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CD44-positive cells are responsible for gemcitabine resistance in pancreatic cancer cells.

 Sung Pil Hong  ;  Jing Wen  ;  Seungmin Bang  ;  Seungwoo Park  ;  Si Young Song 
 INTERNATIONAL JOURNAL OF CANCER, Vol.125(10) : 2323-2331, 2009 
Journal Title
Issue Date
ATP Binding Cassette Transporter, Sub-Family B ; ATP-Binding Cassette, Sub-Family B, Member 1/antagonists & inhibitors ; ATP-Binding Cassette, Sub-Family B, Member 1/genetics ; ATP-Binding Cassette, Sub-Family B, Member 1/metabolism ; Adenocarcinoma/drug therapy ; Adenocarcinoma/metabolism ; Adenocarcinoma/pathology ; Animals ; Antimetabolites, Antineoplastic/therapeutic use* ; Blotting, Western ; Cell Line, Tumor ; Colony-Forming Units Assay ; Deoxycytidine/analogs & derivatives* ; Deoxycytidine/therapeutic use ; Drug Resistance, Neoplasm* ; Humans ; Hyaluronan Receptors/metabolism* ; Immunoenzyme Techniques ; Male ; Mice ; Mice, Inbred BALB C ; Neoplastic Stem Cells/drug effects ; Pancreatic Neoplasms/drug therapy* ; Pancreatic Neoplasms/metabolism* ; Pancreatic Neoplasms/pathology ; RNA, Messenger/genetics ; RNA, Messenger/metabolism ; RNA, Small Interfering/pharmacology ; Reverse Transcriptase Polymerase Chain Reaction ; Survival Rate ; Xenograft Model Antitumor Assays
pancreatic cancer ; drug resistance ; cancer stem cell ; cellsurface marker ; ATP-binding cassette transporter
Accumulating evidence suggests that tumors are composed of a heterogeneous cell population with a small subset of cancer stem cells (CSCs) that sustain tumor formation and growth. Recently, there have been efforts to explain drug resistance of cancer cells based on the concept of CSCs having an intrinsic detoxifying mechanism. In the present study, to investigate the role of CSCs in acquiring chemoresistance in pancreatic cancer, gemcitabine-resistant cells were established by exposure to serially escalated doses of gemcitabine in HPAC and CFPAC-1 cells. Gemcitabine-resistant cells were more tumorigenic in vitro and in vivo, and had greater sphere-forming activity than parental cells. After high-dose gemcitabine treatment to eliminate most of the cells, CD44(+) cells proliferated and reconstituted the population of resistant cells. CD44(+)CD24(+)ESA(+) cells remained as a small subset in the resistant cell population. Among ATP-binding cassette (ABC) transporters, which are known as the mechanism of drug resistance in CSCs, ABCB1 (MDR1) was significantly augmented during the acquisition of drug resistance. ABC transporter inhibitor verapamil resensitized the resistant cells to gemcitabine in a dose-dependent manner and RNA interference of CD44 inhibited the clonogenic activity of resistant cells. In human pancreatic cancer samples, CD44 expression was correlated with histologic grade and the patients with CD44-positive tumors showed poor prognosis. These data indicate that cancer stem-like cells were expanded during the acquisition of gemcitabine resistance and in therapeutic application, targeted therapy against the CD44 or ABC transporter inhibitors could be applied to overcome drug resistance in the treatment of pancreatic cancer.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Wen, Jing(문정)
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Bang, Seungmin(방승민) ORCID logo https://orcid.org/0000-0001-5209-8351
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Hong, Sung Pil(홍성필)
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