- Open Access
Distinct population of highly malignant cells in a head and neck squamous cell carcinoma cell line established by xenograft model
© Chen et al; licensee BioMed Central Ltd. 2009
Received: 24 June 2009
Accepted: 16 November 2009
Published: 16 November 2009
The progression and metastasis of solid tumors, including head and neck squamous cell carcinoma (HNSCC), have been related to the behavior of a small subpopulation of cancer stem cells. Here, we have established a highly malignant HNSCC cell line, SASVO3, from primary tumors using three sequential rounds of xenotransplantation. SASVO3 possesses enhanced tumorigenic ability both in vitro and in vivo. Moreover, SASVO3 exhibits properties of cancer stem cells, including that increased the abilities of sphere-forming, the number of side population cells, the potential of transplanted tumor growth and elevated expression of the stem cell marker Bmi1. Injection of SASVO3 into the tail vein of nude mice resulted in lung metastases. These results are consistent with the postulate that the malignant and/or metastasis potential of HNSCC cells may reside in a stem-like subpopulation.
Solid tumors are known to be composed of a heterogeneous population of cells, and it has been possible to observe that certain cell residing inside tumors have stem cell like properties including tumor growth (self-renewal), heterogeneity (differentiation) and growth in tissue environments different from the original one (metastasis) [1, 2]. The identification of this small subpopulation of highly tumorigenic cancer cells in solid human tumors has led to the development of the cancer stem cell theory of tumorigenesis, which postulates that only a specific rare subpopulation of cancer cells has the ability to sustain cancer growth, and the remaining cancer cells have only limited growth potential or perhaps no growth potential at all . Cancer stem cells possess three fundamental characterizations . First, they have to self-renew, allowing the maintenance of the original stem cell population. Second, cancer stem cells must be able to differentiate into multiple types of mature cells. Third, the total number of stem cells is strictly regulated via both extrinsic and intrinsic mechanisms. Based on these characteristics, four key methodologies were developed to identify the cancer stem cell subpopulation : first, cancer stem cell were enriched by sphere assay to form tumorspheres, in culture conditions that promote maintenance of cancer stem cells; second, Hoechst 33342 staining used to identify the side population cell that enriches for cancer stem cell; third, the small population of cancer stem cell can be serially transplanted through multiple generations; fourth, only a small portion of the cancer cells within a tumor have tumorigenic potential when transplanted into immunodeficient mice.
Experimental evidence for the existence of cancer stem cells has been reported for several tumor types, including glioma, breast, colon, prostate and HNSCC [2, 5–7]. A subpopulation of cells with cancer stem cell like properties also appear to persist in cell lines derived from a wide range of malignancies[1, 8–14], including cell lines derived from HNSCC [12, 15]. Recent studies have shown that the initiation, progression, recurrence and metastasis of HNSCC may involve a small population of cancer stem cells [16–18]. In addition, cancer stem cells have been suspected to be the underlying reason for the incurable and relapsing nature of many metastatic tumors. Development of new therapies that target these cancer stem cells may significantly improve the clinical treatment of cancer. Therefore, it is of importance to identify, within tumors, the subpopulation of cells that display cancer stem cell properties.
We have previously reported that a small population of HNSCC cells displaying the characteristics of cancer stem cells was enriched by sphere formation . In addition, the expression of the stem-related markers in cancer stem cells has been shown to negatively correlate with the survival prognosis of HNSCC patients. However, the in vitro tumor sphere method for the enrichment and isolation of cancer stem cells may not imitate well the in vivo situation, since maintaining a small population of cancer stem cells in a cancer is known to require a special microenvironment [19, 20]. So far, the serial xenotransplantation method is generally considered to be the gold standard for the isolation of the small population of highly malignant cells from a solid tumor . Here, we postulated that serial xenotransplantation of a cancer cell line in nude mice will reduce the number of non-malignant clones present that may have been selected during the establishment of this cell line. In this study, we employed a xenotransplatation mouse model to investigate the malignant heterogeneity of the HNSCC cells.
