PMID- 28357569 OWN - NLM STAT- MEDLINE DCOM- 20170608 LR - 20181113 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 105 IP - 5 DP - 2017 May TI - Leukemic stem cells: identification and clinical application. PG - 549-557 LID - 10.1007/s12185-017-2221-5 [doi] AB - Leukemic stem cells (LSCs) in acute myeloid leukemia (AML) represent a low-frequency subpopulation of leukemia cells that possess stem cell properties distinct from the bulk leukemia cells, including self-renewal capacity and drug resistance. Due to these properties, LSCs are supposed to facilitate the development of relapse. The existence of LSCs is demonstrated by the ability to engraft and initiate human AML in immune-compromised mouse models. Although several lines of evidence suggest the complex heterogeneity of phenotypes displayed by LSC, many studies consider the CD34+/CD38- compartment as the most relevant. To increase the understanding of the true LSC, techniques such as multicolor flow cytometry, side-population assay and ALDH assay are utilized in many laboratories and could aid in this. A better understanding of different LSC phenotypes is necessary to enhance risk group classification, guide clinical decision-making and to identify new therapeutic targets. These efforts to eliminate LSC should ultimately improve the dismal AML outcome by preventing relapse development. FAU - Hanekamp, Diana AU - Hanekamp D AD - Department of Hematology, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. FAU - Cloos, Jacqueline AU - Cloos J AD - Department of Hematology, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. j.cloos@vumc.nl. AD - Department of Paediatric Oncology/Hematology, VU University Medical Center, Amsterdam, The Netherlands. j.cloos@vumc.nl. FAU - Schuurhuis, Gerrit Jan AU - Schuurhuis GJ AD - Department of Hematology, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20170329 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Antigens, CD34) RN - 0 (Biomarkers, Tumor) RN - EC 3.2.2.6 (ADP-ribosyl Cyclase 1) SB - IM MH - ADP-ribosyl Cyclase 1 MH - Animals MH - Antigens, CD34 MH - Biomarkers, Tumor MH - Flow Cytometry MH - Humans MH - Immunocompromised Host MH - *Leukemia, Myeloid, Acute/diagnosis/pathology MH - Mice MH - Neoplasm Recurrence, Local/prevention & control MH - *Neoplastic Stem Cells OTO - NOTNLM OT - Acute myeloid leukemia OT - Flow cytometry OT - Immunophenotypic OT - Leukemic stem cells EDAT- 2017/03/31 06:00 MHDA- 2017/06/09 06:00 CRDT- 2017/03/31 06:00 PHST- 2017/03/15 00:00 [received] PHST- 2017/03/23 00:00 [accepted] PHST- 2017/03/22 00:00 [revised] PHST- 2017/03/31 06:00 [pubmed] PHST- 2017/06/09 06:00 [medline] PHST- 2017/03/31 06:00 [entrez] AID - 10.1007/s12185-017-2221-5 [pii] AID - 10.1007/s12185-017-2221-5 [doi] PST - ppublish SO - Int J Hematol. 2017 May;105(5):549-557. doi: 10.1007/s12185-017-2221-5. Epub 2017 Mar 29.