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Blood, 24 September 2009, Vol. 114, No. 13, pp. 2709-2720. Prepublished online as a Blood First Edition Paper on July 7, 2009; DOI 10.1182/blood-2008-08-174425.
Submitted August 18, 2008
Department of Safety Research on Blood and Biologics, National Institute of Infectious Diseases, Tokyo, Japan * Corresponding author; email: 130hama{at}nih.go.jp.
Adult T- Cell Leukemia / lymphoma (ATL) is a malignant lymphoproliferative disorder caused by HTLV-I infection. In ATL, chemotherapeutic responses are generally poor which has suggested the existence of chemotherapy-resistant cancer stem cells (CSCs). To identify CSC candidates in ATL, we have focused on a Tax transgenic mouse (Tax-Tg) model, which reproduces ATL-like disease both in Tax-Tg animals and also following transfer of Tax-Tg splenic lymphomatous cells (SLCs) to NOD/SCID mice. Using a limiting dilution transplantation, it was estimated that one CSC existed per 1x104 SLCs (0.01%). In agreement with this, we have successfully identified candidate CSCs in a side population (0.06%) which overlapped with a minor population of CD38-/CD71-/CD117+ cells (0.03%). Whereas lymphoma did not develop following transplantation of 1x102 SLCs, 1x102 CSCs could consistently regenerate the original lymphoma. In addition, lymphoma and CSCs could also be demonstrated in the bone marrow and CD117+ positive CSCs were observed in both osteoblastic and vascular niches. In the CSCs, Tax, Notch1 and Bmi-1 expression were down regulated, suggesting that the CSCs were derived from Pro-T cells or early hematopoietic progenitor cells. Taken together, our data demonstrate that CSCs certainly exist, and have the potential to regenerate lymphoma in our mouse model.
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