Materials and methods
The human tongue cancer cell line SAS, a high-grade tumorigenic HNSCC cell line, was obtained from the Japanese Collection of Research Bioresources (Tokyo, Japan). 293FT, kindly provided by Dr. W.-Y. Hu and was used for packaging of the viral particles. Both SAS and 293FT cells were cultured in Dulbecco's modified Eagle's medium (DMEM) containing 10% fetal bovine serum, 1% L-glutamine, 0.5 mM sodium pyruvate, 1.2 g/L sodium bicarbonate, and 2.5 mM L-glutamine.
Cultivation of the cells to form tumor spheres has been described previously . In brief, the cells were cultured in tumor sphere medium consisting of serum-free DMEM/F-12, N2 supplement, 10 ng/mL human recombinant bFGF, and 10 ng/mL EGF until sphere formation was observed at about 4 weeks. All culture medium, chemical compounds, and fetal bovine were purchased from Life Technologies (Grand Island, NY).
Plasmids and Transfection, preparation of lentivirus virus particles and infection
The pLV-EF1α-GFP lentivirus that contains the green fluorescent protein (GFP) expression cassette was purchased from Biosettia Inc. (Biosettia, San Diego, CA). pCMVD8.2 and pMD.G, which expresses GAG-POL and the vesicular stomatitis virus envelope respectively, were provided by the consortium (Academia Sinica, Taipei, Taiwan). Isolation of all plasmid DNAs was carried out using a HiSpeed plasmid purification kit (Q-Biogene, Carlsbad, CA, USA) and the protocol provided by the manufacturer.
Transfection of plasmid DNA into the cells was generally done using Lipofectamine 2000 (Invitrogen, Carlsbad, CA) and the protocol provided by the manufacturer. The efficiency of transfection was determined by microscopic examination of the green fluorescence produced by the pLV-EF1α-GFP vector.
The lentiviruses were generated by cotransfecting 293FT with lentiviral vector and packaging plasmids at 37°C for 48 h. After transfection, the viral supernatant was harvested by spinning at 2000 rpm for 10 min at 4°C. The SAS cells were inoculated with 100 μL of viral stock with MEM medium, 10% FBS and 6 μg/μL polybrene. The infected cells were incubated for 2 h at 37°C, washed twice, and then cultured in complete medium until cells were harvested. The recombinant cells were separated using a FACS Calibur apparatus (Becton Dickinson) to sort out the population of GFP expressing cells from the non-transfected cells.
Antibodies and Western blotting
The antibodies used in this study include anti-Bmi1 (Cell Signaling, Temecula, CA, USA), anti-β-Catenin (BD Biosciences), anti-p14 (Santa Cruze Biotechnology, Inc. Santa Cruz, CA, USA), anti-p21 (Santa Cruze Biotechnology), anti-phosphorylated AKT (Ser473)(Cell Signaling, Temecula, CA, USA), anti-AKT (Santa Cruze Biotechnology), and anti-GAPDH (Chemicon, Temecula, CA, USA).
For Western blot, the cell pellets were homogenized in 200 μL lysis buffer (50 mM HEPES, pH 7.5, 150 mM NaCl, 10% glycerol, 1.5 mM MgCl2, 1% Triton X-100) and incubated on ice for 20 min. After centrifugation at 13,000 g for 30 min at 4°C, the supernatant containing the protein extracts was collected. Protein concentrations were determined using the Bio-Rad protein assay. Western blot analyses were performed as described previously .
