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ORIGINAL ARTICLE Combination Treatment with All-Trans Retinoic Acid Prevents Cisplatin-Induced Enrichment of CD133 Tumor-Initiating Cells and Reveals Heterogeneity of Cancer Stem Cell Compartment in Lung Cancer Massimo Moro, MSc,* Giulia Bertolini, PhD,* Ugo Pastorino, MD,† Luca Roz,* and Gabriella Sozzi, PhD* counteracting cisplatin resistance of CD133 cells, reducing both Abstract: The existence of specific cellular subpopulations within local tumor growth and dissemination. In addition, our approach primary tumors with increased tumorigenic potential and chemother- discloses a further level of complexity of chemotherapy-resistant apy resistance (tumor initiating cells, TICs) holds great therapeutic CD133 TICs, revealing phenotypical and functional heterogeneity implications. Resistant cells can remain quiescent for long periods of the cancer stem cell compartment in lung cancer. and be responsible for local relapses and metastasis. We and others have previously described in non–small-cell lung cancer the presence Key Words: Non–small-cell lung cancer, Retinoic acid, Cancer stem of cisplatin-resistant CD133 cells with tumor-initiating potential and cells dynamics, Cisplatin resistance. co-expression of CXCR4 as possible indicator of TICs with dissemi- (J Thorac Oncol. 2015;XX: 00–00) nating potential. In this study, we report, by in vitro cell fate tracing systems, heterogeneity within the TIC compartment with a highly quiescent pool and a slowly dividing subpopulation, both contain- on–small-cell lung cancer (NSCLC), representing approx- + + - ing CD133 cells but respectively enriched for
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: May 1, 2015
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