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Published in: Journal of Gastrointestinal Cancer 3/2017

01-09-2017 | Review Article

Cancer Stem Cells in Hepatocellular Carcinoma

Authors: Tamer Yagci, Metin Cetin, Pelin Balcik Ercin

Published in: Journal of Gastrointestinal Cancer | Issue 3/2017

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Abstract

Background

Hepatocellular carcinoma is one of the most common cancers and the second leading cause of cancer-related deaths worldwide. Only a small proportion of patients benefit from curative treatment and the prognosis is very poor for the majority of cases due to late presentation, resistance to chemotherapy and high recurrence rate. In recent years, progress in stem cell biology allowed us to explain that hierarchically organized cancer stem cells (CSCs) drive histological and functional heterogeneity of hematological malignancies and solid tumors.

Methods and Results

Also referred to as tumor-initiating cells, CSCs have been isolated from both hepatocellular carcinoma (HCC) cell lines and primary tumors by using hepatic progenitor markers. Although there is still no consensus on cancer stem cell phenotype in HCC, single or combined use of CSC markers defines a minor population of tumor cells with the capacity of self-renewing and the ability to recapitulate the original tumor heterogeneity.

Conclusions

This review focuses on the biological features of CSCs and their potential as diagnostic/prognostic tools and therapeutic targets in HCC.
Literature
1.
go back to reference Nowell PC. The clonal evolution of tumor cell populations. Science. 1976;194(4260):23–8.CrossRef Nowell PC. The clonal evolution of tumor cell populations. Science. 1976;194(4260):23–8.CrossRef
2.
go back to reference Reya T, et al. Stem cells, cancer, and cancer stem cells. Nature. 2001;414(6859):105–11.CrossRef Reya T, et al. Stem cells, cancer, and cancer stem cells. Nature. 2001;414(6859):105–11.CrossRef
3.
go back to reference Soltysova A, Altanerova V, Altaner C. Cancer stem cells. Neoplasma. 2005;52(6):435. Soltysova A, Altanerova V, Altaner C. Cancer stem cells. Neoplasma. 2005;52(6):435.
4.
go back to reference Visvader JE, Lindeman GJ. Cancer stem cells: current status and evolving complexities. Cell Stem Cell. 2012;10(6):717–28.CrossRef Visvader JE, Lindeman GJ. Cancer stem cells: current status and evolving complexities. Cell Stem Cell. 2012;10(6):717–28.CrossRef
5.
go back to reference Hamburger AW, Salmon SE. Primary bioassay of human tumor stem cells. Science. 1977;197(4302):461–3.CrossRef Hamburger AW, Salmon SE. Primary bioassay of human tumor stem cells. Science. 1977;197(4302):461–3.CrossRef
6.
go back to reference Dick D. Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nature med. 1997;3(730–737):1. Dick D. Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nature med. 1997;3(730–737):1.
7.
go back to reference Al-Hajj M, et al. Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci. 2003;100(7):3983–8.CrossRef Al-Hajj M, et al. Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci. 2003;100(7):3983–8.CrossRef
8.
go back to reference Dalerba P, et al. Phenotypic characterization of human colorectal cancer stem cells. Proc Natl Acad Sci. 2007;104(24):10158–63.CrossRef Dalerba P, et al. Phenotypic characterization of human colorectal cancer stem cells. Proc Natl Acad Sci. 2007;104(24):10158–63.CrossRef
9.
go back to reference O’Brien CA, et al. A human colon cancer cell capable of initiating tumour growth in immunodeficient mice. Nature. 2007;445(7123):106–10.CrossRef O’Brien CA, et al. A human colon cancer cell capable of initiating tumour growth in immunodeficient mice. Nature. 2007;445(7123):106–10.CrossRef
10.
