EpCAM-positive hepatocellular carcinoma cells are tumor-initiating cells with stem/progenitor cell features.

EpCAM-positive hepatocellular carcinoma cells are tumor-initiating cells with stem/progenitor cell features.
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DOI:
10.1053/j.gastro.2008.12.004
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发表时间:
2009-03
期刊:
影响因子:
29.4
通讯作者:
Wang XW
Wang XW
中科院分区:
医学1区
文献类型:
--
作者:
Yamashita T;Ji J;Budhu A;Forgues M;Yang W;Wang HY;Jia H;Ye Q;Qin LX;Wauthier E;Reid LM;Minato H;Honda M;Kaneko S;Tang ZY;Wang XW

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Cancer progression/metastases and embryonic development share many properties including cellular plasticity, dynamic cell motility, and integral interaction with the microenvironment. We hypothesized that the heterogeneous nature of hepatocellular carcinoma (HCC) may be, in part, due to the presence of hepatic cancer cells with stem/progenitor features. Gene expression profiling and immunohistochemistry analyses were used to analyze 235 tumor specimens derived from two recently identified HCC subtypes (EpCAM+ AFP+ HCC and EpCAM− AFP− HCC). These subtypes differed in their expression of alpha-fetoprotein (AFP), a molecule produced in the developing embryo, and EpCAM, a cell surface hepatic stem cell marker. Fluorescence-activated cell sorting (FACS) was used to isolate EpCAM+ HCC cells, which were tested for hepatic stem/progenitor cell properties. Gene expression and pathway analyses revealed that the EpCAM+ AFP+ HCC subtype had features of hepatic stem/progenitor cells. Indeed, the FACS-isolated EpCAM+ HCC cells displayed hepatic cancer stem cell-like traits including the abilities to self-renew and differentiate. Moreover, these cells were capable of initiating highly invasive HCC in NOD/SCID mice. Activation of Wnt/β-catenin signaling enriched the EpCAM+ cell population, while RNA interference-based blockage of EpCAM, a Wnt/β-catenin signaling target, attenuated the activities of these cells. Taken together, our results suggest that HCC growth and invasiveness is dictated by a subset of EpCAM+ cells, opening a new avenue for HCC cancer cell eradication by targeting Wnt/β-catenin signaling components such as EpCAM.
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