Exploring the clonal evolution of CD133/aldehyde-dehydrogenase-1 (ALDH1)-positive cancer stem-like cells from primary to recurrent high-grade serous ovarian cancer (HGSOC). A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium

Abstract Background High-grade serous ovarian cancer (HGSOC) causes 80% of all ovarian cancer (OC) deaths. In this setting, the role of cancer stem-like cells (CSCs) is still unclear. In particular, the evolution of CSC biomarkers from primary (pOC) to recurrent (rOC) HGSOCs is unknown. Aim of this...

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Veröffentlicht in:European journal of cancer (1990) 2017-07, Vol.79, p.214-225
Hauptverfasser: Ruscito, Ilary, Cacsire Castillo-Tong, Dan, Vergote, Ignace, Ignat, Iulia, Stanske, Mandy, Vanderstichele, Adriaan, Ganapathi, Ram N, Glajzer, Jacek, Kulbe, Hagen, Trillsch, Fabian, Mustea, Alexander, Kreuzinger, Caroline, Benedetti Panici, Pierluigi, Gourley, Charlie, Gabra, Hani, Kessler, Mirjana, Sehouli, Jalid, Darb-Esfahani, Silvia, Braicu, Elena Ioana
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container_title European journal of cancer (1990)
container_volume 79
creator Ruscito, Ilary
Cacsire Castillo-Tong, Dan
Vergote, Ignace
Ignat, Iulia
Stanske, Mandy
Vanderstichele, Adriaan
Ganapathi, Ram N
Glajzer, Jacek
Kulbe, Hagen
Trillsch, Fabian
Mustea, Alexander
Kreuzinger, Caroline
Benedetti Panici, Pierluigi
Gourley, Charlie
Gabra, Hani
Kessler, Mirjana
Sehouli, Jalid
Darb-Esfahani, Silvia
Braicu, Elena Ioana
description Abstract Background High-grade serous ovarian cancer (HGSOC) causes 80% of all ovarian cancer (OC) deaths. In this setting, the role of cancer stem-like cells (CSCs) is still unclear. In particular, the evolution of CSC biomarkers from primary (pOC) to recurrent (rOC) HGSOCs is unknown. Aim of this study was to investigate changes in CD133 and aldehyde dehydrogenase-1 (ALDH1) CSC biomarker expression in pOC and rOC HGSOCs. Methods Two-hundred and twenty-four pOC and rOC intrapatient paired tissue samples derived from 112 HGSOC patients were evaluated for CD133 and ALDH1 expression using immunohistochemistry (IHC); pOCs and rOCs were compared for CD133 and/or ALDH1 levels. Expression profiles were also correlated with patients' clinicopathological and survival data. Results Some 49.1% of the patient population (55/112) and 37.5% (42/112) pOCs were CD133+ and ALDH1+ respectively. CD133+ and ALDH1+ samples were detected in 33.9% (38/112) and 36.6% (41/112) rOCs. CD133/ALDH1 coexpression was observed in 23.2% (26/112) and 15.2% (17/112) of pOCs and rOCs respectively. Pairwise analysis showed a significant shift of CD133 staining from higher (pOCs) to lower expression levels (rOCs) (p 
doi_str_mv 10.1016/j.ejca.2017.04.016
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A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Ruscito, Ilary ; Cacsire Castillo-Tong, Dan ; Vergote, Ignace ; Ignat, Iulia ; Stanske, Mandy ; Vanderstichele, Adriaan ; Ganapathi, Ram N ; Glajzer, Jacek ; Kulbe, Hagen ; Trillsch, Fabian ; Mustea, Alexander ; Kreuzinger, Caroline ; Benedetti Panici, Pierluigi ; Gourley, Charlie ; Gabra, Hani ; Kessler, Mirjana ; Sehouli, Jalid ; Darb-Esfahani, Silvia ; Braicu, Elena Ioana</creator><creatorcontrib>Ruscito, Ilary ; Cacsire Castillo-Tong, Dan ; Vergote, Ignace ; Ignat, Iulia ; Stanske, Mandy ; Vanderstichele, Adriaan ; Ganapathi, Ram N ; Glajzer, Jacek ; Kulbe, Hagen ; Trillsch, Fabian ; Mustea, Alexander ; Kreuzinger, Caroline ; Benedetti Panici, Pierluigi ; Gourley, Charlie ; Gabra, Hani ; Kessler, Mirjana ; Sehouli, Jalid ; Darb-Esfahani, Silvia ; Braicu, Elena Ioana</creatorcontrib><description>Abstract Background High-grade serous