Glioma‐Associated Stem Cells: A Novel Class of Tumor‐Supporting Cells Able to Predict Prognosis of Human Low‐Grade Gliomas

Background: Translational medicine aims at transferring advances in basic science research into new approaches for diagnosis and treatment of diseases. Low‐grade gliomas (LGG) have a heterogeneous clinical behavior that can be only partially predicted employing current state‐of‐the‐art markers, hind...

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Veröffentlicht in:Stem cells (Dayton, Ohio) Ohio), 2014-05, Vol.32 (5), p.1239-1253
Hauptverfasser: Bourkoula, Evgenia, Mangoni, Damiano, Ius, Tamara, Pucer, Anja, Isola, Miriam, Musiello, Daniela, Marzinotto, Stefania, Toffoletto, Barbara, Sorrentino, Marisa, Palma, Anita, Caponnetto, Federica, Gregoraci, Giorgia, Vindigni, Marco, Pizzolitto, Stefano, Falconieri, Giovanni, Maglio, Giovanna, Pecile, Vanna, Ruaro, Maria Elisabetta, Gri, Giorgia, Parisse, Pietro, Casalis, Loredana, Scoles, Giacinto, Skrap, Miran, Beltrami, Carlo Alberto, Beltrami, Antonio Paolo, Cesselli, Daniela
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container_issue 5
container_start_page 1239
container_title Stem cells (Dayton, Ohio)
container_volume 32
creator Bourkoula, Evgenia
Mangoni, Damiano
Ius, Tamara
Pucer, Anja
Isola, Miriam
Musiello, Daniela
Marzinotto, Stefania
Toffoletto, Barbara
Sorrentino, Marisa
Palma, Anita
Caponnetto, Federica
Gregoraci, Giorgia
Vindigni, Marco
Pizzolitto, Stefano
Falconieri, Giovanni
Maglio, Giovanna
Pecile, Vanna
Ruaro, Maria Elisabetta
Gri, Giorgia
Parisse, Pietro
Casalis, Loredana
Scoles, Giacinto
Skrap, Miran
Beltrami, Carlo Alberto
Beltrami, Antonio Paolo
Cesselli, Daniela
description Background: Translational medicine aims at transferring advances in basic science research into new approaches for diagnosis and treatment of diseases. Low‐grade gliomas (LGG) have a heterogeneous clinical behavior that can be only partially predicted employing current state‐of‐the‐art markers, hindering the decision‐making process. To deepen our comprehension on tumor heterogeneity, we dissected the mechanism of interaction between tumor cells and relevant components of the neoplastic environment, isolating, from LGG and high‐grade gliomas (HGG), proliferating stem cell lines from both the glioma stroma and, where possible, the neoplasm. Methods and Findings: We isolated glioma‐associated stem cells (GASC) from LGG (n=40) and HGG (n=73). GASC showed stem cell features, anchorage‐independent growth, and supported the malignant properties of both A172 cells and human glioma‐stem cells, mainly through the release of exosomes. Finally, starting from GASC obtained from HGG (n=13) and LGG (n=12) we defined a score, based on the expression of 9 GASC surface markers, whose prognostic value was assayed on 40 subsequent LGG‐patients. At the multivariate Cox analysis, the GASC‐based score was the only independent predictor of overall survival and malignant progression free‐survival. Conclusions: The microenvironment of both LGG and HGG hosts non‐tumorigenic multipotent stem cells that can increase in vitro the biological aggressiveness of glioma‐initiating cells through the release of exosomes. The clinical importance of this finding is supported by the strong prognostic value associated with the characteristics of GASC. This patient‐based approach can provide a groundbreaking method to predict prognosis and to exploit novel strategies that target the tumor stroma. Stem Cells 2014;32:1239–1253
doi_str_mv 10.1002/stem.1605
