Molecular properties of CD133+ glioblastoma stem cells derived from treatment-refractory recurrent brain tumors

J Neurooncol. 2009 Aug;94(1):1-19. doi: 10.1007/s11060-009-9919-z. Epub 2009 May 26.

Abstract

Glioblastoma multiforme (GBM) remains refractory to conventional therapy. CD133+ GBM cells have been recently isolated and characterized as chemo-/radio-resistant tumor-initiating cells and are hypothesized to be responsible for post-treatment recurrence. In order to explore the molecular properties of tumorigenic CD133+ GBM cells that resist treatment, we isolated CD133+ GBM cells from tumors that are recurrent and have previously received chemo-/radio-therapy. We found that the purified CD133+ GBM cells sorted from the CD133+ GBM spheres express SOX2 and CD44 and are capable of clonal self-renewal and dividing to produce fast-growing CD133- progeny, which form the major cell population within GBM spheres. Intracranial injection of purified CD133+, not CD133- GBM daughter cells, can lead to the development of YKL-40+ infiltrating tumors that display hypervascularity and pseudopalisading necrosis-like features in mouse brain. The molecular profile of purified CD133+ GBM cells revealed characteristics of neuroectoderm-like cells, expressing both radial glial and neural crest cell developmental genes, and portraying a slow-growing, non-differentiated, polarized/migratory, astrogliogenic, and chondrogenic phenotype. These data suggest that at least a subset of treated and recurrent GBM tumors may be seeded by CD133+ GBM cells with neural and mesenchymal properties. The data also imply that CD133+ GBM cells may be clinically indolent/quiescent prior to undergoing proliferative cell division (PCD) to produce CD133- GBM effector progeny. Identifying intrinsic and extrinsic cues, which promote CD133+ GBM cell self-renewal and PCD to support ongoing tumor regeneration may highlight novel therapeutic strategies to greatly diminish the recurrence rate of GBM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AC133 Antigen
  • Animals
  • Antigens, CD / genetics*
  • Biomarkers, Tumor / genetics
  • Brain Neoplasms / pathology*
  • Cell Differentiation
  • Cell Movement
  • Cell Proliferation
  • Female
  • Flow Cytometry / methods
  • Gene Expression Profiling / methods
  • Gene Expression Regulation, Neoplastic / physiology*
  • Gene Knockdown Techniques
  • Glioblastoma / pathology*
  • Glycoproteins / genetics*
  • Humans
  • Male
  • Mice
  • Mice, SCID
  • Neoplasm Transplantation
  • Neoplastic Stem Cells / cytology
  • Neoplastic Stem Cells / physiology*
  • Nerve Tissue Proteins / genetics
  • Nerve Tissue Proteins / metabolism
  • Peptides / genetics*
  • Spheroids, Cellular / pathology
  • Time Factors
  • Tumor Cells, Cultured

Substances

  • AC133 Antigen
  • Antigens, CD
  • Biomarkers, Tumor
  • Glycoproteins
  • Nerve Tissue Proteins
  • PROM1 protein, human
  • Peptides
  • Prom1 protein, mouse