ovarian cancer (HGSOC) causes 80% of all ovarian cancer (OC) deaths. In this setting, the role of cancer stem-like cells (CSCs) is still unclear. In particular, the evolution of CSC biomarkers from primary (pOC) to recurrent (rOC) HGSOCs is unknown. Aim of this study was to investigate changes in CD133 and aldehyde dehydrogenase-1 (ALDH1) CSC biomarker expression in pOC and rOC HGSOCs. Methods Two-hundred and twenty-four pOC and rOC intrapatient paired tissue samples derived from 112 HGSOC patients were evaluated for CD133 and ALDH1 expression using immunohistochemistry (IHC); pOCs and rOCs were compared for CD133 and/or ALDH1 levels. Expression profiles were also correlated with patients' clinicopathological and survival data. Results Some 49.1% of the patient population (55/112) and 37.5% (42/112) pOCs were CD133+ and ALDH1+ respectively. CD133+ and ALDH1+ samples were detected in 33.9% (38/112) and 36.6% (41/112) rOCs. CD133/ALDH1 coexpression was observed in 23.2% (26/112) and 15.2% (17/112) of pOCs and rOCs respectively. Pairwise analysis showed a significant shift of CD133 staining from higher (pOCs) to lower expression levels (rOCs) (p &lt; 0.0001). Furthermore, all CD133 + pOC patients were International Federation of Gynaecology and Obstetrics (FIGO)-stage III/IV (p &lt; 0.0001) and had significantly worse progression-free interval (PFI) (p = 0.04) and overall survival (OS) (p = 0.02). On multivariate analysis, CD133/ALDH1 coexpression in pOCs was identified as independent prognostic factor for PFI (HR: 1.64; 95% CI: 1.03–2.60; p = 0.036) and OS (HR: 1.71; 95% CI: 1.01–2.88; p = 0.045). Analysis on 52 pts patients with known somatic BRCA status revealed that BRCA mutations did not influence CSC biomarker expression. Conclusions The study showed that CD133/ALDH1 expression impacts HGSOC patients' survival and first suggests that CSCs might undergo phenotypic change during the disease course similarly to non stem-like cancer cells, providing also a first evidence that there is no correlation between CSCs and BRCA status.</description><identifier>ISSN: 0959-8049</identifier><identifier>EISSN: 1879-0852</identifier><identifier>DOI: 10.1016/j.ejca.2017.04.016</identifier><identifier>PMID: 28525846</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>AC133 Antigen - metabolism ; Adult ; Aged ; Aldehyde dehydrogenase-1 ; ALDH1 ; Antineoplastic Agents - therapeutic use ; Biomarkers, Tumor - metabolism ; BRCA ; BRCA2 Protein - metabolism ; Cancer stem-like cell ; Carcinoma, Ovarian Epithelial ; CD133 ; Clonal Evolution ; Female ; Hematology, Oncology and Palliative Medicine ; Humans ; Isoenzymes - metabolism ; Middle Aged ; Neoplasm Recurrence, Local - enzymology ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Neoplasm, Residual - enzymology ; Neoplasm, Residual - mortality ; Neoplasm, Residual - pathology ; Neoplasms, Glandular and Epithelial - enzymology ; Neoplasms, Glandular and Epithelial - mortality ; Neoplasms, Glandular and Epithelial - pathology ; Neoplastic Stem Cells - enzymology ; Neoplastic Stem Cells - pathology ; Ovarian cancer ; Ovarian Neoplasms - enzymology ; Ovarian Neoplasms - mortality ; Ovarian Neoplasms - pathology ; Platinum Compounds - therapeutic use ; Prognosis ; Retinal Dehydrogenase - metabolism ; Survival ; Survival Analysis ; Ubiquitin-Protein Ligases - metabolism</subject><ispartof>European journal of cancer (1990), 2017-07, Vol.79, p.214-225</ispartof><rights>Elsevier Ltd</rights><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-ad20facbd57ad73c59a4925529d2ec2e87bdf269ce0e6533a0087cdc6bcb14ba3</citedby><cites>FETCH-LOGICAL-c455t-ad20facbd57ad73c59a4925529d2ec2e87bdf269ce0e6533a0087cdc6bcb14ba3</cites><orcidid>0000-0002-3984-2948</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0959804917309036$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28525846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruscito, Ilary</creatorcontrib><creatorcontrib>Cacsire