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2014 ; 74
(17
): 4864-74
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Epigenetic states of cells of origin and tumor evolution drive tumor-initiating
cell phenotype and tumor heterogeneity
#MMPMID25136069
Chow KH
; Shin DM
; Jenkins MH
; Miller EE
; Shih DJ
; Choi S
; Low BE
; Philip V
; Rybinski B
; Bronson RT
; Taylor MD
; Yun K
Cancer Res
2014[Sep]; 74
(17
): 4864-74
PMID25136069
show ga
A central confounding factor in the development of targeted therapies is tumor
cell heterogeneity, particularly in tumor-initiating cells (TIC), within
clinically identical tumors. Here, we show how activation of the Sonic Hedgehog
(SHH) pathway in neural stem and progenitor cells creates a foundation for tumor
cell evolution to heterogeneous states that are histologically indistinguishable
but molecularly distinct. In spontaneous medulloblastomas that arise in Patched
(Ptch)(+/-) mice, we identified three distinct tumor subtypes. Through cell
type-specific activation of the SHH pathway in vivo, we determined that different
cells of origin evolved in unique ways to generate these subtypes. Moreover, TICs
in each subtype had distinct molecular and cellular phenotypes. At the bulk tumor
level, the three tumor subtypes could be distinguished by a 465-gene signature
and by differential activation levels of the ERK and AKT pathways. Notably, TICs
from different subtypes were differentially sensitive to SHH or AKT pathway
inhibitors, highlighting new mechanisms of resistance to targeted therapies. In
summary, our results show how evolutionary processes act on distinct cells of
origin to contribute to tumoral heterogeneity, at both bulk tumor and TIC levels.