go back to reference Ricci-Vitiani L, et al. Identification and expansion of human colon-cancer-initiating cells. Nature. 2007;445(7123):111–5.CrossRef Ricci-Vitiani L, et al. Identification and expansion of human colon-cancer-initiating cells. Nature. 2007;445(7123):111–5.CrossRef
11.
go back to reference Li C, et al. Identification of pancreatic cancer stem cells. Cancer res. 2007;67(3):1030–7.CrossRef Li C, et al. Identification of pancreatic cancer stem cells. Cancer res. 2007;67(3):1030–7.CrossRef
12.
go back to reference Singh SK, et al. Identification of human brain tumour initiating cells. Nature. 2004;432(7015):396–401.CrossRef Singh SK, et al. Identification of human brain tumour initiating cells. Nature. 2004;432(7015):396–401.CrossRef
13.
go back to reference Bao S, et al. Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Nature. 2006;444(7120):756–60.CrossRef Bao S, et al. Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Nature. 2006;444(7120):756–60.CrossRef
14.
go back to reference Piccirillo S, et al. Bone morphogenetic proteins inhibit the tumorigenic potential of human brain tumour-initiating cells. Nature. 2006;444(7120):761–5.CrossRef Piccirillo S, et al. Bone morphogenetic proteins inhibit the tumorigenic potential of human brain tumour-initiating cells. Nature. 2006;444(7120):761–5.CrossRef
15.
go back to reference Chiba T, et al. Side population purified from hepatocellular carcinoma cells harbors cancer stem cell–like properties. Hepatology. 2006;44(1):240–51.CrossRef Chiba T, et al. Side population purified from hepatocellular carcinoma cells harbors cancer stem cell–like properties. Hepatology. 2006;44(1):240–51.CrossRef
16.
go back to reference Haraguchi N, et al. Characterization of a side population of cancer cells from human gastrointestinal system. Stem Cells. 2006;24(3):506–13.CrossRef Haraguchi N, et al. Characterization of a side population of cancer cells from human gastrointestinal system. Stem Cells. 2006;24(3):506–13.CrossRef
17.
go back to reference Yang ZF, et al. Significance of CD90+ cancer stem cells in human liver cancer. Cancer Cell. 2008;13(2):153–66.CrossRef Yang ZF, et al. Significance of CD90+ cancer stem cells in human liver cancer. Cancer Cell. 2008;13(2):153–66.CrossRef
18.
go back to reference Zhang S, et al. Identification and characterization of ovarian cancer-initiating cells from primary human tumors. Cancer res. 2008;68(11):4311–20.PubMedCentralCrossRef Zhang S, et al. Identification and characterization of ovarian cancer-initiating cells from primary human tumors. Cancer res. 2008;68(11):4311–20.PubMedCentralCrossRef
19.
go back to reference Curley MD, et al. CD133 expression defines a tumor initiating cell population in primary human ovarian cancer. Stem Cells. 2009;27(12):2875–83. Curley MD, et al. CD133 expression defines a tumor initiating cell population in primary human ovarian cancer. Stem Cells. 2009;27(12):2875–83.
20.
go back to reference Sugihara E, Saya H. Complexity of cancer stem cells. Int J Cancer. 2013;132(6):1249–59.CrossRef Sugihara E, Saya H. Complexity of cancer stem cells. Int J Cancer. 2013;132(6):1249–59.CrossRef
21.
go back to reference Clevers H. The cancer stem cell: premises, promises and challenges. Nat med. 2011:313–9.CrossRef Clevers H. The cancer stem cell: premises, promises and challenges. Nat med. 2011:313–9.CrossRef
22.
go back to reference Zhou B-BS, et al. Tumour-initiating cells: challenges and opportunities for anticancer drug discovery. Nat rev Drug Discov. 2009;8(10):806–23.CrossRef Zhou B-BS, et al. Tumour-initiating cells: challenges and opportunities for anticancer drug discovery. Nat rev Drug Discov. 2009;8(10):806–23.CrossRef
23.
go back to reference Patel P, Chen E. Cancer stem cells, tumor dormancy, and metastasis. Front Endocrinol. 2012;3:125.CrossRef Patel P, Chen E. Cancer stem cells, tumor dormancy, and metastasis. Front Endocrinol. 2012;3:125.CrossRef