Establishment of Xenograft-derived SAS cell lines
The SAS cells were infected with pLV-EF1α-GFP lentivirus and GFP-expressing cells were collected by sorting using a flow cytometer. All the animal practices in this study were in accordance with the institutional animal welfare guideline of Taipei VGH or National Yang-Ming University, Taiwan. To establish the first generation xenograft-derived SAS cell line, the GFP-expressing SAS cells (designated as SAS-GFP in this study) were injected subcutaneously into the dorsal flank of 6-week-old nude BALB/c nu/nu mice. In vivo GFP imaging of the tumor was carried out and each tumor's size measured as described previously . The solid tissue from the tumor was then mechanically and enzymatically disaggregated into a single-cell suspension, and this was designated SASVO1. A second generation xenograft-derived SAS cell line was then established using the same protocol as above, this time using cells from the tumor produced by the SASVO1 cells; this single cell suspension was designated SASVO2. Finally, a third generation xenograft-derived SAS cell line was established from the tumor produced by SASVO2 cells, and this was designated SASVO3.
Assays of proliferation, migration, invasion, and anchorage-independent growth
An MTT assay kit (Sigma-Aldrich) was used to analyze the cell proliferation. Specifically, 1 × 103 cells were seeded in each well of a 24-well plate, and then 10 μL of MTT solution was added to the cells, which were then incubated at 37°C for 3 hours. The supernatant was removed, and 200 μL of DMSO were added directly to the cells. The MTT color reaction was analyzed using a microplate reader set at A 560 nm.
For the migration assay, 2 × 105 cells in a medium with low serum (0.5% FBS) were plated in the top chamber of a Transwell (Corning, Acton, MA) with a porous transparent polyethylene terephthalate membrane (8.0 μm pore size). Medium supplemented with high serum (15% FBS) was placed in the lower chamber and used as a chemoattractant. The cells were incubated for 24 h at 37°C and cotton swabs were used to remove cells that did not migrate through the pores. The cells on the lower surface of the membrane were stained with Hoechst 33258 (Sigma-Aldrich) and fluorescent cells were identified at a magnification of 100× using a fluorescence microscope (Carl Zeiss, Oberkochen, Germany). The number of fluorescent cells in a total of five randomly selected fields was counted.
Invasion assays were done in 24-well Transwell units with an 8.0 μm porous transparent polyethylene terephthalate membrane. Cells (1 × 105 per well) were added to upper chambers (filter coated with 1 mg/mL Matrigel) in 100 μL of the low serum medium. The lower chambers were filled with 500 μL high serum medium. After 24 h incubation at 37°C, cells that remained in the Matrigel or attached to the upper side of the filter were removed with cotton swabs. Cells that had migrated through the membrane to the lower surface were stained with Hoechst 33258 and counted in five different fields under a fluorescence microscope.
For anchorage-independent growth, 5 × 104 cells were mixed with 2 mL of MEM containing 0.35% agarose (Sigma-Aldrich) and 0.5% FBS, and poured onto 60-mm plastic culture dishes pre-solidified with 2 mL MEM containing 0.7% agarose and 15% FBS. The plates were incubated at 37°C for 3 weeks and then stained with 0.5% crystal violet. The number of colonies with a diameter ≥ 100 μM was scored. Triplicate samples were performed for each experiment.
Analysis of the side population that excludes Hoechst 33342 dye
The cells were detached from the dishes and suspended at 1 × 106 cells/ml in Hanks' balanced salt solution (HBSS, Invitrogen) supplemented with 2% fetal calf serum and 10 mM HEPES (Invitrogen). These cells were then incubated at 37°C for 90 minutes with 10 g/mL Hoechst 33342 (Sigma Chemical, St Louis, MO), either alone or in the presence of 50 g/mL verapamil (Sigma Chemical). After incubation, the stained cells were collected by centrifugation, washed, and resuspended in ice-cold HBSS. Analysis of Hoechst 33342 efflux was performed using a FACSc Calibur apparatus (Becton Dickinson, Milan, Italy) with incident 350 nm ultraviolet light. The resulting fluorescence was measured at two wavelengths using 424/44 BP and 675 LP filters that allow detection of Hoechst blue and red, respectively.
In vivo tumor growth and metastasis
The tumor cells were subcutaneously injected into the flank of six-week-old BALB/c nu/nu mice, and examined every 5 to 7 days for tumor appearance. Tumor growth was measured twice weekly until 28 days after inoculation by determining the tumor volumes using the formula (Length × Width2)/2. For the detection of metastasis, 5 × 105 tumor cells were injected into tail vein and the mice were sacrificed after 90 days to detect tumor colonization in the lung. In vivo GFP imaging of tumors was carried out and they were then measured as described in the section "Establishment of xenograft SAS cell lines".
