PMID- 24608791 OWN - NLM STAT- MEDLINE DCOM- 20150901 LR - 20220514 IS - 1476-5403 (Electronic) IS - 1350-9047 (Print) IS - 1350-9047 (Linking) VI - 21 IP - 7 DP - 2014 Jul TI - Conversion of differentiated cancer cells into cancer stem-like cells in a glioblastoma model after primary chemotherapy. PG - 1119-31 LID - 10.1038/cdd.2014.31 [doi] AB - Glioblastoma multiforme patients have a poor prognosis due to therapeutic resistance and tumor relapse. It has been suggested that gliomas are driven by a rare subset of tumor cells known as glioma stem cells (GSCs). This hypothesis states that only a few GSCs are able to divide, differentiate, and initiate a new tumor. It has also been shown that this subpopulation is more resistant to conventional therapies than its differentiated counterpart. In order to understand glioma recurrence post therapy, we investigated the behavior of GSCs after primary chemotherapy. We first show that exposure of patient-derived as well as established glioma cell lines to therapeutic doses of temozolomide (TMZ), the most commonly used antiglioma chemotherapy, consistently increases the GSC pool over time both in vitro and in vivo. Secondly, lineage-tracing analysis of the expanded GSC pool suggests that such amplification is a result of a phenotypic shift in the non-GSC population to a GSC-like state in the presence of TMZ. The newly converted GSC population expresses markers associated with pluripotency and stemness, such as CD133, SOX2, Oct4, and Nestin. Furthermore, we show that intracranial implantation of the newly converted GSCs in nude mice results in a more efficient grafting and invasive phenotype. Taken together, these findings provide the first evidence that glioma cells exposed to chemotherapeutic agents are able to interconvert between non-GSCs and GSCs, thereby replenishing the original tumor population, leading to a more infiltrative phenotype and enhanced chemoresistance. This may represent a potential mechanism for therapeutic relapse. FAU - Auffinger, B AU - Auffinger B AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Tobias, A L AU - Tobias AL AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Han, Y AU - Han Y AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Lee, G AU - Lee G AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Guo, D AU - Guo D AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Dey, M AU - Dey M AD - The Brain Tumor Center, The University of Chicago, Chicago, IL, USA. FAU - Lesniak, M S AU - Lesniak MS AD - 1] The Brain Tumor Center, The University of Chicago, Chicago, IL, USA [2] Department of Surgery, The University of Chicago, Chicago, IL, USA. FAU - Ahmed, A U AU - Ahmed AU AD - 1] The Brain Tumor Center, The University of Chicago, Chicago, IL, USA [2] Department of Surgery, The University of Chicago, Chicago, IL, USA. LA - eng GR - K99 CA160775/CA/NCI NIH HHS/United States GR - U01 NS069997/NS/NINDS NIH HHS/United States GR - R00 CA160775/CA/NCI NIH HHS/United States GR - R01 CA138587/CA/NCI NIH HHS/United States GR - R00CA160775/CA/NCI NIH HHS/United States GR - R01CA138587/CA/NCI NIH HHS/United States GR - K99CA160775/CA/NCI NIH HHS/United States GR - R01 CA122930/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140307 PL - England TA - Cell Death Differ JT - Cell death and differentiation JID - 9437445 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - 7GR28W0FJI (Dacarbazine) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology/therapeutic use MH - Basic Helix-Loop-Helix Transcription Factors/metabolism MH - Brain Neoplasms/drug therapy/*pathology MH - Cell Line, Tumor MH - Cell Transformation, Neoplastic/*drug effects MH - Dacarbazine/*analogs & derivatives/pharmacology/therapeutic use MH - Glioblastoma/drug therapy/*pathology MH - Humans MH - Male MH - Mice, Nude MH - Neoplastic Stem Cells/*physiology MH - Phenotype MH - Temozolomide MH - Xenograft Model Antitumor Assays PMC - PMC4207480 EDAT- 2014/03/13 06:00 MHDA- 2015/09/02 06:00 PMCR- 2015/07/01 CRDT- 2014/03/11 06:00 PHST- 2013/08/11 00:00 [received] PHST- 2014/02/03 00:00 [revised] PHST- 2014/02/03 00:00 [accepted] PHST- 2014/03/11 06:00 [entrez] PHST- 2014/03/13 06:00 [pubmed] PHST- 2015/09/02 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - cdd201431 [pii] AID - 10.1038/cdd.2014.31 [doi] PST - ppublish SO - Cell Death Differ. 2014 Jul;21(7):1119-31. doi: 10.1038/cdd.2014.31. Epub 2014 Mar 7.