PMID- 12629218 OWN - NLM STAT- MEDLINE DCOM- 20030522 LR - 20250214 IS - 0027-8424 (Print) IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 100 IP - 7 DP - 2003 Apr 1 TI - Prospective identification of tumorigenic breast cancer cells. PG - 3983-8 AB - Breast cancer is the most common malignancy in United States women, accounting for >40,000 deaths each year. These breast tumors are comprised of phenotypically diverse populations of breast cancer cells. Using a model in which human breast cancer cells were grown in immunocompromised mice, we found that only a minority of breast cancer cells had the ability to form new tumors. We were able to distinguish the tumorigenic (tumor initiating) from the nontumorigenic cancer cells based on cell surface marker expression. We prospectively identified and isolated the tumorigenic cells as CD44(+)CD24(-/low)Lineage(-) in eight of nine patients. As few as 100 cells with this phenotype were able to form tumors in mice, whereas tens of thousands of cells with alternate phenotypes failed to form tumors. The tumorigenic subpopulation could be serially passaged: each time cells within this population generated new tumors containing additional CD44(+)CD24(-/low)Lineage(-) tumorigenic cells as well as the phenotypically diverse mixed populations of nontumorigenic cells present in the initial tumor. The ability to prospectively identify tumorigenic cancer cells will facilitate the elucidation of pathways that regulate their growth and survival. Furthermore, because these cells drive tumor development, strategies designed to target this population may lead to more effective therapies. FAU - Al-Hajj, Muhammad AU - Al-Hajj M AD - Department of Internal Medicine, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI 48109, USA. FAU - Wicha, Max S AU - Wicha MS FAU - Benito-Hernandez, Adalberto AU - Benito-Hernandez A FAU - Morrison, Sean J AU - Morrison SJ FAU - Clarke, Michael F AU - Clarke MF LA - eng GR - P01 CA075136/CA/NCI NIH HHS/United States GR - P30 CA046592/CA/NCI NIH HHS/United States GR - CA-075136/CA/NCI NIH HHS/United States GR - CA-46592/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20030310 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Antigens, CD) SB - IM EIN - Proc Natl Acad Sci U S A. 2003 May 27;100(11):6890 CIN - Proc Natl Acad Sci U S A. 2003 Apr 1;100(7):3547-9. doi: 10.1073/pnas.0830967100. PMID: 12657737 CIN - Dis Model Mech. 2010 May-Jun;3(5-6):257-8. doi: 10.1242/dmm.005207. PMID: 20427552 MH - Animals MH - Antigens, CD/analysis MH - Breast Neoplasms/*pathology MH - Female MH - Flow Cytometry MH - Humans MH - Mice MH - Mice, Inbred NOD MH - Mice, SCID MH - Neoplasm Metastasis/*pathology MH - Pleural Effusion/physiopathology MH - Transplantation, Heterologous/physiology PMC - PMC153034 EDAT- 2003/03/12 04:00 MHDA- 2003/05/23 05:00 PMCR- 2003/10/01 CRDT- 2003/03/12 04:00 PHST- 2003/03/12 04:00 [pubmed] PHST- 2003/05/23 05:00 [medline] PHST- 2003/03/12 04:00 [entrez] PHST- 2003/10/01 00:00 [pmc-release] AID - 0530291100 [pii] AID - 0291 [pii] AID - 10.1073/pnas.0530291100 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2003 Apr 1;100(7):3983-8. doi: 10.1073/pnas.0530291100. Epub 2003 Mar 10.