Abstract
Although the highly proliferative, migratory, and multi-drug resistant phenotype of human pancreatic cancer stem cells (PCSCs) is well characterized, knowledge of their biological mechanisms is limited. We used CD44 and LIN28B as markers to screen, isolate, and enrich CSCs from human primary pancreatic cancer. Using flow cytometry, we identified a human primary pancreatic cancer cell (PCC) subpopulation expressing high levels of both CD44 and LIN28B. CD44+/LIN28B+ PCSCs expressed high levels of stemness marker genes and possessed higher migratory and invasive ability than CD44-/LIN28B- PCCs. CD44+/LIN28B+ PCSCs were more resistant to growth inhibition induced by the chemotherapeutic drugs cisplatin and gemcitabine hydrochloride, and readily established tumors in vivo in a relatively short time. Moreover, microarray analysis revealed significant differences between the cDNA expression patterns of CD44+/LIN28B+ PCSCs and CD44-/LIN28B- PCCs. Following siRNA interference of endogenous LIN28B gene expression in CD44+/LIN28B+ PCSCs, not only was their proliferation decreased, there was also cell cycle arrest due to suppression of cyclin D1 expression following the stimulation of miRNA let-7b expression. In conclusion, CD44+/LIN28B+ cells, which possess CSC characteristics, can be reliably sorted from human primary PCCs and represent a valuable model for studying cancer cell physiology and multi-drug resistance.
Keywords: Pancreatic ductal adenocarcinoma, cancer stem cells, CD44, LIN28B
Introduction
Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal malignancy that is usually diagnosed at a late stage, at which optimal therapeutic options have been skipped [1]. It is one of the most chemoresistant tumors; the survival rate is < 5% [2]. PDAC is not only notorious for being difficult to diagnose at an early stage and its poor recurrence-free prognosis, but also the lack of effective treatment thereof and limited knowledge of its biological characteristics [3,4]. Thus, there is an urgent need for better understanding of the cellular/molecular properties associated with PDAC to explore novel venues of diagnosis and treatment of this disease [1,5,6]. Recent evidence suggests that tumors consist of heterogeneous cell populations, which possess different biological properties; furthermore, the capacity for tumor formation and growth resides exclusively in a small proportion of tumor cells, termed cancer stem cells (CSCs) [7-11]. Pancreatic CSCs (PCSCs) were first characterized by Li et al. [6] and were shown to be not only highly tumorigenic, but also possessed the ability to self-renew and produce differentiated progeny that reflected the heterogeneity of the patient’s primary tumor [3]. Moreover, an increasing number of studies have reported human pancreatic cancer cell subpopulations, such as CD31+/CD45+ [12]; Hoechst 33342-/CD133+/ALDH1+ [1]; ESA+/CD44+ [3]; and CD24+/CD44+ [4], which express CSC-associated characteristics and stem cell markers [5]. There are several prominent CSC characteristics: they (a) self-renew and are highly clonogenic, (b) differentiate in vitro to form organized spheroids in suspension, (c) express multipotency and tissue-specific differentiation markers, (d) generate tumors in vivo through self-renewal mechanisms, (e) undergo in vivo differentiation to produce a disease similar to that in the patient [13]. The observation that stem cells and some CSCs share the common defining features of incompletely differentiated state and self-renewal capacity led to the CSC hypothesis as a possible mechanism for total tumor growth as the result of the proliferation of a small subpopulation of cells [9-11,14].
LIN28, which is an RNA-binding protein, regulates cell growth and differentiation [15]. Developmental timing in Caenorhabditis elegans is regulated by a heterochronic gene pathway. The heterochronic gene LIN28 is a key regulator early in the pathway [16]. LIN28 encodes an approximately 25-kDa protein with two RNA-binding motifs: a so-called “cold shock domain” (CSD) and a pair of retroviral-type CCHC zinc fingers; it is the only known animal protein with this motif pairing. The CSD is a β-barrel structure that binds single-stranded nucleic acids [16]. LIN28 inhibits the biogenesis of a group of microRNAs (miRNAs), among which are the let-7 family miRNAs shown to participate in regulation of the expression of genes involved in cell growth and differentiation [17]. The mechanism underlying selective let-7 inhibition by LIN28 has been studied extensively. The common theme is that LIN28 binds to the terminal loop region of pri/pre-let-7 and blocks their processing [15]. The miRNAs are small RNA molecules (21-23 nucleotides) that act as negative regulators of gene expression either by blocking mRNA translation into protein or through RNA interference [18-21]. Previous studies have reported that dysregulation of specific miRNAs is associated with certain types of cancer, and they are thought to act as either oncogenes or tumor suppressors depending on the target gene [19,21,22]. Furthermore, the miRNA let-7b regulates self-renewal of embryonic stem cells and the proliferation and tumorigenicity of cancer cells by inhibiting cyclin D1 (CCND1) expression [23-25].
In view of the above findings, we sorted a novel CSC subpopulation overexpressing CD44 and LIN28B at the cell surface (CD44+/LIN28B+) from human primary pancreatic cancer tissues. We demonstrated a CD44+/LIN28B+ PCSC subpopulation that proliferates rapidly and exhibits multi-drug resistance, high invasion ability, and adherin. Therefore, CD44+/LIN28B+ PCSCs represent a potentially powerful in vitro model for studying cancer cell metastasis, invasion, and self-renewal and for assessing the effectiveness of novel therapeutics for PDAC.
Materials and methods
Isolation CD44 and LIN28B phenotype cells by magnetic activated cell sorting system
CD44+ and LIN28B+ subpopulation cells were isolated from primary cancer cells from pancreatic cancer tissues using 4 μl of the primary monoclonal antibodies (rabbit anti-human LIN28B-FITC, rabbit anti-human CD44-PE, eBioscience) stored at 4°C in PBS for 30 min in a volume of 1 ml as previously described [7,21]. After reaction, the cells were washed twice in PBS, and were put the secondary monoclonal antibodies (Goat anti-rabbit coupled to magnetic microbeads, Miltenyi Biotec, Auburn, CA), incubated at 10°C in PBS for 15 min and then washed twice in PBS. Single cells were plated at 1000 cells/ml in DMEM: F12 (HyClone), supplemented with 10 ng/ml basic fibroblast growth factor (bFGF), 10 ng/ml epidermal growth factor (EGF), 5 μg/ml insulin and 0.5% bovine serum albumin (BSA) (all from Sigma-Aldrich). All CD44+/LIN28B+ cells were cultured in above conditions as non-adherent spherical clusters which were called PCSCs, and CD44-/LIN28B- cells which were cultured under general conditions as adherent clusters, was called PCCs. All Cells had been cultured on the same conditions until passage 4th before making ulterior experiments. The methods were carried out in accordance with the approved guidelines.