Immunohistochemistry was performed as described previously . In brief, tumor specimens were fixed in formalin and embedded in paraffin before sectioning, or kept frozen in optimal cutting temperature (OCT) embedding media. Seven-micron sections were fixed in ice-cold acetone for 5 min, and air-dried. The sections were deparaffinized twice in xylene for total of 10 min, rinsed in alcohol and then alcohol/water mixtures for 5 min with each solution, and then treated with 3% hydrogen peroxide to block endogenous peroxidase. After rinsing in distilled water, antigen retrieval was done by boiling in 50 ml of 1× Trilogy for 30 min. Then, after cooling, the sections were rinsed in phosphate-buffered saline (pH 7.4) for another 5 min. The tissue sections were incubated overnight with primary antibody at 4°C and then incubated with the secondary antibody for 1 hour at room temperature. Color was developed with AEC substrate chromogen (Dako Corporation, USA) for 10 min at room temperature. The same sections were also then counterstained with 1% hematoxylin according to the manufacturer's suggested protocol (Zymed Laboratories), dehydrated, and cover slipped with Histomount (Sigma Chemical Co., USA). The sections were examined under a light microscope.
An unpaired t-test was used for the statistical analysis. The results were considered to be statistically different when the p- value was < 0.05.
Xenograft-derived SAS cells display increased tumor growth in nude mice
Xenograft-derived SAS cells exhibit increased capacity for proliferation, migration, invasion and anchorage-independent growth in vitro
Enrichment of cancer stem cells in SASVO3
SASVO3 cells display an increased expression of Bmi1 and pAKT
Enhanced metastasis in vivo by SASVO3 cells
In this study, we have demonstrated that serial transplantation of a human HNSCC cancer cell line in nude mice can enrich the malignant subpopulation. Furthermore, we provide evidence that the increased malignant potential in the xenograft-derived cells appears to be attributable to the enrichment of a subpopulation that displays an increased expression of Bmi1 and pAKT (Figure 3 and 4), but not CD133, CD44, Nanog, and Oct-4 (unpublished results). The highly tumorigenic cancer stem cells isolated by sphere assay from HNSCC cell lines were previously reported to display an increased expression of CD133, Nanog, and Oct-4 . At present, it is not known why the markers expressed in the subpopulation of serial xenograft-derived SASVO3 differ from the ones expressed in the highly tumorigenic cancer stem cells isolated by sphere assay. Serial passages of cell lines frequently lead to change of characteristics and acquisition of genetic aberrations, resulting in the selection of atypical clones [3, 37]. Therefore, the markers on malignant cells of established cell lines may differ from cancer stem cells in original tumors. It is possible that the sphere assay may enrich all of highly malignant cancer stem cells that are present in the established cell lines, while the serial xenotransplantation method may enrich only the original cancer stem cells that produce tumors in vivo.
It is interesting to note that the xenograft-derived SASVO3 cells also display increased capability for metastasis (Figure 5), which suggests that the enriched subpopulation may be also highly capable of metastasis. Therefore, the establishing of a highly malignant HNSCC cell line by the xenograft model should be an ideal method for identifying within tumors that subpopulation of cells displaying cancer stem cell properties. Since cancer stem cells have been suspected to underlie the incurable and relapsing nature of many metastatic tumors, our establishment of a highly malignant cell line should pave the road for the future development of new therapies that target these cancer stem cells. In addition, these xenograft-derived cells should be very useful when studying the molecular processes and pathways that are unique to the cancer stem cells.
This study was supported by research grants from National Science Council (NSC95N444 and NSC97N456), Taipei Veterans General Hospital (V95E2007, V95B2013, V96ER2016, V97ER2018 and V98ER2018) and Ministry of Education (96ADD122, 97ACD113, 97ACT302 and 98ACT302) in Taiwan, ROC.
