Abstract
Cancer stem cells (CSCs) are a promising target for treating cancer, yet how CSC plasticity is maintained in vivo is unclear and is difficult to study in vitro. Here we establish a sustainable primary culture of Oct3/4(+)/Nanog(+) lung CSCs fed with CD90(+) cancer-associated fibroblasts (CAFs) to further advance our knowledge of preserving stem cells in the tumour microenvironment. Using transcriptomics we identify the paracrine network by which CAFs enrich CSCs through de-differentiation and reacquisition of stem cell-like properties. Specifically, we find that IGF1R signalling activation in cancer cells in the presence of CAFs expressing IGF-II can induce Nanog expression and promote stemness. Moreover, this paracrine signalling predicts overall and relapse-free survival in stage I non-small cell lung cancer (NSCLC) patients. IGF-II/IGF1R signalling blockade inhibits Nanog expression and attenuates cancer stem cell features. Our data demonstrate that CAFs constitute a supporting niche for cancer stemness, and targeting this paracrine signalling may present a new therapeutic strategy for NSCLC.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adenocarcinoma / genetics*
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Adenocarcinoma / metabolism
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Aged
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Aged, 80 and over
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Animals
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Carcinoma, Squamous Cell / genetics*
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Carcinoma, Squamous Cell / metabolism
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Cells, Cultured
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Female
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Fibroblasts / metabolism*
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Gene Expression Profiling
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Homeodomain Proteins / genetics
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Homeodomain Proteins / metabolism
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Humans
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Insulin-Like Growth Factor II / genetics
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Insulin-Like Growth Factor II / metabolism
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Lung Neoplasms / genetics*
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Lung Neoplasms / metabolism
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Male
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Mice
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Middle Aged
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Nanog Homeobox Protein
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Neoplasm Transplantation
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Neoplastic Stem Cells / metabolism*
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Octamer Transcription Factor-3 / genetics
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Octamer Transcription Factor-3 / metabolism
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Paracrine Communication*
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Receptor, IGF Type 1
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Receptors, Somatomedin / genetics
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Receptors, Somatomedin / metabolism
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Small Cell Lung Carcinoma / genetics*
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Small Cell Lung Carcinoma / metabolism
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Thy-1 Antigens / metabolism
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Tumor Microenvironment
Substances
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Homeodomain Proteins
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IGF1R protein, human
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NANOG protein, human
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Nanog Homeobox Protein
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Octamer Transcription Factor-3
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POU5F1 protein, human
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Receptors, Somatomedin
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Thy-1 Antigens
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Insulin-Like Growth Factor II
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Receptor, IGF Type 1