Castillo-Tong, Dan</creatorcontrib><creatorcontrib>Vergote, Ignace</creatorcontrib><creatorcontrib>Ignat, Iulia</creatorcontrib><creatorcontrib>Stanske, Mandy</creatorcontrib><creatorcontrib>Vanderstichele, Adriaan</creatorcontrib><creatorcontrib>Ganapathi, Ram N</creatorcontrib><creatorcontrib>Glajzer, Jacek</creatorcontrib><creatorcontrib>Kulbe, Hagen</creatorcontrib><creatorcontrib>Trillsch, Fabian</creatorcontrib><creatorcontrib>Mustea, Alexander</creatorcontrib><creatorcontrib>Kreuzinger, Caroline</creatorcontrib><creatorcontrib>Benedetti Panici, Pierluigi</creatorcontrib><creatorcontrib>Gourley, Charlie</creatorcontrib><creatorcontrib>Gabra, Hani</creatorcontrib><creatorcontrib>Kessler, Mirjana</creatorcontrib><creatorcontrib>Sehouli, Jalid</creatorcontrib><creatorcontrib>Darb-Esfahani, Silvia</creatorcontrib><creatorcontrib>Braicu, Elena Ioana</creatorcontrib><title>Exploring the clonal evolution of CD133/aldehyde-dehydrogenase-1 (ALDH1)-positive cancer stem-like cells from primary to recurrent high-grade serous ovarian cancer (HGSOC). A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium</title><title>European journal of cancer (1990)</title><addtitle>Eur J Cancer</addtitle><description>Abstract Background High-grade serous ovarian cancer (HGSOC) causes 80% of all ovarian cancer (OC) deaths. In this setting, the role of cancer stem-like cells (CSCs) is still unclear. In particular, the evolution of CSC biomarkers from primary (pOC) to recurrent (rOC) HGSOCs is unknown. Aim of this study was to investigate changes in CD133 and aldehyde dehydrogenase-1 (ALDH1) CSC biomarker expression in pOC and rOC HGSOCs. Methods Two-hundred and twenty-four pOC and rOC intrapatient paired tissue samples derived from 112 HGSOC patients were evaluated for CD133 and ALDH1 expression using immunohistochemistry (IHC); pOCs and rOCs were compared for CD133 and/or ALDH1 levels. Expression profiles were also correlated with patients' clinicopathological and survival data. Results Some 49.1% of the patient population (55/112) and 37.5% (42/112) pOCs were CD133+ and ALDH1+ respectively. CD133+ and ALDH1+ samples were detected in 33.9% (38/112) and 36.6% (41/112) rOCs. CD133/ALDH1 coexpression was observed in 23.2% (26/112) and 15.2% (17/112) of pOCs and rOCs respectively. Pairwise analysis showed a significant shift of CD133 staining from higher (pOCs) to lower expression levels (rOCs) (p &lt; 0.0001). Furthermore, all CD133 + pOC patients were International Federation of Gynaecology and Obstetrics (FIGO)-stage III/IV (p &lt; 0.0001) and had significantly worse progression-free interval (PFI) (p = 0.04) and overall survival (OS) (p = 0.02). On multivariate analysis, CD133/ALDH1 coexpression in pOCs was identified as independent prognostic factor for PFI (HR: 1.64; 95% CI: 1.03–2.60; p = 0.036) and OS (HR: 1.71; 95% CI: 1.01–2.88; p = 0.045). Analysis on 52 pts patients with known somatic BRCA status revealed that BRCA mutations did not influence CSC biomarker expression. Conclusions The study showed that CD133/ALDH1 expression impacts HGSOC patients' survival and first suggests that CSCs might undergo phenotypic change during the disease course similarly to non stem-like cancer cells, providing also a first evidence that there is no correlation between CSCs and BRCA status.