Stem-like cells with luminal progenitor phenotype survive castration in human prostate cancer

Germann, Markus, Wetterwald, Antoinette, Guzmán-Ramirez, Natalia, van der Pluijm, Gabri, Culig, Zoran, Cecchini, Marco G., Williams, Elizabeth D., & Thalmann, George N. (2012) Stem-like cells with luminal progenitor phenotype survive castration in human prostate cancer. Stem Cells, 30(6), pp. 1076-1086.

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Castration is the standard therapy for advanced prostate cancer (PC). Although this treatment is initially effective, tumors invariably relapse as incurable, castration-resistant PC (CRPC). Adaptation of androgen-dependent PC cells to an androgen-depleted environment or selection of pre-existing,CRPC cells have been proposed as mechanisms of CRPC development. Stem cell (SC)-like PC cells have been implicated not only as tumor initiating/maintaining in PC but also as tumor-reinitiating cells in CRPC. Recently, castration-resistant cells expressing the NK3 homeobox 1 (Nkx3-1) (CARNs), the other luminal markers cytokeratin 18 (CK18) and androgen receptor (AR), and possessing SC properties, have been found in castrated mouse prostate and proposed as the cell-of-origin of CRPC. However, the human counterpart of CARNs has not been identified yet. Here, we demonstrate that in the human PC xenograft BM18, preexisting SC-like and neuroendocrine (NE) PC cells are selected by castration and survive as totally quiescent. SClike BM18 cells, displaying the SC markers aldehyde dehydrogenase 1A1 or NANOG, coexpress the luminal markers NKX3-1, CK18, and a low level of AR (ARlow) but not basal or NE markers. These CR luminal SC-like cells, but not NE cells, reinitiate BM18 tumor growth after androgen replacement.

The ARlow seems to mediate directly both castration survival and tumor reinitiation. This study identifies for the first time in human PC SC-/CARN-like cells that may represent the cell-of-origin of tumor reinitiation as CRPC. This finding will be fundamental for refining the hierarchy among human PC cancer cells and may have important clinical implications.

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52 citations in Scopus
50 citations in Web of Science®
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ID Code: 77754
Item Type: Journal Article
Refereed: Yes
Keywords: Stem-like cells, Luminar progenitor phenotype, castration resistant, prostate cancer, cancer stem cells, tumor-reinitiation, cancer cell dormancy, neuroendocrine cells, ageing
DOI: 10.1002/stem.1087
ISSN: 1066-5099
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Cancer Cell Biology (111201)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2012 AlphaMed Press
Deposited On: 17 Oct 2014 00:47
Last Modified: 23 Jun 2017 01:01

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