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Low‐grade gliomas (LGG) have a heterogeneous clinical behavior that can be only partially predicted employing current state‐of‐the‐art markers, hindering the decision‐making process. To deepen our comprehension on tumor heterogeneity, we dissected the mechanism of interaction between tumor cells and relevant components of the neoplastic environment, isolating, from LGG and high‐grade gliomas (HGG), proliferating stem cell lines from both the glioma stroma and, where possible, the neoplasm. Methods and Findings: We isolated glioma‐associated stem cells (GASC) from LGG (n=40) and HGG (n=73). GASC showed stem cell features, anchorage‐independent growth, and supported the malignant properties of both A172 cells and human glioma‐stem cells, mainly through the release of exosomes. Finally, starting from GASC obtained from HGG (n=13) and LGG (n=12) we defined a score, based on the expression of 9 GASC surface markers, whose prognostic value was assayed on 40 subsequent LGG‐patients. At the multivariate Cox analysis, the GASC‐based score was the only independent predictor of overall survival and malignant progression free‐survival. Conclusions: The microenvironment of both LGG and HGG hosts non‐tumorigenic multipotent stem cells that can increase in vitro the biological aggressiveness of glioma‐initiating cells through the release of exosomes. The clinical importance of this finding is supported by the strong prognostic value associated with the characteristics of GASC. This patient‐based approach can provide a groundbreaking method to predict prognosis and to exploit novel strategies that target the tumor stroma. 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Low‐grade gliomas (LGG) have a heterogeneous clinical behavior that can be only partially predicted employing current state‐of‐the‐art markers, hindering the decision‐making process. To deepen our comprehension on tumor heterogeneity, we dissected the mechanism of interaction between tumor cells and relevant components of the neoplastic environment, isolating, from LGG and high‐grade gliomas (HGG), proliferating stem cell lines from both the glioma stroma and, where possible, the neoplasm. Methods and Findings: We isolated glioma‐associated stem cells (GASC) from LGG (n=40) and HGG (n=73). GASC showed stem cell features, anchorage‐independent growth, and supported the malignant properties of both A172 cells and human glioma‐stem cells, mainly through the release of exosomes. Finally, starting from GASC obtained from HGG (n=13) and LGG (n=12) we defined a score, based on the expression of 9 GASC surface markers, whose prognostic value was assayed on 40 subsequent LGG‐patients. At the multivariate Cox analysis, the GASC‐based score was the only independent predictor of overall survival and malignant progression free‐survival. Conclusions: The microenvironment of both LGG and HGG hosts non‐tumorigenic multipotent stem cells that can increase in vitro the biological aggressiveness of glioma‐initiating cells through the release of exosomes. The clinical importance of this finding is supported by the strong prognostic value associated with the characteristics of GASC. This patient‐based approach can provide a groundbreaking method to predict prognosis and to exploit novel strategies that target the tumor stroma. Stem Cells 2014;32:1239–1253</description><subject>Adult</subject><subject>Aged</subject><subject>Brain Neoplasms - genetics</subject><subject>Brain Neoplasms - metabolism</subject><subject>Brain Neoplasms - pathology</subject><subject>Cell Line</subject><subject>Cell Proliferation</subject><subject>Exosomes</subject><subject>Exosomes - metabolism</subject><subject>Female</subject><subject>Gene Expression</subject><subject>Glioma - genetics</subject><subject>Glioma - metabolism</subject><subject>Glioma - pathology</subject><subject>Glioma‐associated stem cells</subject><subject>Homeodomain Proteins - genetics</subject><subject>Homeodomain Proteins - metabolism</subject><subject>Human glioma</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Low‐grade glioma</subject><subject>Luminescent Proteins - genetics</subject><subject>Luminescent Proteins - metabolism</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Microscopy, Atomic Force</subject><subject>Microscopy, Fluorescence</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nanog Homeobox Protein</subject><subject>Neoplastic Stem Cells - metabolism</subject><subject>Neoplastic Stem Cells - pathology</subject><subject>Octamer Transcription Factor-3 - genetics</subject><subject>Octamer Transcription Factor-3 - metabolism</subject><subject>Personalized medicine</subject><subject>Prognosis</subject><subject>Prognostic