- Reya T, Morrison SJ, Clarke MF, Weissman IL: Stem cells, cancer, and cancer stem cells. Nature. 2001, 414: 105-111. 10.1038/35102167.View ArticlePubMedGoogle Scholar
- Pardal R, Clarke MF, Morrison SJ: Applying the principles of stem-cell biology to cancer. Nat Rev Cancer. 2003, 3: 895-902. 10.1038/nrc1232.View ArticlePubMedGoogle Scholar
- Visvader JE, Lindeman GJ: Cancer stem cells in solid tumours: accumulating evidence and unresolved questions. Nat Rev Cancer. 2008, 8: 755-768. 10.1038/nrc2499.View ArticlePubMedGoogle Scholar
- Clarke MF, Dick JE, Dirks PB, Eaves CJ, Jamieson CH, Jones DL, Visvader J, Weissman IL, Wahl GM: Cancer stem cells--perspectives on current status and future directions: AACR Workshop on cancer stem cells. Cancer Res. 2006, 66: 9339-9344. 10.1158/0008-5472.CAN-06-3126.View ArticlePubMedGoogle Scholar
- Al-Hajj M, Clarke MF: Self-renewal and solid tumor stem cells. Oncogene. 2004, 23: 7274-7282. 10.1038/sj.onc.1207947.View ArticlePubMedGoogle Scholar
- Tsai RY: A molecular view of stem cell and cancer cell self-renewal. Int J Biochem Cell Biol. 2004, 36: 684-694. 10.1016/j.biocel.2003.10.016.View ArticlePubMedGoogle Scholar
- Collins AT, Berry PA, Hyde C, Stower MJ, Maitland NJ: Prospective identification of tumorigenic prostate cancer stem cells. Cancer Res. 2005, 65: 10946-10951. 10.1158/0008-5472.CAN-05-2018.View ArticlePubMedGoogle Scholar
- Bonnet D, Dick JE: Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat Med. 1997, 3: 730-737. 10.1038/nm0797-730.View ArticlePubMedGoogle Scholar
- Al-Hajj M, Wicha MS, Benito-Hernandez A, Morrison SJ, Clarke MF: Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci USA. 2003, 100: 3983-3988. 10.1073/pnas.0530291100.PubMed CentralView ArticlePubMedGoogle Scholar
- Kondo T, Setoguchi T, Taga T: Persistence of a small subpopulation of cancer stem-like cells in the C6 glioma cell line. Proc Natl Acad Sci USA. 2004, 101: 781-786. 10.1073/pnas.0307618100.PubMed CentralView ArticlePubMedGoogle Scholar
- Hirschmann-Jax C, Foster AE, Wulf GG, Nuchtern JG, Jax TW, Gobel U, Goodell MA, Brenner MK: A distinct "side population" of cells with high drug efflux capacity in human tumor cells. Proc Natl Acad Sci USA. 2004, 101: 14228-14233. 10.1073/pnas.0400067101.PubMed CentralView ArticlePubMedGoogle Scholar
- Locke M, Heywood M, Fawell S, Mackenzie IC: Retention of intrinsic stem cell hierarchies in carcinoma-derived cell lines. Cancer Res. 2005, 65: 8944-8950. 10.1158/0008-5472.CAN-05-0931.View ArticlePubMedGoogle Scholar
- Mackenzie IC: Retention of stem cell patterns in malignant cell lines. Cell Prolif. 2005, 38: 347-355. 10.1111/j.1365-2184.2005.00355.x.View ArticlePubMedGoogle Scholar
- Singh SK, Clarke ID, Terasaki M, Bonn VE, Hawkins C, Squire J, Dirks PB: Identification of a cancer stem cell in human brain tumors. Cancer Res. 2003, 63: 5821-5828.PubMedGoogle Scholar
- Mackenzie IC: Stem cell properties and epithelial malignancies. Eur J Cancer. 2006, 42: 1204-1212. 10.1016/j.ejca.2006.01.041.View ArticlePubMedGoogle Scholar