Quantitative Real-time PCR (qRT-PCR) analysis
Total RNA from each cells was isolated using Trizol Reagent (Invitrogen) according to the manufacturer’s protocol. The RNA samples were treated with Dnase I (Sigma-Aldrich), quantified, and reverse-transcribed into cDNA using the ReverTra Ace-α First Strand cDNA Synthesis Kit (TOYOBO). qRT-PCR was conducted using a RealPlex4 real-time PCR detection system from Eppendorf Co. LTD (Germany), with SyBR Green RealTime PCR Master MIX (TOYOBO) used as the detection dye. qRT-PCR amplification was performed over 40 cycles with denaturation at 95°C for 15 sec and annealing at 58°C for 45 sec. Target cDNA was quantified using the relative quantification method. A comparative threshold cycle (Ct) was used to determine gene expression relative to a control (calibrator) and steady-state mRNA levels are reported as an n-fold difference relative to the calibrator. For each sample, the maker genes Ct values were normalized using the formula ΔCt = Ct_markers-Ct_18sRNA. To determine relative expression levels, the following formula was used ΔΔCt = ΔCt_CSCs-ΔCt_CCs. The values used to plot relative expressions of markers were calculated using the expression 2-ΔΔCt. The mRNA levels were calibrated based on levels of 18 s RNA. The cDNA of each stem cell markers was amplified using primers as previously described [21].
Multi-chemodrugs resistant assay
The chemodrugs (casplatin, gemcitabine hydrochloride) resistant assay of each cell was completely performed as previously described [7,21].
Western blotting analysis
Protein extracts of each cell were resolved by 12% SDS-PAGE and transferred on PVDF (Millipore) membranes. After blocking, the PVDF membranes were washed 4 times for 15 min with TBST at room temperature and incubated with primary antibody (rabbit anti-human LIN28B, rabbit anti-human CCND1 all from Cell Signaling Technology). Following extensive washing, membranes were incubated with secondary peroxidase-linked Goat anti- rabbit IgG (Santa Cruz) for 1 h. After washing 4 times for 15 min with TBST at room temperature once more, the immunoreactivity was visualized by enhanced chemiluminescence (ECL kit, Pierce Biotechnology).
Immunofluorescence staining analysis
The cultured cells were washed 3 times with PBS and fixed with 4% paraformaldehyde (Sigma-Aldrich, St. Louis, USA) for 30 min. After blocking, the cells were incubated first antibodies overnight at 4°C, and then with Cy3-conjugated goat anti-rabbit IgG antibody (1:200; Abcam, Cambridge, UK) and 5 μg/ml DAPI (Sigma-Aldrich) at room temperature for 30 min. Then the cells were thoroughly washed with TBST and viewed through a fluorescence microscope (DMI3000; Leica, Allendale, NJ, USA).
Soft agar colony formation assay
All steps were according to the previously described [19]. Soft Agar Assays were constructed in 6-well plates. The base layer of each well consisted of 2 mL with final concentrations of 1 × media (DMEM+10% FBS) and 0.6% low melting point agarose. Plates were chilled at 4°C until solid. Upon this, a 1.0 ml growth agar layer was poured, consisting of 1 × 104 cells suspended in 1 × media and 0.3% low melting point agarose. Plates were again chilled at 4°C until the growth layer congealed. An additional 1.0 ml of 1 × media without agarose was added on top of the growth layer on day 0 and again on day 15 of growth. Cells were allowed to grow at 37°C for 1 month and total colonies counted. Assays were repeated a total of 3 times. Results were statistically analyzed by paired T-test using the PRISM Graphpad program.
Transwell migration assay
All steps were according to the previously described [19]. Cells (2 × 105) were resuspended in 200 μl of serum-free medium and seeded on the top chamber of the 8.0 μm pore, 6.5 mm polycarbonate transwell filters (Corning). The full medium (600 μl) containing 10% FBS was added to the bottom chamber. The cells were allowed to migrate for 24 h at 37°C in a humidified incubator with 5% CO2. The cells attached to the lower surface of membrane were fixed in 4% paraformaldehyde at room temperature for 30 mins and stained with 4,6-diamidino-2-phenylindole (DAPI) (C1002, Beyotime Inst Biotech, China), and the number of cells on the lower surface of the filters was counted under the microscope. A total of 5 fields were counted for each transwell filter.
In vivo xenograft experiments
About 1 × 104 cells (PCSCs or PCCs) were inoculated s.c in athymic nude mice. All mice of 6-7 weeks of age were carried out at Experimental Animal Center of Fudan University and Use Committer approval in accordance with institutional guidelines.
Northern blotting
Northern blotting was done as previously described [20]. For all cell treatment groups, 20 μg of good quality total RNA was analyzed on a 7.5 M urea, 12% PAA denaturing gel and transferred to a Hybond N+ nylon membrane (Amersham, Freiburg, Germany). Membranes were cross-linked using ultraviolet light for 30 s at 1200 mJ/cm2 and hybridized to the let-7b antisense Starfire probe, 5’-AACCACACAACCTACTACCTCA-3’ (Sangon Biotech Co., Ltd, Shanghai, China) for the detection of 22-nt le7-7b fragments, according to the manufacturer’s instructions. After washing, membranes were exposed to Kodak XAR-5 film for 20-40 h (Sigma-Aldrich Chemical). A human U6 snRNA probe (5’-GCAGGGGCCATGCTAATCTTCTCTGTATCG-3’) was used as a positive control, with an exposure time of 15-30 min.
cDNA microarray analysis
Total RNAs of PCSCs and PCCs were labeled using Agilent’s Low RNA Input Fluorescent Linear Amplification kit. Cy3-dCTP or Cy5-dCTP was incorporated during reverse transcription of 5 μg total RNAs into cDNA. Different fluorescently labeled cDNA probes were mixed in 30 μl hybridization buffer (3 × SSC, 0.2% SDS, 5 × Denhardt’s solution and 25% formamide) and applied to the microarray (CapitalBio human mRNA microarray V2.0, CapitalBio, Beijing, China) following incubation at 42°C for 16 h. After hybridization, the slide was washed with 0.2% SDS/2 × SSC at 42°C for 5 min, and then was washed with 0.2 × SSC at room temperature for 5 min. The fluorescent images of the hybridized microarray were scanned with an Agilent Whole Human Genome 4 × 44 microarray scanner system (Santa Clara, CA, USA). Images and quantitative data of the gene-expression levels were analyzed by Agilent’s Feature Extraction (FE) software, version 9.5.
