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2017 ; 36
(34
): 4887-4900
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Dedifferentiation into blastomere-like cancer stem cells via formation of
polyploid giant cancer cells
#MMPMID28436947
Niu N
; Mercado-Uribe I
; Liu J
Oncogene
2017[Aug]; 36
(34
): 4887-4900
PMID28436947
show ga
Our recent perplexing findings that polyploid giant cancer cells (PGCCs) acquired
embryonic-like stemness and were capable of tumor initiation raised two important
unanswered questions: how do PGCCs acquire such stemness, and to which stage of
normal development do PGCCs correspond. Intriguingly, formation of giant cells
due to failed mitosis/cytokinesis is common in the blastomere stage of the
preimplantation embryo. However, the relationship between PGCCs and giant
blastomeres has never been studied. Here, we tracked the fate of single PGCCs
following paclitaxel-induced mitotic failure. Morphologically, early spheroids
derived from PGCCs were indistinguishable from human embryos at the blastomere,
polyploid blastomere, compaction, morula and blastocyst-like stages by light,
scanning electron or three-dimensional confocal scanning microscopy. Formation of
PGCCs was associated with activation of senescence, while budding of daughter
cells was associated with senescence escape. PGCCs showed time- and
space-dependent activation of expression of the embryonic stem cell markers OCT4,
NANOG, SOX2 and SSEA1 and lacked expression of Xist. PGCCs acquired mesenchymal
phenotype and were capable of differentiation into all three germ layers in
vitro. The embryonic-like stemness of PGCCs was associated with nuclear
accumulation of YAP, a key mediator of the Hippo pathway. Spheroids derived from
single PGCCs grew into a wide spectrum of human neoplasms, including germ cell
tumors, high-grade and low-grade carcinomas and benign tissues. Daughter cells
derived from PGCCs showed attenuated capacity for invasion and increased
resistance to paclitaxel. We also observed formation of PGCCs and
dedifferentiation in ovarian cancer specimens from patients treated with
chemotherapy. Taken together, our findings demonstrate that PGCCs represent
somatic equivalents of blastomeres, the most primitive cancer stem cells reported
to date. Thus, our studies reveal an evolutionarily conserved archaic embryonic
program in somatic cells that can be de-repressed for oncogenesis. Our work
offers a new paradigm for cancer origin and disease relapse.