</description><subject>AC133 Antigen - metabolism</subject><subject>Adult</subject><subject>Aged</subject><subject>Aldehyde dehydrogenase-1</subject><subject>ALDH1</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>BRCA</subject><subject>BRCA2 Protein - metabolism</subject><subject>Cancer stem-like cell</subject><subject>Carcinoma, Ovarian Epithelial</subject><subject>CD133</subject><subject>Clonal Evolution</subject><subject>Female</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Isoenzymes - metabolism</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - enzymology</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm, Residual - enzymology</subject><subject>Neoplasm, Residual - mortality</subject><subject>Neoplasm, Residual - pathology</subject><subject>Neoplasms, Glandular and Epithelial - enzymology</subject><subject>Neoplasms, Glandular and Epithelial - mortality</subject><subject>Neoplasms, Glandular and Epithelial - pathology</subject><subject>Neoplastic Stem Cells - enzymology</subject><subject>Neoplastic Stem Cells - pathology</subject><subject>Ovarian cancer</subject><subject>Ovarian Neoplasms - enzymology</subject><subject>Ovarian Neoplasms - mortality</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Platinum Compounds - therapeutic use</subject><subject>Prognosis</subject><subject>Retinal Dehydrogenase - metabolism</subject><subject>Survival</subject><subject>Survival Analysis</subject><subject>Ubiquitin-Protein Ligases - metabolism</subject><issn>0959-8049</issn><issn>1879-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk2P0zAQDQjElsIf4IB8bA_J2s63hJCq7LKttKgrtZwtx5607iZxsZOI3vgP_EN-Cc62y4EDp5HG7z3PvHme94HggGCSXB8COAgeUEzSAEeBa730JiRLcx9nMX3lTXAe536Go_zKe2vtAWOcZhF-411R9x5nUTJ5Mb39cay1Ue0OdXtAotYtrxEMuu47pVukK1TckDC85rWE_UmC_1SM3kHLLfgEzRb3N0sy94_aqk4NToO3AgyyHTR-rR5dA-raosroBh2Narg5oU4jA6I3BtoO7dVu7-8Ml4AsGN1bpAduFG-fpWbLu826mAdo4VR7eRqnGqddX2DFGbbdg-HH0--fv1Zt6ySepvmqJbjfH4x2q-3QpjeDGtyKs3WxXT1s5qjQrdWmU33zzntd8drC-0udet--3G6LpX-_vlsVi3tfRHHc-VxSXHFRyjjlMg1FnPMop3FMc0lBUMjSUlY0yQVgSOIw5BhnqZAiKUVJopKHU2921j0a_b0H27FG2dEk3oLbnpHcMcKIkthB6RkqjLbWQMUuDjKC2RgCdmBjCNgYAoYj5lqO9PGi35cNyL-U56s7wKczwDkDgwLDrFDgPJTKXaVjUqv_63_-hy5q1SrB60c4gT3o3rgQuT2YpQyzzRjDMYUkDXGOwyT8A5Y93I8</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Ruscito, Ilary</creator><creator>Cacsire Castillo-Tong, Dan</creator><creator>Vergote, Ignace</creator><creator>Ignat, Iulia</creator><creator>Stanske, Mandy</creator><creator>Vanderstichele, Adriaan</creator><creator>Ganapathi, Ram N</creator><creator>Glajzer, Jacek</creator><creator>Kulbe, Hagen</creator><creator>Trillsch, Fabian</creator><creator>Mustea, Alexander</creator><creator>Kreuzinger, Caroline</creator><creator>Benedetti Panici, Pierluigi</creator><creator>Gourley, Charlie</creator><creator>Gabra, Hani</creator><creator>Kessler, Mirjana</creator><creator>Sehouli, Jalid</creator><creator>Darb-Esfahani, Silvia</creator><creator>Braicu, Elena Ioana</creator><general>Elsevier Ltd</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>7X8</scope><orcidid>https://orcid.org/0000-0002-3984-2948</orcidid></search><sort><creationdate>20170701</creationdate><title>Exploring the clonal evolution of CD133/aldehyde-dehydrogenase-1 (ALDH1)-positive cancer stem-like cells from primary to recurrent high-grade serous ovarian cancer (HGSOC). A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium</title><author>Ruscito, Ilary ; Cacsire Castillo-Tong, Dan ; Vergote, Ignace ; Ignat, Iulia ; Stanske, Mandy ; Vanderstichele, Adriaan ; Ganapathi, Ram N ; Glajzer, Jacek ; Kulbe, Hagen ; Trillsch, Fabian ; Mustea, Alexander ; Kreuzinger, Caroline ; Benedetti Panici, Pierluigi ; Gourley, Charlie ; Gabra, Hani ; Kessler, Mirjana ; Sehouli, Jalid ; Darb-Esfahani, Silvia ; Braicu, Elena