Flow cytometric (FCM) analysis of cell cycle by PI staining
Each group cells were seeded at 3 × 105 per well in 6-well plates and cultured until 85% confluent. Each group cells was washed by PBS on three times, then were collected by centrifugation (Allegra X-22R, Beckman Coulter) at 1000 g for 5 min. The cell pellets were the resuspended in 1 mL of PBS, fixed in 70% ice-cold ethanol, and kept in a freezer more than 48 h. Before flow cytometric analysis, The fixed cells were centrifuged, washed twice with PBS, and resuspended in PI staining solution (Sigma-Aldrich Chemical) containing 50 μL/mL PI and 250 μg/mL RNase A (Sigma-Aldrich Chemical). The cell suspension, which was hidden from light, were incubated for 30 min at 4°C and analyzed using the FACS (FACSAria, BD Bioscience, CA, USA). A total of 20,000 events were acquired for analysis using CellQuest software.
Methyl thiazolyl tetrazolium (MTT) assay for cell proliferation
Each group cells was seeded at 2 × 103 per well in 96-well plates and cultrued in DMEM supplemented with 10% FBS at 37°C with 5% CO2, until 85% confluent. MTT (Sigma Chemicals) reagent (5 mg/ml) was added to the maintenance cell medium at different time points, and incubated at 37°C for an additional 4 h. The reaction was terminated with 150 μL dimethylsulfoxide (DMSO, Sigma Chemicals) per well and the cells were lysed for 15 min, and the plates were gently shaked per 5 min. Absorvance values were determined by using the enzyme linked immunosorbent assay (ELISA) reader (Model 680, Bio-rad) at 490 nm.
Statistical analysis
Each experiment was performed as least three times, and data are shown as the mean ± SE where applicable, and differences were evaluated using Student’s t-tests. The probability of P < 0.05 was considered to be statistically significant.
Results
CD44+/LIN2B+ PCSCs proliferated more rapidly and exhibited multi-drug resistance
We used a magnetic-activated cell sorting system to isolate and enrich the CD44- and LIN28B- overexpressing subpopulation from the primary tumor cells of four human pancreatic cancer tissues. After isolation, cells were quantified by flow cytometry (FCM). CD44+/LIN28B+ PCSCs represented 0.515% ± 0.105% of the total population in four primary pancreatic cancer cells, whereas CD44-/LIN28B- PCCs represented 91.581% ± 2.961% of the total population (Figure 1). These results demonstrated that CD44+/LIN28B+ cells, although very exiguous, could be successfully enriched using magnetic-activated cell sorting. The PCSC and PCC proliferation rates were examined on days 1-6 after passage. All measurements were repeated in triplicate. There was no significant difference in the number of cells in the two groups on days 0-2 (P > 0.05 vs. PCCs; t-tests; n = 3; Figure 1). However, between days 3 and 6, PCSCs divided significantly more rapidly than PCCs (P < 0.05 vs. PCCs; t-tests; n = 3). In addition, the inhibitory rates of cisplatin (0, 5, 15, 30, and 60 ng/mL) and gemcitabine hydrochloride (0, 10, 20, 50, and 100 ng/mL) were measured using the MTT proliferation assay to evaluate PCSC and PCC multi-drug resistance. Cisplatin and gemcitabine hydrochloride inhibited both PCSC and PCC growth. However, PCSCs were significantly less susceptible to the cytotoxic effects of both drugs (Figure 1). Thus, PCSCs were more resistant to cisplatin and gemcitabine hydrochloride than PCCs, suggesting that the CD44+/LIN28B+ subpopulation may be resistant to a broad spectrum of chemotherapeutics.
Figure 1.

Isolation and characterization of CD44+/LIN28B+ cell multi-drug resistance. A. Flow cytometric analysis of the number of pancreatic cells from primary tumor cells from four human pancreatic cancer tissues expressing CD44 and LIN28B. B. Mean numbers of CD44+/LIN28B+ PCSCs and CD44-/LIN28B- PCCs on days 1-6 after passage. *P < 0.05; #P > 0.05 vs. PCCs (n = 3). C. MTT assay results of the effect of cisplatin and gemcitabine hydrochloride on CD44+/LIN28B+ PCSCs and CD44-/LIN28B-PCCs; **P < 0.01; #P > 0.05 vs. PCCs (n = 3).
CD44+/LIN2B+ PCSCs overexpressed stem cell markers
We used quantitative reverse transcription-PCR (qRT-PCR) to compare the relative gene expression levels of several stem cell markers in PCSCs and PCCs; 18S rRNA was used as the internal control. NANOG, OCT4, SOX2, TERT, ABCG2, LIN28B, CD44, CD133, and CD117 expression were all significantly higher in PCSCs than in PCCs (Figure 2). Immunofluorescence staining (IF) confirmed that PCSCs expressed higher levels of the stem cell markers LIN28B, OCT4, SOX2, and NANOG than PCCs (P < 0.01 vs. PCCs; t-tests; n = 3; Figure 2). These results suggested that the CD44+/LIN28B+ subpopulation possesses stem cell characteristics.
Figure 2.

Increased stem cell marker expression and invasion ability in CD44+/LIN28B+ PCSCs compared to CD44-/LIN28B- PCCs. A. QRT-PCR analysis of the relative expression levels of stem cell marker genes in PCSCs and PCCs; **P < 0.01; #P > 0.05 vs. PCCs (n = 3). B. IF of NANOG, SOX2, OCT4, and LIN28B in PCSCs and PCCs; original magnification × 200. C. Transwell assays of PCSCs and PCCs; **P < 0.01; #P > 0.05 vs. PCCs (n = 3). D. Soft agar colony formation assays of PCSCs and PCCs plated at low density; **P < 0.01; #P > 0.05 vs. PCCs (n = 3).
