cells / pathology
  • Receptors, CXCR4 / metabolism*
  • Stomach Neoplasms / metabolism*
  • Stomach Neoplasms / pathology
  • Taxoids / pharmacology
  • Transforming Growth Factor beta / pharmacology

Substances

  • Antineoplastic Agents
  • CXCR4 protein, mouse
  • Receptors, CXCR4
  • Taxoids
  • Transforming Growth Factor beta
  • Docetaxel

Grants and funding

This work was supported in part by the National Institute of Biomedical Innovation (for the Advanced Research for Medical Products Mining Programme ID10-41), the Ministry of Health, Labour and Welfare of Japan (for the Third Comprehensive 10-Year Strategy for Cancer Control H22-007), National Cancer Center Research and Development Fund (25-A-6, 26-A-3). Drs T Fujita, M Tamaoki and T Nishimura are the recipients of a Research Resident Fellowship from the Foundation for Promotion of Cancer Research in Japan.