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Possible involvement of stem-like population with elevated ALDH1 and DNA repair enzymes for drug resistance in human sarcoma +1Kanya Honoki; 1Hiromasa Fujii; 1Akira Kido; Shinji Tsukamoto; 1Yasuhito Tanaka; 2Toshifumi Tsujiuchi +1Nara Medical University, Kashihara, Japan, 2Kinki University, Higashi-Osaka, Japan [email protected] 1 The idea of stem cells being the cell of origin for cancers has been proposed decades ago (1), and this idea has been supported by the cancer stem model which depicts the presence of rare side-population within the tumor can initiate and generate the cancer tissues (2). The presence of cancer stem cell population has been described in several malignancies like acute myeloid leukemia, breast cancer, brain tumors, etc. Recently, high ALDH1 activity has been found in stem cell populations in acute myeloid leukemia and breast cancers as well as their counterparts of mammary and hematopoietic stem cells in relation to drug resistance and poor outcome of the patients (3). Thus, ALDH1 has been proposed as a common marker for both normal and malignant stem cells. In the current study, we investigated whether the populations with high ALDH1 activity are present in human sarcoma cell lines using Aldefluor assay system and if they possess the stem cell properties through characterization of sphere cells formed in an anchorage-independent, serum-starved condition, and also tested their capacity of drug-resistance to hypothesize possible involvement of stem-like cells with effective detoxification and DNA repair for drug resistance in sarcomas. Formation and Stem-like characterization of sarcospheres. The spherical colonies were formed in several days after culturing in anchorage-dependent, serum starved condition at the frequencies of ~0.25% for MG63 and ~0.78% for HT1080, respectively. Dissociated sphere cells were able to grow monolayer condition and then formed spheres repeatedly by re-culturing in an anchorage-dependent, serum starved condition, showing their self-renewal ability. RT-PCR revealed that sphere forming cells showed increased expression of stem cell-related genes; Nanog, Oct3/4, STAT3 and Sox2 compared to monolayer cells, suggesting their stem-like properties. In addition, those sphere cells showed increased expression of ALDH1 and DNA repair enzyme genes MLH1 and MSH2 compared to monolayer cells Drug resistance of spheres from human osteosaroma cell line. Both CDDP and DXR inhibited the growth of MG63 up to 68% and 30%, respectively at a concentration of 10µM for 48h treatment. In contrast, sphere cells from MG63 showed strong resistance to both agents, suggesting stem-like sphere forming cells with high ALDH activity showed resistance to CDDP and DXR, both are key drugs for sarcoma treatment. MATERIALS and METHODS Cell Culture. Human osteosarcoma cell line MG63 and fibrosarcoma cell line HT1080 from ATCC were used in this study. Aldefluor assay; Separation of the ALDH- positive and negative populations by FACS. The Aldefluor (StemCell Technologies, Durham, NC) was used to isolate the population with a high ALDH enzymatic activity. The sorting gates were established using the Aldefluor-stained cells treated with DEAB as negative controls. Labeled cells were sorted with FACSaria to be fractioned into ALDH-positive and negative cell populations. Both populations were then re-cultured into monolayer conditions, and again harvested and underwent to Aldefluor assay to determine whether both population of ALDH positive and negative could differentiate into original cell populations. Sphere formation assay. The cells were inoculated into N2 /1% methylcellulose medium without serum at a density of 1 x 105 cells/well in ultra low attachment 6-well plates (Corning Inc., Corning, NY). Self-renewal ability of sphere cells were determined by secondary sphere formation ability through the repeating dissociation and re-culturing in anchorage-independent, serum-starved condition on ultra low attachment plates. Reverse transcription-polymerase chain reaction (RT-PCR). Semi-quantitative RT-PCR was performed for following genes expression, Nanog; Oct3/4; STAT3; Sox2; ALDH1, respectively. The glyceraldehyde-3-phosphate dehydrogenase (GAPDH) gene was used as an internal control to adjust the amounts of template. Efficacy of drugs on monolayer cells and spheres. Cells were exposed to 10µl of cisplatin (CDDP) or doxorubicin (DXR) at a final concentration of 10µM for 48 h. Both drug-treated and non-treated cell viabilities were measured by MTS colorimetric assay using CellTiter 96 Aqueous One Solution Cell Proliferation Assay reagent (Promega, Madison, WI). DISCUSSION Cancer stem cell hypothesis depicts that tumors originate in either tissue stem cells or progenitor cells through the deregulation of their properties of stemness. Inversely, it is likely that cancer stem cells have a phenotype defined by the cell of origin (stem cells or early progenitors) and retain the stem cell properties of self-renew, capacity to differentiate, drug resistance, and initiate the tumor growth giving rise to a heterogeneous population of cancer cells. The presence of stem-like cells in human bone sarcomas has been described previously (4). The current study demonstrated that both human osteosarcoma MG63 and human fibrosarcoma HT1080 contained the subpopulations with high ALDH activity at the rates of around 10% by Aldefluor assay. Sphere forming populations showed increased expression of stem cell-related genes and capacity of self renewal, thus they are considered to possess stem-like properties. These stem-like cells showed drug-resistance with increased expression of ALDH1 mRNA and DNA repair enzymes, MLH1 and MSH2 compared to monolayer cells. The frequencies of these populations were much smaller compared to the ratio of the populations with high ALDH1 activity, suggesting that the population with high ALDH activity contains stem-like populations, but not entirely represents them. The possible mechanism of drug resistance in stem cells has been proposed: (i) activation and/or over-expression of cell membrane drug efflux transporters, (ii) altered expression of detoxifying enzymes, (iii) efficient DNA repair and defective apoptosis regulatory proteins, and (vi) ‘niche’ protection of target cells. Current study demonstrates the increased expression of detoxifying enzyme of ALDH1 and DNA repair enzymes MLH1 and MSH2 in stem-like populations, suggesting that the presence of stem-like cells in human sarcomas with efficient detoxification of the drug and DNA repair could mainly contribute to the drug resistance in human sarcomas. The results from this study may provide future directions of further investigation targeting sarcoma stem cells. RESULTS Separation and Differentiation of the ALDH-positive and negative populations from human sarcoma cell lines. The results of Aldefluor assay showed that both cell lines contained the high ALDH activity populations at the frequency of 11% in MG63 and 9% in HT1080, respectively. Then, we separated the high and low ALDH activity populations in MG63 osteosarcoma cell line through cell sorting by FACSaria, and confirmed that ALDH1 mRNA expression levels were correlated with cell sorting by ALDH activity. After sorting of the cells, both high and low ALDH activity cells were cultured in monolayer condition, then harvested and analyzed by Aldefluor assay at about 70% confluent. Both cell populations showed the same pattern of ALDH positive and negative population as parental MG63 cells, suggesting both populations possess the differentiation capacity. ACKNOWLEDGEMENTS All authors have no declaration of conflicts of interest. This study was supported by a Grant-in-Aid for Scientific Research (No. 20591765 to KH) from Ministry of Education, Culture, Sports, Science and Technology, Japan. REFERENCES 1. Sell S. Crit Rev Oncol Hematol. 51: 1, 2004 2. Reya T, Morison SJ, Clarke MF, et al. Nature 414: 105, 2001 3. Ginestier C, Hur MH, et al. Cell Stem Cell 1: 555, 2007 4. Gibbs, CP, et al. Neoplasia 7:967, 2005 Poster No. 1665 • 56th Annual Meeting of the Orthopaedic Research Society