CD44+/LIN2B+ PCSCs possessed increased migratory and invasive ability
The ability of PCSCs and PCCs to migrate and invade was determined using the Transwell migration assay and soft agar colony formation assay, respectively (Figure 2). The Transwell assay revealed that significantly fewer PCCs invaded compared to PCSCs (invading cell numbers: PCSCs, 18 ± 2 vs. PCCs, 5 ± 1; P < 0.01 vs. PCCs; t-tests; n = 3). The soft agar colony formation assay indicated that PCCs formed substantially fewer colonies when plated at low density than PCSCs (colony formation efficiency: PCCs, 37.40% ± 3.71% vs. PCSCs, 10.05% ± 1.39%; P < 0.01 vs. PCCs; t-tests; n = 3).
CD44+/LIN2B+ PCSCs induced tumor growth in vivo
To evaluate the tumorigenic capacity of PCSCs and PCCs, 1 × 104 cells were inoculated subcutaneously into athymic nude mice. Tumors were visible in the PCSC-inoculated mice after 1 month. However, PCC-inoculated mice did not exhibit detectable tumors at the same time point (Figure 3). Very small tumors were detected in PCC-injected mice after three months. When the mice were sacrificed four months after injection, the tumors formed by PCSCs were significantly heavier than that formed by PCCs (P < 0.05 vs. PCCs; t-tests; n = 4). The cell proliferation-related protein Ki-67 was analyzed in tumor sections using immunohistochemistry. The tumors formed by PCSCs displayed positive or strongly positive Ki-67 staining; those formed by PCCs exhibited only weak Ki-67 immunoreactivity (Figure 3). These results were the same as that of Ras protein expression (Figure 3). Representative hematoxylin and eosin (HE)-stained sections of all subcutaneous xenograft tumors derived from CD44+/LIN28B+ PCSCs were categorized as moderately or poorly differentiated human pancreatic carcinoma (Figure 3). Taken together, the in vivo xenograft model indicated that low numbers of the CD44+/LIN28B+ subpopulation have the potential to initiate tumor growth. On the other hand, the results showed that CD44+/LIN28B+ human PCSCs were formatted sphere cells in day 3 after plating (Figure 4). These populations were non-adherent and non-symmetric cell clones. When spheres were enzymatically dissociated to single cells, they could give rise to spheres again. This procedure could be repeated, and the sphere proliferated faster than the cells under differentiating conditions. Then, the limiting dilution transplantation assay was used to determine the ability to cause tumor of CD44+/LIN28B+ human PCSCs. All CD44+/LIN28B+ human PCSCs were divided into 5 groups, each group was about 1 × 10 cells, 1 × 102 cells, 1 × 103 cells, 1 × 104 cells, and 1 × 105 cells. Each group cells were inoculated s.c in athymic nude mice, respectively. After 1 month, very small tumors were detected in 1 × 103 cells PCSCs-injected mice. But, the tumor derived from 1 × 104 cells PCSCs-injected mice or 1 × 105 cells PCSCs-injected mice was larger significantly than above tumor. However, neither 1 × 10 cells PCSCs-injected mice nor 1 × 102 cells PCSCs-injected mice exhibited detectable tumors at the same time point (Figure 4). There assays revealed that the quantitative dependence of PCSCs oncogenicity in vivo.
Figure 3.

Increased in vivo tumor formation ability in CD44+/LIN28B+ PCSCs compared to CD44-/LIN28B- PCCs. CD44+/LIN28B+ PCSCs or CD44-/LIN28B- PCCs were subcutaneously inoculated into severe combined immunodeficient (SCID) mice to form in vivo xenografts. A. Representative images of mice with xenograft tumors; yellow rings indicate tumor tissues. B. Tumor growth delay. Tumors formed by the CD44-/LIN28B- PCCs grew more slowly; **P < 0.01, *P < 0.05, and #P > 0.05 vs. PCSC group (n = 4). C. Tumor weight; **P < 0.01 vs. PCSC group (n = 4). D. HE staining of PCSC and PCC tumors revealing cellular heterogeneity of the tumors; original magnification × 200. E. Immunohistochemical staining of the cell proliferation markers Ki67 and Ras indicating weakly positive staining in PCSC tumors and positive or strongly positive staining in PCC tumors; original magnification × 200.
Figure 4.

Tumor sphere assay and limiting dilution transplantation assays in vitro and in vivo. A. Tumor sphere assay in vitro. The CD44+/LIN28B+ human PCSCs were formatted non-adherent and non-symmetric cell clones in day 3 after plating. Blue arrow indicated the sphere cell clone; the white arrow indicated the single cell. original magnification × 200. B. The limiting dilution transplantation assays in vivo. All CD44+/LIN28B+ human PCSCs were divided into 5 groups, each group was about 1 × 10 cells (a), 1×102 cells (b), 1 × 103 cells (c), 1 × 104 cells (d), and 1 × 105 cells (e). Each group cells were inoculated s.c in athymic nude mice, respectively. C. HE staining of PCSC tumors revealing cellular heterogeneity of the tumors; original magnification × 200. D. Immunohistochemical staining of the cell proliferation markers Ki67 and Ras indicating positive staining in PCSC tumors; original magnification × 200.
Microarray analysis of cDNA expression patterns of CD44+/LIN28B+ PCSCs and CD44-/LIN28B- PCCs
To evaluate the difference in gene expression patterns of CD44+/LIN28B+ PCSCs and CD44-/LIN28B- PCCs, we prepared a CapitalBio human mRNA microarray V2.0 containing 35000 oligonucleotide probes complementary to known mammalian gene cDNA. Significance microarray analysis and a fold-change criterion (log10 [PCSCs/PCCs] ratio) of > 2 and q-value < 0.01 were used to identify significant differences. Using these criteria, we identified 1456 gene mRNAs that were differentially expressed in the PCSCs vs. PCCs [among them, 50 gene mRNAs were upregulated (Table 1); 139 gene mRNAs were downregulated (Table 2)]. Notably, the scatter plot analysis of the gene mRNA microarray results (scatter plot depicts log10-transformed ratios obtained from PCSCs mRNA hybridization vs. PCCs mRNA hybridization) indicated differing expression of a certain number of mRNAs between PCSCs vs. PCCs (Figure 5). These results demonstrate that gene mRNA expression patterns in PCSCs were significantly different from that of PCCs.
Table 1.