score</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>Stem cells</subject><subject>Tumor Cells, Cultured</subject><subject>Tumor Microenvironment</subject><issn>1066-5099</issn><issn>1549-4918</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0ctO3DAUBmALFQEFFrxAZambdhE4viU2u9EIhkrDRZphHTmxg4KSeLCTInY8As_Ik-CZ0C6QkFjZi-_8PtaP0BGBYwJAT0Jv22OSgthCe0RwlXBF5Ld4hzRNBCi1i76HcA9AuJByB-1SzjKRyWwPPc-a2rX69fllEoIra91bgxcxD09t04RTPMFX7q9t8LTRIWBX4eXQOh_9YlitnO_r7m6keFI0FvcO33hr6rKPp7vrXKg3UxdDqzs8d49xcua1sXh8OByg7Uo3wR6-n_vo9vxsOb1I5tezP9PJPCk5JSKhcV1TVVoVlpcFESotMsIZoYYYljIhCsuMyIQ1YACkSIFpKisqaFaBZoTto19j7sq7h8GGPm_rUMbFdWfdEHIiKOdEMcW-QEkmJaQKIv35gd67wXfxIxvFhQCpovo9qtK7ELyt8pWvW-2fcgL5usF83WC-bjDaH--JQ9Fa81_-qyyCkxE81o19-jwpXyzPLjeRb10VptI</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Bourkoula, Evgenia</creator><creator>Mangoni, Damiano</creator><creator>Ius, Tamara</creator><creator>Pucer, Anja</creator><creator>Isola, Miriam</creator><creator>Musiello, Daniela</creator><creator>Marzinotto, Stefania</creator><creator>Toffoletto, Barbara</creator><creator>Sorrentino, Marisa</creator><creator>Palma, Anita</creator><creator>Caponnetto, Federica</creator><creator>Gregoraci, Giorgia</creator><creator>Vindigni, Marco</creator><creator>Pizzolitto, Stefano</creator><creator>Falconieri, Giovanni</creator><creator>Maglio, Giovanna</creator><creator>Pecile, Vanna</creator><creator>Ruaro, Maria Elisabetta</creator><creator>Gri, Giorgia</creator><creator>Parisse, Pietro</creator><creator>Casalis, Loredana</creator><creator>Scoles, Giacinto</creator><creator>Skrap, Miran</creator><creator>Beltrami, Carlo Alberto</creator><creator>Beltrami, Antonio Paolo</creator><creator>Cesselli, Daniela</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201405</creationdate><title>Glioma‐Associated Stem Cells: A Novel Class of Tumor‐Supporting Cells Able to Predict Prognosis of Human Low‐Grade Gliomas</title><author>Bourkoula, Evgenia ; Mangoni, Damiano ; Ius, Tamara ; Pucer, Anja ; Isola, Miriam ; Musiello, Daniela ; Marzinotto, Stefania ; Toffoletto, Barbara ; Sorrentino, Marisa ; Palma, Anita ; Caponnetto, Federica ; Gregoraci, Giorgia ; Vindigni, Marco ; Pizzolitto, Stefano ; Falconieri, Giovanni ; Maglio, Giovanna ; Pecile, Vanna ; Ruaro, Maria Elisabetta ; Gri, Giorgia ; Parisse, Pietro ; Casalis, Loredana ; Scoles, Giacinto ; Skrap, Miran ; Beltrami, Carlo Alberto ; Beltrami, Antonio Paolo ; Cesselli, Daniela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4215-2578dffa9be4cb1596b714312d1d36355be3d575ed0d0085603a28f2527f0a313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Brain Neoplasms - genetics</topic><topic>Brain Neoplasms - metabolism</topic><topic>Brain Neoplasms - pathology</topic><topic>Cell Line</topic><topic>Cell Proliferation</topic><topic>Exosomes</topic><topic>Exosomes - metabolism</topic><topic>Female</topic><topic>Gene Expression</topic><topic>Glioma - genetics</topic><topic>Glioma - metabolism</topic><topic>Glioma - pathology</topic><topic>Glioma‐associated stem cells</topic><topic>Homeodomain Proteins - genetics</topic><topic>Homeodomain Proteins - metabolism</topic><topic>Human glioma</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Low‐grade glioma</topic><topic>Luminescent Proteins - genetics</topic><topic>Luminescent Proteins - metabolism</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Microscopy, Atomic Force</topic><topic>Microscopy, Fluorescence</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nanog Homeobox Protein</topic><topic>Neoplastic Stem Cells - metabolism</topic><topic>Neoplastic Stem Cells - pathology</topic><topic>Octamer Transcription Factor-3 - genetics</topic><topic>Octamer Transcription Factor-3 - metabolism</topic><topic>Personalized medicine</topic><topic>Prognosis</topic><topic>Prognostic score</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>Stem cells</topic><topic>Tumor Cells, Cultured</topic><topic>Tumor