- Okamoto A, Chikamatsu K, Sakakura K, Hatsushika K, Takahashi G, Masuyama K: Expansion and characterization of cancer stem-like cells in squamous cell carcinoma of the head and neck. Oral Oncol. 2009, 45: 633-639. 10.1016/j.oraloncology.2008.10.003.View ArticlePubMedGoogle Scholar
- Chiou SH, Yu CC, Huang CY, Lin SC, Liu CJ, Tsai TH, Chou SH, Chien CS, Ku HH, Lo JF: Positive correlations of Oct-4 and Nanog in oral cancer stem-like cells and high-grade oral squamous cell carcinoma. Clin Cancer Res. 2008, 14: 4085-4095. 10.1158/1078-0432.CCR-07-4404.View ArticlePubMedGoogle Scholar
- Prince ME, Sivanandan R, Kaczorowski A, Wolf GT, Kaplan MJ, Dalerba P, Weissman IL, Clarke MF, Ailles LE: Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma. Proc Natl Acad Sci USA. 2007, 104: 973-978. 10.1073/pnas.0610117104.PubMed CentralView ArticlePubMedGoogle Scholar
- Morrison SJ, Spradling AC: Stem cells and niches: mechanisms that promote stem cell maintenance throughout life. Cell. 2008, 132: 598-611. 10.1016/j.cell.2008.01.038.PubMed CentralView ArticlePubMedGoogle Scholar
- Blanpain C, Lowry WE, Geoghegan A, Polak L, Fuchs E: Self-renewal, multipotency, and the existence of two cell populations within an epithelial stem cell niche. Cell. 2004, 118: 635-648. 10.1016/j.cell.2004.08.012.View ArticlePubMedGoogle Scholar
- Chen CY, Chiou SH, Huang CY, Jan CI, Lin SC, Hu WY, Chou SH, Liu CJ, Lo JF: Tid1 functions as a tumour suppressor in head and neck squamous cell carcinoma. J Pathol. 2009, 219: 347-355. 10.1002/path.2604.View ArticlePubMedGoogle Scholar
- Park IK, Qian D, Kiel M, Becker MW, Pihalja M, Weissman IL, Morrison SJ, Clarke MF: Bmi-1 is required for maintenance of adult self-renewing haematopoietic stem cells. Nature. 2003, 423: 302-305. 10.1038/nature01587.View ArticlePubMedGoogle Scholar
- Lessard J, Sauvageau G: Bmi-1 determines the proliferative capacity of normal and leukaemic stem cells. Nature. 2003, 423: 255-260. 10.1038/nature01572.View ArticlePubMedGoogle Scholar
- Vonlanthen S, Heighway J, Altermatt HJ, Gugger M, Kappeler A, Borner MM, van Lohuizen M, Betticher DC: The bmi-1 oncoprotein is differentially expressed in non-small cell lung cancer and correlates with INK4A-ARF locus expression. Br J Cancer. 2001, 84: 1372-1376. 10.1054/bjoc.2001.1791.PubMed CentralView ArticlePubMedGoogle Scholar
- Kim JH, Yoon SY, Jeong SH, Kim SY, Moon SK, Joo JH, Lee Y, Choe IS, Kim JW: Overexpression of Bmi-1 oncoprotein correlates with axillary lymph node metastases in invasive ductal breast cancer. Breast. 2004, 13: 383-388. 10.1016/j.breast.2004.02.010.View ArticlePubMedGoogle Scholar
- Kim JH, Yoon SY, Kim CN, Joo JH, Moon SK, Choe IS, Choe YK, Kim JW: The Bmi-1 oncoprotein is overexpressed in human colorectal cancer and correlates with the reduced p16INK4a/p14ARF proteins. Cancer Lett. 2004, 203: 217-224. 10.1016/j.canlet.2003.07.009.View ArticlePubMedGoogle Scholar