Upregulated expression genes
| Genbank Accession | Gene Symbol | Gene Name | Ratio = Log[(PCSCs/PCCs)] (Ratio > 2) |
|---|---|---|---|
| NM_001004317 | LIN28B | lin-28 homolog B (C. elegans) | 3.151903885 |
| NM_002364 | MAGEB2 | melanoma antigen family B, 2 | 3.03093709 |
| NM_017410 | HOXC13 | homeobox C13 | 2.951947556 |
| NM_000523 | HOXD13 | homeobox D13 | 2.757556259 |
| NM_138815 | DPPA2 | developmental pluripotency associated 2 | 2.710770922 |
| NM_001008 | RPS4Y1 | ribosomal protein S4, Y-linked 1 | 2.702608074 |
| NM_004405 | DLX2 | distal-less homeobox 2 | 2.636932885 |
| NM_173553 | TRIML2 | tripartite motif family-like 2 | 2.624075551 |
| NM_001008223 | C1QL4 | complement component 1, q subcomponent-like 4 | 2.622575612 |
| NM_021796 | PLAC1 | placenta-specific 1 | 2.621359161 |
| NM_006237 | POU4F1 | POU class 4 homeobox 1 | 2.612859931 |
| NM_033176 | NKX2-4 | NK2 homeobox 4 | 2.583539063 |
| NM_031896 | CACNG7 | calcium channel, voltage-dependent, gamma subunit 7 | 2.538431113 |
| NM_001039567 | RPS4Y2 | ribosomal protein S4, Y-linked 2 | 2.537580073 |
| NM_031959 | KRTAP3-2 | keratin associated protein 3-2 | 2.497118083 |
| NM_001004339 | ZYG11A | zyg-11 homolog A (C. elegans) | 2.430087357 |
| NM_006546 | IGF2BP1 | insulin-like growth factor 2 mRNA binding protein 1 | 2.427697184 |
| NM_002302 | LECT2 | leukocyte cell-derived chemotaxin 2 | 2.378282143 |
| NM_153426 | PITX2 | paired-like homeodomain 2 | 2.373912239 |
| NM_024016 | HOXB8 | homeobox B8 | 2.370713213 |
| BC041859 | LOC780529 | uncharacterized LOC780529 | 2.345185492 |
| NM_012159 | FBXL21 | F-box and leucine-rich repeat protein 21 (gene/pseudogene) | 2.297666083 |
| NM_021192 | HOXD11 | homeobox D11 | 2.259208887 |
| NM_015557 | CHD5 | chromodomain helicase DNA binding protein 5 | 2.250969281 |
| NM_175868 | MAGEA6 | melanoma antigen family A, 6 | 2.239072235 |
| NM_018057 | SLC6A15 | solute carrier family 6 (neutral amino acid transporter), member 15 | 2.204335394 |
| NM_001112704 | VAX1 | ventral anterior homeobox 1 | 2.196077489 |
| NM_001135254 | PAX7 | paired box 7 | 2.190715712 |
| NM_005249 | FOXG1 | forkhead box G1 | 2.184094348 |
| NM_000853 | GSTT1 | glutathione S-transferase theta 1 | 2.176253033 |
| BC039509 | LOC643401 | uncharacterized LOC643401 | 2.159535507 |
| NM_025218 | ULBP1 | UL16 binding protein 1 | 2.154874271 |
| NM_007129 | ZIC2 | Zic family member 2 | 2.118906696 |
| NM_021571 | CARD18 | caspase recruitment domain family, member 18 | 2.102380764 |
| NM_003317 | NKX2-1 | NK2 homeobox 1 | 2.102375865 |
| NM_016358 | IRX4 | iroquois homeobox 4 | 2.101351184 |
| NM_021954 | GJA3 | gap junction protein, alpha 3, 46kDa | 2.098052216 |
| NM_024885 | TAF7L | TAF7-like RNA polymerase II, TATA box binding protein (TBP)-associated factor, 50kDa | 2.094765437 |
| NM_021240 | DMRT3 | doublesex and mab-3 related transcription factor 3 | 2.090471549 |
| NM_001122665 | DDX3Y | DEAD (Asp-Glu-Ala-Asp) box polypeptide 3, Y-linked | 2.089953594 |
| NM_001004441 | ANKRD34B | ankyrin repeat domain 34B | 2.08759533 |
| NM_182767 | SLC6A15 | solute carrier family 6 (neutral amino acid transporter), member 15 | 2.086853364 |
| NM_203486 | DLL3 | delta-like 3 (Drosophila) | 2.083388477 |
| NM_152739 | HOXA9 | homeobox A9 | 2.057843835 |
| NM_004988 | MAGEA1 | melanoma antigen family A, 1 (directs expression of antigen MZ2-E) | 2.043918381 |
| NM_006361 | HOXB13 | homeobox B13 | 2.018953044 |
| NM_018712 | ELMOD1 | ELMO/CED-12 domain containing 1 | 2.018650868 |
| NM_003108 | SOX11 | SRY (sex determining region Y)-box 11 | 2.011435863 |
| NM_024017 | HOXB9 | homeobox B9 | 2.001178387 |
Table 2.
