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2018 ; 20
(1
): 16
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The hypoxic tumor microenvironment in vivo selects the cancer stem cell fate of
breast cancer cells
#MMPMID29510720
Kim H
; Lin Q
; Glazer PM
; Yun Z
Breast Cancer Res
2018[Mar]; 20
(1
): 16
PMID29510720
show ga
BACKGROUND: Tumor hypoxia is an independent prognostic factor associated with
poor patient survival. Emerging evidence suggests that hypoxia can potentially
maintain or enhance the stem cell phenotype of both normal stem cells and cancer
cells. However, it remains to be determined whether cell fate is regulated in
vivo by the hypoxic tumor microenvironment (TME). METHODS: We established a
hypoxia-sensing xenograft model to identify hypoxic tumor cell in vivo primarily
using human breast cancer cell lines MDA-MB-231 and MCF7. Hypoxic tumor cells
were identified in situ by fluorescence of green fluorescence protein. They were
further isolated from xenografts, purified and sorted by flow cytometry for
detailed analysis of their stem cell characteristics. RESULTS: We have found that
hypoxic tumor cells freshly isolated from xenografts contain increased
subpopulations of tumor cells with cancer stem cell (CSC)-like characteristics.
The CSC characteristics of the hypoxic tumor cells are further enhanced upon
re-implantation in vivo, whereas secondary xenografts derived from the
non-hypoxic tumor cells remain similar to the primary xenografts. Interestingly,
the phenotypes exhibited by the hypoxic tumor cells are stable and remain
distinctively different from those of the non-hypoxic tumor cells isolated from
the same tumor mass even when they are maintained under the same ambient culture
conditions. Mechanistically, the PI3K/AKT pathway is strongly potentiated in the
hypoxic tumor cells and is required to maintain the CSC-like phenotype.
Importantly, the differential cell fates between hypoxic and non-hypoxic tumor
cells are only found in tumor cells isolated from the hypoxic TME in vivo and are
not seen in tumor cells treated by hypoxia in vitro alone. CONCLUSIONS: These
previously unknown observations suggest that the hypoxic TME may promote
malignant progression and therapy resistance by coordinating induction, selection
and/or preferential maintenance of the CSC-like phenotype in tumor cells.