Microenvironment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bourkoula, Evgenia</creatorcontrib><creatorcontrib>Mangoni, Damiano</creatorcontrib><creatorcontrib>Ius, Tamara</creatorcontrib><creatorcontrib>Pucer, Anja</creatorcontrib><creatorcontrib>Isola, Miriam</creatorcontrib><creatorcontrib>Musiello, Daniela</creatorcontrib><creatorcontrib>Marzinotto, Stefania</creatorcontrib><creatorcontrib>Toffoletto, Barbara</creatorcontrib><creatorcontrib>Sorrentino, Marisa</creatorcontrib><creatorcontrib>Palma, Anita</creatorcontrib><creatorcontrib>Caponnetto, Federica</creatorcontrib><creatorcontrib>Gregoraci, Giorgia</creatorcontrib><creatorcontrib>Vindigni, Marco</creatorcontrib><creatorcontrib>Pizzolitto, Stefano</creatorcontrib><creatorcontrib>Falconieri, Giovanni</creatorcontrib><creatorcontrib>Maglio, Giovanna</creatorcontrib><creatorcontrib>Pecile, Vanna</creatorcontrib><creatorcontrib>Ruaro, Maria Elisabetta</creatorcontrib><creatorcontrib>Gri, Giorgia</creatorcontrib><creatorcontrib>Parisse, Pietro</creatorcontrib><creatorcontrib>Casalis, Loredana</creatorcontrib><creatorcontrib>Scoles, Giacinto</creatorcontrib><creatorcontrib>Skrap, Miran</creatorcontrib><creatorcontrib>Beltrami, Carlo Alberto</creatorcontrib><creatorcontrib>Beltrami, Antonio Paolo</creatorcontrib><creatorcontrib>Cesselli, Daniela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; 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Low‐grade gliomas (LGG) have a heterogeneous clinical behavior that can be only partially predicted employing current state‐of‐the‐art markers, hindering the decision‐making process. To deepen our comprehension on tumor heterogeneity, we dissected the mechanism of interaction between tumor cells and relevant components of the neoplastic environment, isolating, from LGG and high‐grade gliomas (HGG), proliferating stem cell lines from both the glioma stroma and, where possible, the neoplasm. Methods and Findings: We isolated glioma‐associated stem cells (GASC) from LGG (n=40) and HGG (n=73). GASC showed stem cell features, anchorage‐independent growth, and supported the malignant properties of both A172 cells and human glioma‐stem cells, mainly through the release of exosomes. Finally, starting from GASC obtained from HGG (n=13) and LGG (n=12) we defined a score, based on the expression of 9 GASC surface markers, whose prognostic value was assayed on 40 subsequent LGG‐patients. At the multivariate Cox analysis, the GASC‐based score was the only independent predictor of overall survival and malignant progression free‐survival. Conclusions: The microenvironment of both LGG and HGG hosts non‐tumorigenic multipotent stem cells that can increase in vitro the biological aggressiveness of glioma‐initiating cells through the release of exosomes. The clinical importance of this finding is supported by the strong prognostic value associated with the characteristics of GASC. This patient‐based approach can provide a groundbreaking method to predict prognosis and to exploit novel strategies that target the tumor stroma. Stem Cells 2014;32:1239–1253</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>24375787</pmid><doi>10.1002/stem.1605</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Aged
Brain Neoplasms - genetics
Brain Neoplasms - metabolism
Brain Neoplasms - pathology
Cell Line
Cell Proliferation
Exosomes
Exosomes - metabolism
Female
Gene Expression
Glioma - genetics
Glioma - metabolism
Glioma - pathology
Glioma‐associated stem cells
Homeodomain Proteins - genetics
Homeodomain Proteins - metabolism
Human glioma
Humans
Kaplan-Meier Estimate
Low‐grade glioma
Luminescent Proteins - genetics
Luminescent Proteins - metabolism
Male
Medical prognosis
Medical research
Microscopy, Atomic Force
Microscopy, Fluorescence
Middle Aged
Multivariate Analysis
Nanog Homeobox Protein
Neoplastic Stem Cells - metabolism
Neoplastic Stem Cells - pathology
Octamer Transcription Factor-3 - genetics
Octamer Transcription Factor-3 - metabolism
Personalized medicine
Prognosis
Prognostic score
Reverse Transcriptase Polymerase Chain Reaction
Stem cells
Tumor Cells, Cultured
Tumor Microenvironment
title Glioma‐Associated Stem Cells: A Novel Class of Tumor‐Supporting Cells Able to Predict Prognosis of Human Low‐Grade Gliomas
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