Downregulated expression genes
| Genbank Accession | Gene Symbol | Gene Name | Ratio = Log[(PCSCs/PCCs)] (Ratio > 2) |
|---|---|---|---|
| NM_001906 | CTRB1 | chymotrypsinogen B1 | 4.253352655 |
| NM_001869 | CPA2 | carboxypeptidase A2 (pancreatic) | 4.114128823 |
| NM_001871 | CPB1 | carboxypeptidase B1 (tissue) | 4.073897547 |
| NM_006507 | REG1B | regenerating islet-derived 1 beta | 3.98556258 |
| NM_001007240 | GP2 | glycoprotein 2 (zymogen granule membrane) | 3.957646381 |
| NM_000936 | PNLIP | pancreatic lipase | 3.941809299 |
| NM_001008387 | REG3G | regenerating islet-derived 3 gamma | 3.809492882 |
| NM_006217 | SERPINI2 | serpin peptidase inhibitor, clade I (pancpin), member 2 | 3.726041579 |
| NM_007352 | CELA3B | chymotrypsin-like elastase family, member 3B | 3.721707666 |
| NM_005747 | CELA3A | chymotrypsin-like elastase family, member 3A | 3.679697239 |
| NM_019617 | GKN1 | gastrokine 1 | 3.650917342 |
| NM_182536 | GKN2 | gastrokine 2 | 3.608465143 |
| NM_015849 | CELA2B | chymotrypsin-like elastase family, member 2B | 3.387080468 |
| NM_007352 | CELA3B | chymotrypsin-like elastase family, member 3B | 3.37675489 |
| NM_002909 | REG1A | regenerating islet-derived 1 alpha | 3.339716528 |
| NM_198998 | AQP12A | aquaporin 12A | 3.332356441 |
| NM_033440 | CELA2A | chymotrypsin-like elastase family, member 2A | 3.216462824 |
| NM_001285 | CLCA1 | chloride channel accessory 1 | 3.186337576 |
| NM_000928 | PLA2G1B | phospholipase A2, group IB (pancreas) | 3.176664135 |
| NM_007272 | CTRC | chymotrypsin C (caldecrin) | 3.133808678 |
| NM_001443 | FABP1 | fatty acid binding protein 1, liver | 3.10178095 |
| NM_001041 | SI | sucrase-isomaltase (alpha-glucosidase) | 3.077879399 |
| NM_001633 | AMBP | alpha-1-microglobulin/bikunin precursor | 3.043261652 |
| NM_000477 | ALB | albumin | 3.001962782 |
| NM_014276 | RBPJL | recombination signal binding protein for immunoglobulin kappa J region-like | 2.973692081 |
| NM_019010 | KRT20 | keratin 20 | 2.961282952 |
| NM_001040462 | BTNL8 | butyrophilin-like 8 | 2.925304863 |
| NM_001868 | CPA1 | carboxypeptidase A1 (pancreatic) | 2.908065427 |
| NM_001040105 | MUC17 | mucin 17, cell surface associated | 2.885213886 |
| NM_000349 | STAR | steroidogenic acute regulatory protein | 2.868034449 |
| NM_014471 | SPINK4 | serine peptidase inhibitor, Kazal type 4 | 2.847637265 |
| NM_178161 | PTF1A | pancreas specific transcription factor, 1a | 2.840800222 |
| NM_001145643 | PHGR1 | proline/histidine/glycine-rich 1 | 2.807670721 |
| NM_144696 | AXDND1 | axonemal dynein light chain domain containing 1 | 2.794013389 |
| NM_152321 | ERP27 | endoplasmic reticulum protein 27 | 2.783485155 |
| NM_001644 | APOBEC1 | apolipoprotein B mRNA editing enzyme, catalytic polypeptide 1 | 2.779192438 |
| NM_017625 | ITLN1 | intelectin 1 (galactofuranose binding) | 2.774310879 |
| NM_007272 | CTRC | chymotrypsin C (caldecrin) | 2.756421395 |
| NM_005588 | MEP1A | meprin A, alpha (PABA peptide hydrolase) | 2.720645656 |
| NM_005747 | CELA3A | chymotrypsin-like elastase family, member 3A | 2.698310666 |
| NM_003889 | NR1I2 | nuclear receptor subfamily 1, group I, member 2 | 2.679493358 |
| NM_032044 | REG4 | regenerating islet-derived family, member 4 | 2.675557226 |
| NM_001136485 | C11orf86 | chromosome 11 open reading frame 86 | 2.673767266 |
| NM_001832 | CLPS | colipase, pancreatic | 2.671370467 |
| NM_006229 | PNLIPRP1 | pancreatic lipase-related protein 1 | 2.670896325 |
| NM_000492 | CFTR | cystic fibrosis transmembrane conductance regulator (ATP-binding cassette sub-family C, member 7) | 2.663599825 |
| NM_005459 | GUCA1C | guanylate cyclase activator 1C | 2.642911633 |
| NM_003465 | CHIT1 | chitinase 1 (chitotriosidase) | 2.629621307 |
| NM_001076 | UGT2B15 | UDP glucuronosyltransferase 2 family, polypeptide B15 | 2.629470167 |
| NM_170741 | KCNJ16 | potassium inwardly-rectifying channel, subfamily J, member 16 | 2.592859069 |
| NM_032044 | REG4 | regenerating islet-derived family, member 4 | 2.582210072 |
| NM_001907 | CTRL | chymotrypsin-like | 2.578185726 |
| NM_001807 | CEL | carboxyl ester lipase (bile salt-stimulated lipase) | 2.564669478 |
| NM_138938 | REG3A | regenerating islet-derived 3 alpha | 2.540410193 |
| NM_005621 | S100A12 | S100 calcium binding protein A12 | 2.507022164 |
| NM_152491 | PM20D1 | peptidase M20 domain containing 1 | 2.473104564 |
| NM_001086 | AADAC | arylacetamide deacetylase (esterase) | 2.467135126 |
| NM_003225 | TFF1 | trefoil factor 1 | 2.463144163 |
| NM_001003811 | TEX11 | testis expressed 11 | 2.450551531 |
| NM_000111 | SLC26A3 | solute carrier family 26, member 3 | 2.44439235 |
| NM_003296 | CRISP2 | cysteine-rich secretory protein 2 | 2.440968817 |
| NM_002443 | MSMB | microseminoprotein, beta- | 2.434490133 |
| NM_005621 | S100A12 | S100 calcium binding protein A12 | 2.424419104 |
| NM_000253 | MTTP | microsomal triglyceride transfer protein | 2.423321574 |
| NM_001039112 | FER1L6 | fer-1-like 6 (C. elegans) | 2.406190944 |
| NM_005495 | SLC17A4 | solute carrier family 17 (sodium phosphate), member 4 | 2.398680041 |
| NM_001080538 | AKR1B15 | aldo-keto reductase family 1, member B15 | 2.396507273 |
| NM_032787 | GPR128 | G protein-coupled receptor 128 | 2.381097185 |
| NM_002153 | HSD17B2 | hydroxysteroid (17-beta) dehydrogenase 2 | 2.366343469 |
| NM_001185 | AZGP1 | alpha-2-glycoprotein 1, zinc-binding | 2.365710298 |
