title: Isolation and characterization of cancer stem cells from medulloblastoma.
abstract: Brain cancer stem cells are a subset of tumor cells present in several types of brain tumor that evade treatment regimens and are responsible for tumor recurrence. Recent reports on several tumors have suggested that Hoechst 33342 dye exclusion is a powerful technique for isolating cancer stem cell-like side population (SP) cells. In the present study, we attempted to isolate the SP cells from medulloblastoma, a malignant brain tumor in children. The tumor samples obtained were subjected to fluorescence-activated cell sorting analysis for SP cell isolation. Further, the SP cells were characterized by a sphere-formation assay and analyzed for expression of stem cell genes by reverse transcription-polymerase chain reaction (RT-PCR). Using flow cytometry, we isolated 2.9% of cancer stem-like SP cells from malignant medulloblastoma, which was reduced to 0.4% in the presence of verapamil, an inhibitor of ABC transporter. These SP cells undergo rapid proliferation and have a high tendency to form tumor spheres when compared with non-SP cells. Further, RT-PCR analysis revealed that the isolated SP cells have increased expression of neural stem cell markers such as nestin, Notch1, and the ABC transporter protein ABCG2. Therefore, our findings suggest that SP cells of medulloblastoma share the characteristics of cancer stem cells. The increased expression of stem cell markers and ABCG2 protein may function collectively and be responsible for drug and apoptosis resistance, as well as tumor recurrence and invasion.
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
authors.forename: J
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
authors.forename: N
authors.initials: N
authors.lastname: Chi
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
authors.forename: J Y
authors.initials: JY
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
authors.forename: W
authors.initials: W
authors.lastname: Zhu
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
authors.forename: Y S
authors.initials: YS
authors.lastname: Bian
authors.affiliation: Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China ChenHongguang2014@163.com.
authors.forename: H G
authors.initials: HG
authors.lastname: Chen
mesh_terms: D000070997:ATP Binding Cassette Transporter, Subfamily G, Member 2; D018528:ATP-Binding Cassette Transporters / Q000235:genetics / Q000378:metabolism; D045744:Cell Line, Tumor; D049109:Cell Proliferation; D002675:Child, Preschool; D015870:Gene Expression; D006801:Humans; D008527:Medulloblastoma / Q000378:metabolism / Q000473:pathology*; D009363:Neoplasm Proteins / Q000235:genetics / Q000378:metabolism; D014411:Neoplastic Stem Cells / Q000502:physiology*; D051881:Receptor, Notch1 / Q000235:genetics / Q000378:metabolism; D058985:Side-Population Cells / Q000378:metabolism; D018874:Spheroids, Cellular / Q000378:metabolism
chemical_list: C116614:ABCG2 protein, human; D000070997:ATP Binding Cassette Transporter, Subfamily G, Member 2; D018528:ATP-Binding Cassette Transporters; C497761:NOTCH1 protein, human; D009363:Neoplasm Proteins; D051881:Receptor, Notch1