24.
go back to reference Mani SA, et al. The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell. 2008;133(4):704–15.PubMedCentralCrossRef Mani SA, et al. The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell. 2008;133(4):704–15.PubMedCentralCrossRef
25.
go back to reference Singh A, Settleman J. EMT, cancer stem cells and drug resistance: an emerging axis of evil in the war on cancer. Oncogene. 2010;29(34):4741–51.PubMedCentralCrossRef Singh A, Settleman J. EMT, cancer stem cells and drug resistance: an emerging axis of evil in the war on cancer. Oncogene. 2010;29(34):4741–51.PubMedCentralCrossRef
26.
go back to reference Torre LA, et al. Global cancer statistics, 2012. CA Cancer J Clin. 2015;65(2):87–108.CrossRef Torre LA, et al. Global cancer statistics, 2012. CA Cancer J Clin. 2015;65(2):87–108.CrossRef
27.
go back to reference London W, McGlynn K. Liver cancer. Cancer Epidemiology and Prevention. 2006;3:763–86.CrossRef London W, McGlynn K. Liver cancer. Cancer Epidemiology and Prevention. 2006;3:763–86.CrossRef
28.
go back to reference Jemal A, et al. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69–90.CrossRef Jemal A, et al. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69–90.CrossRef
29.
go back to reference Yeh MM. Pathology of combined hepatocellular-cholangiocarcinoma. J Gastroenterol Hepatol. 2010;25(9):1485–92.CrossRef Yeh MM. Pathology of combined hepatocellular-cholangiocarcinoma. J Gastroenterol Hepatol. 2010;25(9):1485–92.CrossRef
30.
go back to reference Ma S, et al. Identification and characterization of tumorigenic liver cancer stem/progenitor cells. Gastroenterology. 2007;132(7):2542–56.CrossRef Ma S, et al. Identification and characterization of tumorigenic liver cancer stem/progenitor cells. Gastroenterology. 2007;132(7):2542–56.CrossRef
31.
go back to reference Suetsugu A, et al. Characterization of CD133+ hepatocellular carcinoma cells as cancer stem/progenitor cells. Biochem Biophys res Commun. 2006;351(4):820–4.CrossRef Suetsugu A, et al. Characterization of CD133+ hepatocellular carcinoma cells as cancer stem/progenitor cells. Biochem Biophys res Commun. 2006;351(4):820–4.CrossRef
32.
go back to reference Yamashita T, et al. Activation of hepatic stem cell marker EpCAM by Wnt–β-catenin signaling in hepatocellular carcinoma. Cancer res. 2007;67(22):10831–9.CrossRef Yamashita T, et al. Activation of hepatic stem cell marker EpCAM by Wnt–β-catenin signaling in hepatocellular carcinoma. Cancer res. 2007;67(22):10831–9.CrossRef
34.
go back to reference Zhang L, et al. The stem cell niche of human livers: symmetry between development and regeneration. Hepatology. 2008;48(5):1598–607.CrossRef Zhang L, et al. The stem cell niche of human livers: symmetry between development and regeneration. Hepatology. 2008;48(5):1598–607.CrossRef
35.
go back to reference Tang Y, et al. Progenitor/stem cells give rise to liver cancer due to aberrant TGF-β and IL-6 signaling. Proc Natl Acad Sci. 2008;105(7):2445–50.CrossRef Tang Y, et al. Progenitor/stem cells give rise to liver cancer due to aberrant TGF-β and IL-6 signaling. Proc Natl Acad Sci. 2008;105(7):2445–50.CrossRef
36.
go back to reference Chen Y, et al. Mature hepatocytes exhibit unexpected plasticity by direct dedifferentiation into liver progenitor cells in culture. Hepatology. 2012;55(2):563–74.PubMedCentralCrossRef Chen Y, et al. Mature hepatocytes exhibit unexpected plasticity by direct dedifferentiation into liver progenitor cells in culture. Hepatology. 2012;55(2):563–74.PubMedCentralCrossRef
37.
go back to reference Yin S, et al. CD133 positive hepatocellular carcinoma cells possess high capacity for tumorigenicity. Int J Cancer. 2007;120(7):1444–50.CrossRef Yin S, et al. CD133 positive hepatocellular carcinoma cells possess high capacity for tumorigenicity. Int J Cancer. 2007;120(7):1444–50.CrossRef
