PMID- 19796244 OWN - NLM STAT- MEDLINE DCOM- 20091023 LR - 20230208 IS - 1749-6632 (Electronic) IS - 0077-8923 (Print) IS - 0077-8923 (Linking) VI - 1176 DP - 2009 Sep TI - Antitumor immunity and cancer stem cells. PG - 154-69 LID - 10.1111/j.1749-6632.2009.04568.x [doi] AB - Self-renewing cancer stem cells (CSC) capable of spawning more differentiated tumor cell progeny are required for tumorigenesis and neoplastic progression of leukemias and several solid cancers. The mechanisms by which CSC cause tumor initiation and growth are currently unknown. Recent findings that suggest a negative correlation between degrees of host immunocompetence and rates of cancer development raise the possibility that only a restricted minority of malignant cells, namely CSC, may possess the phenotypic and functional characteristics to evade host antitumor immunity. In human malignant melanoma, a highly immunogenic cancer, we recently identified malignant melanoma initiating cells (MMIC), a novel type of CSC, based on selective expression of the chemoresistance mediator ABCB5. Here we present evidence of a relative immune privilege of ABCB5(+) MMIC, suggesting refractoriness to current immunotherapeutic treatment strategies. We discuss our findings in the context of established immunomodulatory functions of physiologic stem cells and in relation to mechanisms responsible for the downregulation of immune responses against tumors. We propose that the MMIC subset might be responsible for melanoma immune evasion and that immunomodulation might represent one mechanism by which CSC advance tumorigenic growth and resistance to immunotherapy. Accordingly, the possibility of an MMIC-driven tumor escape from immune-mediated rejection has important implications for current melanoma immunotherapy. FAU - Schatton, Tobias AU - Schatton T AD - Transplantation Research Center, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA. FAU - Frank, Markus H AU - Frank MH LA - eng GR - R01 CA113796-03/CA/NCI NIH HHS/United States GR - R01 CA138231-02/CA/NCI NIH HHS/United States GR - P50 CA093683/CA/NCI NIH HHS/United States GR - R01 CA113796-02/CA/NCI NIH HHS/United States GR - P50 CA093683-08/CA/NCI NIH HHS/United States GR - R01 CA138231-01/CA/NCI NIH HHS/United States GR - R01 CA138231/CA/NCI NIH HHS/United States GR - R01 CA113796-05/CA/NCI NIH HHS/United States GR - R01 CA113796-01A1/CA/NCI NIH HHS/United States GR - R01 CA113796-04/CA/NCI NIH HHS/United States GR - 1R01CA113796-01A1/CA/NCI NIH HHS/United States GR - P50 CA093683-07/CA/NCI NIH HHS/United States GR - R01 CA113796/CA/NCI NIH HHS/United States GR - 1R01CA138231-01/CA/NCI NIH HHS/United States GR - P50 CA093683-06A2/CA/NCI NIH HHS/United States GR - 2P50CA093683-05S2/CA/NCI NIH HHS/United States GR - R01 CA138231-03/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (ABCB5 protein, human) RN - 0 (ABCB5 protein, mouse) RN - 0 (ATP Binding Cassette Transporter, Subfamily B) RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (ATP-Binding Cassette Transporters) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/biosynthesis MH - ATP-Binding Cassette Transporters/biosynthesis MH - Animals MH - Disease Models, Animal MH - Humans MH - *Immunologic Surveillance MH - Immunotherapy MH - Melanoma/*immunology/*therapy MH - Mice MH - Neoplastic Stem Cells/*immunology MH - *Tumor Escape PMC - PMC2893543 MID - NIHMS209144 COIS- Conflicts of Interest The authors declare no conflicts of interest. EDAT- 2009/10/03 06:00 MHDA- 2009/10/24 06:00 PMCR- 2010/06/29 CRDT- 2009/10/03 06:00 PHST- 2009/10/03 06:00 [entrez] PHST- 2009/10/03 06:00 [pubmed] PHST- 2009/10/24 06:00 [medline] PHST- 2010/06/29 00:00 [pmc-release] AID - NYAS4568 [pii] AID - 10.1111/j.1749-6632.2009.04568.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 2009 Sep;1176:154-69. doi: 10.1111/j.1749-6632.2009.04568.x.