| NM_006229 | PNLIPRP1 | pancreatic lipase-related protein 1 | 2.363652616 |
| NM_016369 | CLDN18 | claudin 18 | 2.34702268 |
| NM_001216 | CA9 | carbonic anhydrase IX | 2.344158438 |
| NM_002181 | IHH | Indian hedgehog | 2.334859325 |
| NM_005420 | SULT1E1 | sulfotransferase family 1E, estrogen-preferring, member 1 | 2.33310927 |
| NM_170736 | KCNJ15 | potassium inwardly-rectifying channel, subfamily J, member 15 | 2.326162651 |
| NM_020299 | AKR1B10 | aldo-keto reductase family 1, member B10 (aldose reductase) | 2.3217617 |
| NM_020299 | AKR1B10 | aldo-keto reductase family 1, member B10 (aldose reductase) | 2.321622661 |
| NM_021969 | NR0B2 | nuclear receptor subfamily 0, group B, member 2 | 2.295677518 |
| NM_005423 | TFF2 | trefoil factor 2 | 2.283895997 |
| NM_001101404 | SH2D7 | SH2 domain containing 7 | 2.275404367 |
| NM_019596 | C21orf62 | chromosome 21 open reading frame 62 | 2.275342284 |
| NM_004212 | SLC28A2 | solute carrier family 28 (sodium-coupled nucleoside transporter), member 2 | 2.271658804 |
| NM_005814 | GPA33 | glycoprotein A33 (transmembrane) | 2.269666309 |
| NM_005950 | MT1G | metallothionein 1G | 2.263322944 |
| NM_033050 | SUCNR1 | succinate receptor 1 | 2.258936505 |
| NM_001074 | UGT2B7 | UDP glucuronosyltransferase 2 family, polypeptide B7 | 2.257942574 |
| NM_014080 | DUOX2 | dual oxidase 2 | 2.251638427 |
| NM_007193 | ANXA10 | annexin A10 | 2.24536539 |
| NM_080870 | DPCR1 | diffuse panbronchiolitis critical region 1 | 2.227683528 |
| NM_153343 | ENPP6 | ectonucleotide pyrophosphatase/phosphodiesterase 6 | 2.212974443 |
| NM_001080468 | SYCN | syncollin | 2.205592389 |
| NM_002927 | RGS13 | regulator of G-protein signaling 13 | 2.204853321 |
| NM_198477 | CXCL17 | chemokine (C-X-C motif) ligand 17 | 2.202850396 |
| NM_001080405 | CEACAM18 | carcinoembryonic antigen-related cell adhesion molecule 18 | 2.20198379 |
| NM_001721 | BMX | BMX non-receptor tyrosine kinase | 2.200051762 |
| NM_000384 | APOB | apolipoprotein B (including Ag(x) antigen) | 2.199449748 |
| NM_005951 | MT1H | metallothionein 1H | 2.196296242 |
| NM_000128 | F11 | coagulation factor XI | 2.195335353 |
| NM_001073 | UGT2B11 | UDP glucuronosyltransferase 2 family, polypeptide B11 | 2.194853528 |
| NM_003963 | TM4SF5 | transmembrane 4 L six family member 5 | 2.194043134 |
| NM_000341 | SLC3A1 | solute carrier family 3 (cystine, dibasic and neutral amino acid transporters, activator of cystine, dibasic and neutral amino acid transport), member 1 | 2.19054256 |
| NM_007072 | HHLA2 | HERV-H LTR-associating 2 | 2.186569068 |
| NM_001169 | AQP8 | aquaporin 8 | 2.185414667 |
| NM_006061 | CRISP3 | cysteine-rich secretory protein 3 | 2.174405317 |
| NM_004063 | CDH17 | cadherin 17, LI cadherin (liver-intestine) | 2.169387832 |
| NM_024743 | UGT2A3 | UDP glucuronosyltransferase 2 family, polypeptide A3 | 2.163743137 |
| NM_170736 | KCNJ15 | potassium inwardly-rectifying channel, subfamily J, member 15 | 2.156444411 |
| NM_021161 | KCNK10 | potassium channel, subfamily K, member 10 | 2.135896894 |
| NM_001080527 | MYO7B | myosin VIIB | 2.135028806 |
| NM_138969 | SDR16C5 | short chain dehydrogenase/reductase family 16C, member 5 | 2.117283297 |
| NM_203395 | IYD | iodotyrosine deiodinase | 2.109420053 |
| NM_194439 | RNF212 | ring finger protein 212 | 2.108893597 |
| NM_001085382 | PSAPL1 | prosaposin-like 1 (gene/pseudogene) | 2.106102812 |
| NM_004132 | HABP2 | hyaluronan binding protein 2 | 2.105420932 |
| NM_001807 | CEL | carboxyl ester lipase (bile salt-stimulated lipase) | 2.104908892 |
| NM_001040105 | MUC17 | mucin 17, cell surface associated | 2.103367532 |
| NM_003015 | SFRP5 | secreted frizzled-related protein 5 | 2.102989014 |
| NM_006418 | OLFM4 | olfactomedin 4 | 2.092198248 |
| NM_004963 | GUCY2C | guanylate cyclase 2C (heat stable enterotoxin receptor) | 2.087387429 |
| NM_001010903 | C6orf222 | chromosome 6 open reading frame 222 | 2.083954408 |
| NM_145650 | MUC15 | mucin 15, cell surface associated | 2.077301731 |
| NM_002639 | SERPINB5 | serpin peptidase inhibitor, clade B (ovalbumin), member 5 | 2.076055664 |
| NM_000277 | PAH | phenylalanine hydroxylase | 2.075090795 |
| NM_014465 | SULT1B1 | sulfotransferase family, cytosolic, 1B, member 1 | 2.068579425 |
| NM_206819 | MYBPC1 | myosin binding protein C, slow type | 2.057838856 |
| NM_001079807 | PGA3 | pepsinogen 3, group I (pepsinogen A) | 2.047264536 |
| NM_207581 | DUOXA2 | dual oxidase maturation factor 2 | 2.042660099 |
| NM_080658 | ACY3 | aspartoacylase (aminocyclase) 3 | 2.037460662 |
| NM_152311 | CLRN3 | clarin 3 | 2.036559534 |
| NM_001010857 | LELP1 | late cornified envelope-like proline-rich 1 | 2.033215345 |
| NM_182983 | HPN | hepsin | 2.028306399 |
| NM_024533 | CHST5 | carbohydrate (N-acetylglucosamine 6-O) sulfotransferase 5 | 2.027032681 |
| NM_005379 | MYO1A | myosin IA | 2.024188703 |
| NM_024921 | POF1B | premature ovarian failure, 1B | 2.020794379 |
| NM_212557 | AMTN | amelotin | 2.017073209 |
| NM_003226 | TFF3 | trefoil factor 3 (intestinal) | 2.013612065 |
| NM_000035 | ALDOB | aldolase B, fructose-bisphosphate | 2.011105368 |
Figure 5.

Microarray analysis of cDNA expression patterns in CD44+/LIN28B+ PCSCs vs. CD44-/LIN28B- PCCs. A. Cluster analysis of differentially expressed gene mRNAs in CD44+/LIN28B+ PCSCs vs. CD44-/LIN28B- PCCs. B. Scatter plot indicating differing mRNA expression between CD44+/LIN28B+ PCSCs vs. CD44-/LIN28B- PCCs.