- Kang MK, Kim RH, Kim SJ, Yip FK, Shin KH, Dimri GP, Christensen R, Han T, Park NH: Elevated Bmi-1 expression is associated with dysplastic cell transformation during oral carcinogenesis and is required for cancer cell replication and survival. Br J Cancer. 2007, 96: 126-133. 10.1038/sj.bjc.6603529.PubMed CentralView ArticlePubMedGoogle Scholar
- Song LB, Zeng MS, Liao WT, Zhang L, Mo HY, Liu WL, Shao JY, Wu QL, Li MZ, Xia YF: Bmi-1 is a novel molecular marker of nasopharyngeal carcinoma progression and immortalizes primary human nasopharyngeal epithelial cells. Cancer Res. 2006, 66: 6225-6232. 10.1158/0008-5472.CAN-06-0094.View ArticlePubMedGoogle Scholar
- Jacobs JJ, Kieboom K, Marino S, DePinho RA, van Lohuizen M: The oncogene and Polycomb-group gene bmi-1 regulates cell proliferation and senescence through the ink4a locus. Nature. 1999, 397: 164-168. 10.1038/16476.View ArticlePubMedGoogle Scholar
- Dimri GP: What has senescence got to do with cancer?. Cancer Cell. 2005, 7: 505-512. 10.1016/j.ccr.2005.05.025.PubMed CentralView ArticlePubMedGoogle Scholar
- Bussink J, Kogel van der AJ, Kaanders JH: Activation of the PI3-K/AKT pathway and implications for radioresistance mechanisms in head and neck cancer. Lancet Oncol. 2008, 9: 288-296. 10.1016/S1470-2045(08)70073-1.View ArticlePubMedGoogle Scholar
- Amornphimoltham P, Sriuranpong V, Patel V, Benavides F, Conti CJ, Sauk J, Sausville EA, Molinolo AA, Gutkind JS: Persistent activation of the Akt pathway in head and neck squamous cell carcinoma: a potential target for UCN-01. Clin Cancer Res. 2004, 10: 4029-4037. 10.1158/1078-0432.CCR-03-0249.View ArticlePubMedGoogle Scholar
- Vivanco I, Sawyers CL: The phosphatidylinositol 3-Kinase AKT pathway in human cancer. Nat Rev Cancer. 2002, 2: 489-501. 10.1038/nrc839.View ArticlePubMedGoogle Scholar
- Guo WJ, Zeng MS, Yadav A, Song LB, Guo BH, Band V, Dimri GP: Mel-18 acts as a tumor suppressor by repressing Bmi-1 expression and down-regulating Akt activity in breast cancer cells. Cancer Res. 2007, 67: 5083-5089. 10.1158/0008-5472.CAN-06-4368.PubMed CentralView ArticlePubMedGoogle Scholar
- Datta S, Hoenerhoff MJ, Bommi P, Sainger R, Guo WJ, Dimri M, Band H, Band V, Green JE, Dimri GP: Bmi-1 cooperates with H-Ras to transform human mammary epithelial cells via dysregulation of multiple growth-regulatory pathways. Cancer Res. 2007, 67: 10286-10295. 10.1158/0008-5472.CAN-07-1636.PubMed CentralView ArticlePubMedGoogle Scholar
- Brabletz T, Jung A, Spaderna S, Hlubek F, Kirchner T: Opinion: migrating cancer stem cells - an integrated concept of malignant tumour progression. Nat Rev Cancer. 2005, 5: 744-749. 10.1038/nrc1694.View ArticlePubMedGoogle Scholar
- Lee J, Kotliarova S, Kotliarov Y, Li A, Su Q, Donin NM, Pastorino S, Purow BW, Christopher N, Zhang W: Tumor stem cells derived from glioblastomas cultured in bFGF and EGF more closely mirror the phenotype and genotype of primary tumors than do serum-cultured cell lines. Cancer Cell. 2006, 9: 391-403. 10.1016/j.ccr.2006.03.030.View ArticlePubMedGoogle Scholar
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