38.
go back to reference Yang ZF, et al. Identification of local and circulating cancer stem cells in human liver cancer. Hepatology. 2008;47(3):919–28.CrossRef Yang ZF, et al. Identification of local and circulating cancer stem cells in human liver cancer. Hepatology. 2008;47(3):919–28.CrossRef
39.
go back to reference Yamashita T, et al. EpCAM-positive hepatocellular carcinoma cells are tumor-initiating cells with stem/progenitor cell features. Gastroenterology. 2009;136(3):1012–1024. e4.CrossRef Yamashita T, et al. EpCAM-positive hepatocellular carcinoma cells are tumor-initiating cells with stem/progenitor cell features. Gastroenterology. 2009;136(3):1012–1024. e4.CrossRef
40.
41.
go back to reference Yin AH, et al. AC133, a novel marker for human hematopoietic stem and progenitor cells. Blood. 1997;90(12):5002–12. Yin AH, et al. AC133, a novel marker for human hematopoietic stem and progenitor cells. Blood. 1997;90(12):5002–12.
42.
go back to reference Grosse-Gehling P, et al. CD133 as a biomarker for putative cancer stem cells in solid tumours: limitations, problems and challenges. J Pathol. 2013;229(3):355–78.CrossRef Grosse-Gehling P, et al. CD133 as a biomarker for putative cancer stem cells in solid tumours: limitations, problems and challenges. J Pathol. 2013;229(3):355–78.CrossRef
43.
go back to reference Zheng Y-W, et al. The CD133+ CD44+ precancerous subpopulation of oval cells is a therapeutic target for hepatocellular carcinoma. Stem Cells dev. 2014;23(18):2237–49.PubMedCentralCrossRef Zheng Y-W, et al. The CD133+ CD44+ precancerous subpopulation of oval cells is a therapeutic target for hepatocellular carcinoma. Stem Cells dev. 2014;23(18):2237–49.PubMedCentralCrossRef
44.
go back to reference Tang KH, et al. CD133+ liver tumor-initiating cells promote tumor angiogenesis, growth, and self-renewal through neurotensin/interleukin-8/CXCL1 signaling. Hepatology. 2012;55(3):807–20.CrossRef Tang KH, et al. CD133+ liver tumor-initiating cells promote tumor angiogenesis, growth, and self-renewal through neurotensin/interleukin-8/CXCL1 signaling. Hepatology. 2012;55(3):807–20.CrossRef
45.
go back to reference Marhaba R, Zöller M. CD44 in cancer progression: adhesion, migration and growth regulation. J Mol Histol. 2004;35(3):211–31.CrossRef Marhaba R, Zöller M. CD44 in cancer progression: adhesion, migration and growth regulation. J Mol Histol. 2004;35(3):211–31.CrossRef
46.
go back to reference Afify A, Purnell P, Nguyen L. Role of CD44s and CD44v6 on human breast cancer cell adhesion, migration, and invasion. Exp Mol Pathol. 2009;86(2):95–100.CrossRef Afify A, Purnell P, Nguyen L. Role of CD44s and CD44v6 on human breast cancer cell adhesion, migration, and invasion. Exp Mol Pathol. 2009;86(2):95–100.CrossRef
47.
go back to reference van der Windt GJ, et al. CD44 is protective during hyperoxia-induced lung injury. Am J Respir Cell Mol Biol. 2011;44(3):377–83.CrossRef van der Windt GJ, et al. CD44 is protective during hyperoxia-induced lung injury. Am J Respir Cell Mol Biol. 2011;44(3):377–83.CrossRef
48.
go back to reference Zhu Z, et al. Cancer stem/progenitor cells are highly enriched in CD133+ CD44+ population in hepatocellular carcinoma. Int J Cancer. 2010;126(9):2067–78. Zhu Z, et al. Cancer stem/progenitor cells are highly enriched in CD133+ CD44+ population in hepatocellular carcinoma. Int J Cancer. 2010;126(9):2067–78.
49.
go back to reference Reif AE, Allen JM. The AKR thymic antigen and its distribution in leukemias and nervous tissues. J Exp med. 1964;120(3):413–33.PubMedCentralCrossRef Reif AE, Allen JM. The AKR thymic antigen and its distribution in leukemias and nervous tissues. J Exp med. 1964;120(3):413–33.PubMedCentralCrossRef
