PMID- 17051156 OWN - NLM STAT- MEDLINE DCOM- 20070104 LR - 20240109 IS - 1476-4687 (Electronic) IS - 0028-0836 (Linking) VI - 444 IP - 7120 DP - 2006 Dec 7 TI - Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. PG - 756-60 AB - Ionizing radiation represents the most effective therapy for glioblastoma (World Health Organization grade IV glioma), one of the most lethal human malignancies, but radiotherapy remains only palliative because of radioresistance. The mechanisms underlying tumour radioresistance have remained elusive. Here we show that cancer stem cells contribute to glioma radioresistance through preferential activation of the DNA damage checkpoint response and an increase in DNA repair capacity. The fraction of tumour cells expressing CD133 (Prominin-1), a marker for both neural stem cells and brain cancer stem cells, is enriched after radiation in gliomas. In both cell culture and the brains of immunocompromised mice, CD133-expressing glioma cells survive ionizing radiation in increased proportions relative to most tumour cells, which lack CD133. CD133-expressing tumour cells isolated from both human glioma xenografts and primary patient glioblastoma specimens preferentially activate the DNA damage checkpoint in response to radiation, and repair radiation-induced DNA damage more effectively than CD133-negative tumour cells. In addition, the radioresistance of CD133-positive glioma stem cells can be reversed with a specific inhibitor of the Chk1 and Chk2 checkpoint kinases. Our results suggest that CD133-positive tumour cells represent the cellular population that confers glioma radioresistance and could be the source of tumour recurrence after radiation. Targeting DNA damage checkpoint response in cancer stem cells may overcome this radioresistance and provide a therapeutic model for malignant brain cancers. FAU - Bao, Shideng AU - Bao S AD - Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. FAU - Wu, Qiulian AU - Wu Q FAU - McLendon, Roger E AU - McLendon RE FAU - Hao, Yueling AU - Hao Y FAU - Shi, Qing AU - Shi Q FAU - Hjelmeland, Anita B AU - Hjelmeland AB FAU - Dewhirst, Mark W AU - Dewhirst MW FAU - Bigner, Darell D AU - Bigner DD FAU - Rich, Jeremy N AU - Rich JN LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20061018 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (AC133 Antigen) RN - 0 (Antigens, CD) RN - 0 (Glycoproteins) RN - 0 (PROM1 protein, human) RN - 0 (Peptides) RN - 0 (Prom1 protein, mouse) SB - IM CIN - Nature. 2006 Dec 7;444(7120):687-8. PMID: 17151644 MH - AC133 Antigen MH - Animals MH - Antigens, CD/metabolism MH - Apoptosis MH - Brain Neoplasms/genetics/metabolism/*pathology MH - *DNA Damage/genetics MH - *DNA Repair MH - Glioblastoma/genetics/metabolism/pathology MH - Glioma/genetics/metabolism/*pathology MH - Glycoproteins/metabolism MH - Humans MH - Mice MH - Neoplastic Stem Cells/metabolism/*pathology/*radiation effects MH - Peptides/metabolism MH - *Radiation Tolerance MH - Stem Cell Transplantation MH - Transplantation, Heterologous EDAT- 2006/10/20 09:00 MHDA- 2007/01/05 09:00 CRDT- 2006/10/20 09:00 PHST- 2006/06/01 00:00 [received] PHST- 2006/09/07 00:00 [accepted] PHST- 2006/10/20 09:00 [pubmed] PHST- 2007/01/05 09:00 [medline] PHST- 2006/10/20 09:00 [entrez] AID - nature05236 [pii] AID - 10.1038/nature05236 [doi] PST - ppublish SO - Nature. 2006 Dec 7;444(7120):756-60. doi: 10.1038/nature05236. Epub 2006 Oct 18.