Ioana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-ad20facbd57ad73c59a4925529d2ec2e87bdf269ce0e6533a0087cdc6bcb14ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>AC133 Antigen - metabolism</topic><topic>Adult</topic><topic>Aged</topic><topic>Aldehyde dehydrogenase-1</topic><topic>ALDH1</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>BRCA</topic><topic>BRCA2 Protein - metabolism</topic><topic>Cancer stem-like cell</topic><topic>Carcinoma, Ovarian Epithelial</topic><topic>CD133</topic><topic>Clonal Evolution</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Isoenzymes - metabolism</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - enzymology</topic><topic>Neoplasm Recurrence, Local - mortality</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm, Residual - enzymology</topic><topic>Neoplasm, Residual - mortality</topic><topic>Neoplasm, Residual - pathology</topic><topic>Neoplasms, Glandular and Epithelial - enzymology</topic><topic>Neoplasms, Glandular and Epithelial - mortality</topic><topic>Neoplasms, Glandular and Epithelial - pathology</topic><topic>Neoplastic Stem Cells - enzymology</topic><topic>Neoplastic Stem Cells - pathology</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - enzymology</topic><topic>Ovarian Neoplasms - mortality</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Platinum Compounds - therapeutic use</topic><topic>Prognosis</topic><topic>Retinal Dehydrogenase - metabolism</topic><topic>Survival</topic><topic>Survival Analysis</topic><topic>Ubiquitin-Protein Ligases - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruscito, Ilary</creatorcontrib><creatorcontrib>Cacsire Castillo-Tong, Dan</creatorcontrib><creatorcontrib>Vergote, Ignace</creatorcontrib><creatorcontrib>Ignat, Iulia</creatorcontrib><creatorcontrib>Stanske, Mandy</creatorcontrib><creatorcontrib>Vanderstichele, Adriaan</creatorcontrib><creatorcontrib>Ganapathi, Ram N</creatorcontrib><creatorcontrib>Glajzer, Jacek</creatorcontrib><creatorcontrib>Kulbe, Hagen</creatorcontrib><creatorcontrib>Trillsch, Fabian</creatorcontrib><creatorcontrib>Mustea, Alexander</creatorcontrib><creatorcontrib>Kreuzinger, Caroline</creatorcontrib><creatorcontrib>Benedetti Panici, Pierluigi</creatorcontrib><creatorcontrib>Gourley, Charlie</creatorcontrib><creatorcontrib>Gabra, Hani</creatorcontrib><creatorcontrib>Kessler, Mirjana</creatorcontrib><creatorcontrib>Sehouli, Jalid</creatorcontrib><creatorcontrib>Darb-Esfahani, Silvia</creatorcontrib><creatorcontrib>Braicu, Elena Ioana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer (1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruscito, Ilary</au><au>Cacsire Castillo-Tong, Dan</au><au>Vergote, Ignace</au><au>Ignat, Iulia</au><au>Stanske, Mandy</au><au>Vanderstichele, Adriaan</au><au>Ganapathi, Ram N</au><au>Glajzer, Jacek</au><au>Kulbe, Hagen</au><au>Trillsch, Fabian</au><au>Mustea, Alexander</au><au>Kreuzinger, Caroline</au><au>Benedetti Panici, Pierluigi</au><au>Gourley, Charlie</au><au>Gabra, Hani</au><au>Kessler, Mirjana</au><au>Sehouli, Jalid</au><au>Darb-Esfahani, Silvia</au><au>Braicu, Elena Ioana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring the clonal evolution of CD133/aldehyde-dehydrogenase-1 (ALDH1)-positive cancer stem-like cells from primary to recurrent high-grade serous ovarian cancer (HGSOC). A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium</atitle><jtitle>European journal of cancer (1990)</jtitle><addtitle>Eur J Cancer</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>79</volume><spage>214</spage><epage>225</epage><pages>214-225</pages><issn>0959-8049</issn><eissn>1879-0852</eissn><abstract>Abstract Background High-grade serous ovarian cancer (HGSOC) causes 80% of all ovarian cancer (OC) deaths. In this setting, the role of cancer