50.
go back to reference Mima K, et al. CD44s regulates the TGF-β–mediated mesenchymal phenotype and is associated with poor prognosis in patients with hepatocellular carcinoma. Cancer res. 2012;72(13):3414–23.CrossRef Mima K, et al. CD44s regulates the TGF-β–mediated mesenchymal phenotype and is associated with poor prognosis in patients with hepatocellular carcinoma. Cancer res. 2012;72(13):3414–23.CrossRef
51.
go back to reference Ishimoto T, et al. CD44 variant regulates redox status in cancer cells by stabilizing the xCT subunit of system xc− and thereby promotes tumor growth. Cancer Cell. 2011;19(3):387–400.CrossRef Ishimoto T, et al. CD44 variant regulates redox status in cancer cells by stabilizing the xCT subunit of system xc− and thereby promotes tumor growth. Cancer Cell. 2011;19(3):387–400.CrossRef
52.
go back to reference Lu J-W, et al. Overexpression of Thy1/CD90 in human hepatocellular carcinoma is associated with HBV infection and poor prognosis. Acta Histochem. 2011;113(8):833–8.CrossRef Lu J-W, et al. Overexpression of Thy1/CD90 in human hepatocellular carcinoma is associated with HBV infection and poor prognosis. Acta Histochem. 2011;113(8):833–8.CrossRef
53.
go back to reference Went PT, et al. Frequent EpCam protein expression in human carcinomas. Hum Pathol. 2004;35(1):122–8.CrossRef Went PT, et al. Frequent EpCam protein expression in human carcinomas. Hum Pathol. 2004;35(1):122–8.CrossRef
54.
go back to reference Kim JW, et al. Cancer-associated molecular signature in the tissue samples of patients with cirrhosis. Hepatology. 2004;39(2):518–27.CrossRef Kim JW, et al. Cancer-associated molecular signature in the tissue samples of patients with cirrhosis. Hepatology. 2004;39(2):518–27.CrossRef
55.
go back to reference Yamashita T, et al. Discrete nature of EpCAM+ and CD90+ cancer stem cells in human hepatocellular carcinoma. Hepatology. 2013;57(4):1484–97.CrossRef Yamashita T, et al. Discrete nature of EpCAM+ and CD90+ cancer stem cells in human hepatocellular carcinoma. Hepatology. 2013;57(4):1484–97.CrossRef
56.
go back to reference Kurtz J-E, Dufour P. Adecatumumab: an anti-EpCAM monoclonal antibody, from the bench to the bedside. Expert Opin Biol Ther. 2010;10(6):951–8.CrossRef Kurtz J-E, Dufour P. Adecatumumab: an anti-EpCAM monoclonal antibody, from the bench to the bedside. Expert Opin Biol Ther. 2010;10(6):951–8.CrossRef
57.
go back to reference Gires O, Bauerle PA. EpCAM as a target in cancer therapy. J Clin Oncol. 2010;28(15):e239–40.CrossRef Gires O, Bauerle PA. EpCAM as a target in cancer therapy. J Clin Oncol. 2010;28(15):e239–40.CrossRef
58.
go back to reference Mina-Osorio P. The moonlighting enzyme CD13: old and new functions to target. Trends Mol med. 2008;14(8):361–71.CrossRef Mina-Osorio P. The moonlighting enzyme CD13: old and new functions to target. Trends Mol med. 2008;14(8):361–71.CrossRef
59.
go back to reference Kim HM, et al. Increased CD13 expression reduces reactive oxygen species, promoting survival of liver cancer stem cells via an epithelial–mesenchymal transition-like phenomenon. Ann Surg Oncol. 2012;19(3):539–48.CrossRef Kim HM, et al. Increased CD13 expression reduces reactive oxygen species, promoting survival of liver cancer stem cells via an epithelial–mesenchymal transition-like phenomenon. Ann Surg Oncol. 2012;19(3):539–48.CrossRef
Metadata
Title
Cancer Stem Cells in Hepatocellular Carcinoma
Authors
Tamer Yagci
Metin Cetin
Pelin Balcik Ercin
Publication date
01-09-2017
Publisher
Springer US
Published in
Journal of Gastrointestinal Cancer / Issue 3/2017
Print ISSN: 1941-6628
Electronic ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-017-9960-7

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