Suppression of endogenous LIN28B expression in CD44+/LIN2B+ PCSC decreased proliferation while stimulating let-7b expression to interfere with CCND1 expression
To determine whether endogenous LIN28B interfered with expression of the promoter miRNA let-7b and influenced CD44+/LIN2B+ PCSC proliferation, siRNA-LIN28B and siRNA-Mock were transfected into CD44+/LIN2B+ PCSCs. The efficiency of the transfected siRNA on mRNA and protein expression was detected by western and northern blotting, respectively. Western blotting (Figure 6) showed that LIN28B and CCND1 expression in PCSCs transfected with siRNA-Mock (0.700 ± 0.078; 0.897 ± 0.041, respectively) was higher than that in PCSCs transfected with siRNA-LIN28B (0.170 ± 0.031; 0.433 ± 0.027, respectively; P < 0.05 vs. siRNA-Mock; t-tests; n = 3). These results demonstrated that siRNA-LIN28B specifically interfered with LIN28B expression in PCSCs; at the same time, it weakened CCND1 expression. Northern blotting revealed a strong let-7b hybridization signal in PCSCs transfected with siRNA-LIN28B compared with PCSCs transfected with siRNA-Mock (Figure 5). To determine whether LIN28B interference would suppress PCSC proliferation, inhibition at 0, 24, 48, and 72 h was measured by MTT assay (Figure 6). At 48 h and 72 h, PCSCs transfected with siRNA-Mock were significantly less susceptible to the proliferation inhibitory effect than PCSCs transfected with siRNA-LIN28B (P < 0.01 vs. siRNA-Mock; t-tests; n = 3; Figure 6). FCM demonstrated significant cell cycle arrest of PCSCs transfected with siRNA-LIN28B. Compared with PCSCs transfected with siRNA-Mock, PCSCs transfected with siRNA-LIN28B were arrested in the G0/G1 phase and the percentage of S-phase cells was significantly decreased (P < 0.05 vs. siRNA-Mock; t-tests; n = 3; Figure 6). These data indicate that not only was endogenous let-7b expression promoted and CCND1 inhibited in the CD44+/LIN28B+ PCSCs, but also that proliferation of the subpopulation was weakened when endogenous LIN28B was suppressed.
Figure 6.

Suppression of LIN28B expression in CD44+/LIN2B+ PCSCs decreased proliferation while stimulating let-7b expression to interfere with CCND1 expression. A. Western blotting confirming that CCND1 expression was significantly decreased in siRNA-LIN28B–transfected PCSCs compared to siRNA-Mock-transfected PCSCs. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as a loading control; **P < 0.01, *P < 0.05, and #P > 0.05 vs. siRNA-Mock (n = 3). B. Northern blotting indicating a strong let-7b hybridization signal in siRNA-LIN28B-transfected PCSCs compared to siRNA-Mock-transfected PCSCs. C. MTT assay of the effect of proliferation inhibition in siRNA-LIN28B-transfected PCSCs compared to siRNA-Mock-transfected PCSCs; **P < 0.01, #P > 0.05 vs. siRNA-Mock; (n = 3). D. FCM showing that compared to siRNA-Mock-transfected cells, siRNA-LIN28B-transfected PCSCs were arrested in the G0/G1 phase and the percentage of S-phase cells was significantly decreased.
Discussion
Since pancreatic CSCs were first found in pancreatic cancer tissue, it was generally believed that they were closely associated with both high proliferation and invasion ability, and difficult early-stage diagnosis and poor recurrence-free prognosis. However, knowledge of the biological characteristics of PCSCs is limited. Although it has been reported that the CD31+/CD45+, Hoechst 33342-/CD133+/ALDH1+, ESA+/CD44+, and CD24+/CD44+ subpopulations in pancreatic cancer not only overexpress stem cell markers [1,3,4,6,12], but also exhibit high self-renewal and migratory ability and multi-drug resistance, we believe that there are other subpopulations that possess PCSC characteristics in primary pancreatic cancer tissues. Referring to previous studies, we found that LIN28B regulated not only embryonic stem cells, but also cancer cell self-renewal. When exogenous LIN28 was overexpressed in host cells, the proliferation ability in these cells increased significantly. This indicates that LIN28B is a positive regulator of cell proliferation. As CD44 expression occurs in a wide variety of CSCs, we used CD44 and LIN28B as CSC markers to sort PCSCs from primary pancreatic cancer cells. Although the CD44+/LIN28B+ subpopulation share in the overall cell population was very low, it exists at a certain ratio in the tumor tissues of many pancreatic cancer patients. We determined the CSC characteristics of CD44+/LIN28B+ and CD44-/LIN28B- pancreatic cancer cells. We found that not only self-renewal ability, but also migratory ability and multi-drug resistance were higher in CD44+/LIN28B+ cells than in CD44-/LIN28B- cells. Moreover, there was high expression of stem cell markers by CD44+/LIN28B+ cells, and the cells exhibited high tumorigenic ability in vivo. In view of these results, we believe that the CD44+/LIN28B+ subpopulation in pancreatic cancer cells also possesses PCSC characteristics.
The other reason for using LIN28B as a PCSC sorting marker is that it regulates OCT4 expression in CSCs. Qiu and Huang [26] reported that LIN28 mediated post-transcriptional regulation of OCT4 expression in human embryonic stem cells. They found that LIN28 binds OCT4 mRNA directly through high-affinity sites within its coding region and that interaction between LIN28 and RNA helicase A may play a part in the observed regulation. They further demonstrated that decreasing RNA helicase A levels impaired LIN28-dependent stimulation of translation in a reporter system [26]. In view of many reports demonstrating that CSCs also overexpress stem cell markers, such as OCT4, SOX2, and NANOG, we hypothesized that pancreatic cancer cells expressed high levels of stem cell markers, such as the LIN28B-overexpressing subpopulation. Our findings demonstrated that stem cell marker expression in CD44+/LIN28B+ PCSCs was significantly higher than that in CD44-/LIN28B- cells.
In conclusion, CD44+/LIN28B+ PCSCs not only express high levels of stem cell markers, but also possess strong self-renewal and migratory ability and multi-drug resistance in vitro and are tumorigenic in vivo.
Acknowledgements
This work was supported by grant from National Natural Science Foundation of China (No. 81202811), and Project funded by China Postdoctoral Science Foundation (No. 2014M550250), and Shanghai Municipal Health Bureau Fund (No. 20124320) to Te Liu.
Disclosure of conflict of interest
None.
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