stem-like cells (CSCs) is still unclear. In particular, the evolution of CSC biomarkers from primary (pOC) to recurrent (rOC) HGSOCs is unknown. Aim of this study was to investigate changes in CD133 and aldehyde dehydrogenase-1 (ALDH1) CSC biomarker expression in pOC and rOC HGSOCs. Methods Two-hundred and twenty-four pOC and rOC intrapatient paired tissue samples derived from 112 HGSOC patients were evaluated for CD133 and ALDH1 expression using immunohistochemistry (IHC); pOCs and rOCs were compared for CD133 and/or ALDH1 levels. Expression profiles were also correlated with patients' clinicopathological and survival data. Results Some 49.1% of the patient population (55/112) and 37.5% (42/112) pOCs were CD133+ and ALDH1+ respectively. CD133+ and ALDH1+ samples were detected in 33.9% (38/112) and 36.6% (41/112) rOCs. CD133/ALDH1 coexpression was observed in 23.2% (26/112) and 15.2% (17/112) of pOCs and rOCs respectively. Pairwise analysis showed a significant shift of CD133 staining from higher (pOCs) to lower expression levels (rOCs) (p &lt; 0.0001). Furthermore, all CD133 + pOC patients were International Federation of Gynaecology and Obstetrics (FIGO)-stage III/IV (p &lt; 0.0001) and had significantly worse progression-free interval (PFI) (p = 0.04) and overall survival (OS) (p = 0.02). On multivariate analysis, CD133/ALDH1 coexpression in pOCs was identified as independent prognostic factor for PFI (HR: 1.64; 95% CI: 1.03–2.60; p = 0.036) and OS (HR: 1.71; 95% CI: 1.01–2.88; p = 0.045). Analysis on 52 pts patients with known somatic BRCA status revealed that BRCA mutations did not influence CSC biomarker expression. Conclusions The study showed that CD133/ALDH1 expression impacts HGSOC patients' survival and first suggests that CSCs might undergo phenotypic change during the disease course similarly to non stem-like cancer cells, providing also a first evidence that there is no correlation between CSCs and BRCA status.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28525846</pmid><doi>10.1016/j.ejca.2017.04.016</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-3984-2948</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0959-8049
ispartof European journal of cancer (1990), 2017-07, Vol.79, p.214-225
issn 0959-8049
1879-0852
language eng
recordid cdi_proquest_miscellaneous_1900834215
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects AC133 Antigen - metabolism
Adult
Aged
Aldehyde dehydrogenase-1
ALDH1
Antineoplastic Agents - therapeutic use
Biomarkers, Tumor - metabolism
BRCA
BRCA2 Protein - metabolism
Cancer stem-like cell
Carcinoma, Ovarian Epithelial
CD133
Clonal Evolution
Female
Hematology, Oncology and Palliative Medicine
Humans
Isoenzymes - metabolism
Middle Aged
Neoplasm Recurrence, Local - enzymology
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Neoplasm, Residual - enzymology
Neoplasm, Residual - mortality
Neoplasm, Residual - pathology
Neoplasms, Glandular and Epithelial - enzymology
Neoplasms, Glandular and Epithelial - mortality
Neoplasms, Glandular and Epithelial - pathology
Neoplastic Stem Cells - enzymology
Neoplastic Stem Cells - pathology
Ovarian cancer
Ovarian Neoplasms - enzymology
Ovarian Neoplasms - mortality
Ovarian Neoplasms - pathology
Platinum Compounds - therapeutic use
Prognosis
Retinal Dehydrogenase - metabolism
Survival
Survival Analysis
Ubiquitin-Protein Ligases - metabolism
title Exploring the clonal evolution of CD133/aldehyde-dehydrogenase-1 (ALDH1)-positive cancer stem-like cells from primary to recurrent high-grade serous ovarian cancer (HGSOC). A study of the Ovarian Cancer Therapy–Innovative Models Prolong Survival (OCTIPS) Consortium
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