Quiescent Sox2+ Cells Drive Hierarchical Growth and Relapse in Sonic Hedgehog Subgroup Medulloblastoma

被引:233
作者
Vanner, Robert J. [1 ,2 ,3 ,4 ]
Remke, Marc [1 ,2 ,3 ,5 ]
Gallo, Marco [1 ,2 ,3 ]
Selvadurai, Hayden J. [1 ,2 ,3 ]
Coutinho, Fiona [1 ,2 ,3 ,4 ]
Lee, Lilian [1 ,2 ,3 ]
Kushida, Michelle [1 ,2 ,3 ]
Head, Renee [1 ,2 ,3 ]
Morrissy, Sorana [1 ,2 ,3 ]
Zhu, Xueming [1 ,2 ,3 ]
Aviv, Tzvi [1 ,2 ,3 ]
Voisin, Veronique [6 ]
Clarke, Ian D. [1 ,2 ,3 ,7 ]
Li, Yisu [8 ]
Mungall, Andrew J. [8 ]
Moore, Richard A. [8 ]
Ma, Yussanne [8 ]
Jones, Steven J. M. [8 ]
Marra, Marco A. [8 ]
Malkin, David [9 ]
Northcott, Paul A. [10 ]
Kool, Marcel [10 ]
Pfister, Stefan M. [10 ,11 ]
Bader, Gary [6 ]
Hochedlinger, Konrad [12 ,13 ,14 ]
Korshunov, Andrey [15 ,16 ]
Taylor, Michael D. [1 ,2 ,3 ,5 ]
Dirks, Peter B. [1 ,2 ,3 ,4 ,5 ]
机构
[1] Hosp Sick Children, Arthur & Sonia Labatt Brain Tumour Res Ctr, Toronto, ON M5G 1L7, Canada
[2] Hosp Sick Children, Div Neurosurg, Toronto, ON M5G 1L7, Canada
[3] Hosp Sick Children, Program Dev & Stem Cell Biol, Toronto, ON M5G 1X8, Canada
[4] Univ Toronto, Dept Mol Genet, Toronto, ON M5S 1A8, Canada
[5] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON M5S 1A8, Canada
[6] Univ Toronto, Donnelly Ctr, Toronto, ON M5S 1A8, Canada
[7] OCAD Univ, Toronto, ON M5T1W1, Canada
[8] BC Canc Agcy, Canadas Michael Smith Genome Sci Ctr, Vancouver, BC VSZ 4S6, Canada
[9] Univ Toronto, Div Hematol Oncol, Dept Pediat, HSC, Toronto, ON M6S 1A8, Canada
[10] German Canc Res Ctr DKFZ Heidelberg, Div Pediat Neurooncol, D-69120 Heidelberg, Germany
[11] Univ Heidelberg Hosp, Dept Pediat Oncol Hematol & Immunol, D-69120 Heidelberg, Germany
[12] Massachusetts Gen Hosp Canc Ctr, Boston, MA 02114 USA
[13] Ctr Regenerat Med, Boston, MA 02114 USA
[14] Harvard Stem Cell Inst, Cambridge, MA 02138 USA
[15] Heidelberg Univ, Dept Neuropathol, D-69120 Heidelberg, Germany
[16] DKFZ, German Canc Res Ctr, Clin Cooperat Unit Neuropathol, D-69120 Heidelberg, Germany
基金
加拿大健康研究院;
关键词
CANCER STEM-CELLS; PATHWAY INHIBITOR; INITIATING CELLS; PROGENITOR CELLS; MELANOMA-CELLS; MOUSE MODEL; ADULT STEM; TUMOR; MARKER; IDENTIFICATION;
D O I
10.1016/j.ccr.2014.05.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Functional heterogeneity within tumors presents a significant therapeutic challenge. Here we show that quiescent, therapy-resistant Sox(2+) cells propagate sonic hedgehog subgroup nnedulloblastoma by a mechanism that mirrors a neurogenic program. Rare Sox(2+) cells produce rapidly cycling doublecortin(+) progenitors that, together with their postmitotic progeny expressing NeuN, comprise tumor bulk. Sox(2+) cells are enriched following anti-mitotic chemotherapy and Smoothened inhibition, creating a reservoir for tumor regrowth. Lineage traces from Sox(2+) cells increase following treatment, suggesting that this population is responsible for relapse. Targeting Sox(2+) cells with the antineoplastic mithramycin abrogated tumor growth. Addressing functional heterogeneity and eliminating Sox(2+) cells presents a promising therapeutic paradigm for treatment of sonic hedgehog subgroup medulloblastoma.
引用
收藏
页码:33 / 47
页数:15
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