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        Isolation and Characterization of Potential Cancer Stem Cells from Solid Human Tumors—Potential Applications

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        • Abstract
        • Table of Contents
        • Materials
        • Figures
        • Literature Cited

        Abstract

         

        Cancer stem cells (CSCs) are a subpopulation of cells within a heterogeneous tumor that have enhanced biologic properties, e.g., increased capacity for self?renewal, increased tumorigenicity, enhanced differentiation capacity, and resistance to chemo? and radiotherapies. This unit describes protocols to isolate and characterize potential cancer stem cells from a solid tumor. These involve creating a single?cell suspension from tumor tissue, tagging the cell subpopulations of interest, and sorting them into different populations. The sorted subpopulations can be evaluated for their ability to meet the functional requirements of a CSC, which primarily include increased tumorigenicity in an in vivo xenograft assay. Use of the protocols described in this unit makes it possible to study populations of cells that may have properties of CSCs. Curr. Protoc. Pharmacol . 63:14.28.1?14.28.19. © 2013 by John Wiley & Sons, Inc.

        Keywords: cancer stem cells; xenograft assay; cell separation and sorting

             
         
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        PDF or HTML at Wiley Online Library

        Table of Contents

        • Introduction
        • Basic Protocol 1: Mechanical Dissociation of Primary Tumor or Mouse Xenografts
        • Alternate Protocol 1: Chemical Dissociation of Primary Tumor or Mouse Xenograft
        • Basic Protocol 2: Identification of Cells Based on Surface Marker Expression and Separation by Flow Cytometry
        • Alternate Protocol 2: Isolating Cancer Stem Cells Using Magnetic Bead Separation
        • Support Protocol 1: Using the EasySep “Do‐It‐Yourself”
        • Basic Protocol 3: Isolating Cancer Stem Cells Based on Hoechst Dye Exclusion: The Side Population (SP)
        • Basic Protocol 4: Determining Tumorigenicity of Putative Cancer Stem Cells
        • Basic Protocol 5: Spheroid Assay of Putative Cancer Stem Cells
        • Commentary
        • Literature Cited
        • Figures
        • Tables
             
         
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        Materials

        Basic Protocol 1: Mechanical Dissociation of Primary Tumor or Mouse Xenografts

          Materials
        • At least 1 cm3 of viable tumor tissue with minimal necrotic component
        • Serum‐free RPMI cell culture medium or medium preferred for the tumor type under analysis
        • Trypan blue
        • PBS (optional)
        • 10‐cm Petri dish
        • Tissue forceps
        • Scalpel with #22 blade
        • 10‐, 5‐, and 1‐ml pipets
        • 16‐gauge needles and 3‐ to 5‐ml syringes
        • 70‐μm sterile mesh filter (Sefar Filtration)
        • 50‐ml conical tube
        • 200‐ and 100‐μm sterile mesh filters (optional; Sefar Filtration)
        • Additional reagents and equipment for assay of viability by trypan blue exclusion (Strober, )

        Alternate Protocol 1: Chemical Dissociation of Primary Tumor or Mouse Xenograft

          Materials
        • Tumor fragment
        • 1× PBS
        • Enzymatic digestion solution (0.25% trypsin/EDTA) with or without hyaluronidase and collagenase (see step 2 note)
        • RPMI‐1640 medium with 10% fetal bovine serum (FBS)
        • Trypan blue
        • 50‐ml, 10‐ml (optional), and 15‐ml (optional) conical tubes
        • 10‐cm Petri dish
        • #22 scalpel blade and blade handle
        • Tissue forceps
        • 70‐μm sterile mesh filter
        • 10‐ml, 5‐ml, and 1‐ml serological pipets
        • Additional reagents and equipment for assay of viability by trypan blue exclusion (Strober, )

        Basic Protocol 2: Identification of Cells Based on Surface Marker Expression and Separation by Flow Cytometry

          Materials
        • Single‐cell suspension of cancer cells ( protocol 1 )
        • Phosphate‐buffered saline, calcium‐ and magnesium‐free, with 0.1% bovine serum albumin (CMF‐PBS/0.1% BSA)
        • Antibodies for desired surface marker(s) conjugated to a fluorophore (antibodies validated for use in flow cytometry work best; BD Biosciences)
        • RPMI or cell culture medium of choice containing 0.1% BSA (optional)
        • 5‐ml conical polystyrene tubes
        • Flow cytometer with appropriate channels for the fluorochromes being employed

        Alternate Protocol 2: Isolating Cancer Stem Cells Using Magnetic Bead Separation

          Materials
        • Single‐cell suspension of cancer cells ( protocol 1 )
        • Phosphate‐buffered saline, calcium‐ and magnesium‐free with 2% fetal bovine serum and 1 mM EDTA (CMF‐PBS/2% FBS/1 mM EDTA)
        • Species‐specific FcR blocking antibody (same species as the FITC‐ or biotin‐conjugated antibody)
        • FITC‐conjugated (or biotin‐conjugated) antibody of marker of interest
        • EasySep FITC (or biotin) selection cocktail (STEMCELL Technologies)
        • EasySep (or equivalent) magnetic nanoparticles (STEMCELL Technologies)
        • Medium of choice
        • 12 × 75‐mm polystyrene tubes (e.g., Falcon 5‐ml round‐bottom tubes)
        • EasySep (or equivalent) magnet (STEMCELL Technologies)

        Support Protocol 1: Using the EasySep “Do‐It‐Yourself”

          Additional Materials
        • Mouse IgG 1 monoclonal antibody for surface marker of interest
        • Phosphate‐buffered saline, calcium‐ and magnesium‐free (CMF‐PBS)
        • EasySep “Do‐It‐Yourself” Selection Kit (STEMCELL Technologies)

        Basic Protocol 3: Isolating Cancer Stem Cells Based on Hoechst Dye Exclusion: The Side Population (SP)

          Materials
        • Preferred culture medium
        • Single‐cell suspension of cancer cells ( protocol 1 )
        • Hoechst 33342 dye (Thermo Scientific, cat. no. 62249)
        • Verapamil (Sigma)
        • Sterile phosphate‐buffered saline, calcium‐ and magnesium‐free (CMF‐PBS)
        • 5‐ml polystyrene tubes
        • Additional reagents and equipment for flow cytometry of side population (Goodell, ; Petriz, )

        Basic Protocol 4: Determining Tumorigenicity of Putative Cancer Stem Cells

          Materials
        • Putative cancer stem cell and non‐CSC populations sorted via protocol 3 , protocol 4 , protocol 5 , or protocol 6
        • Preferred cell culture medium (e.g., DMEM), serum‐free
        • Matrigel, preferably without added growth factors (optional; BD Biosciences)
        • 6‐ to 8‐week old SCID mice (e.g., NCI Frederick, Taconic, Charles River Labs, Jackson Labs) of desired gender kept in approved IACUC and ARP conditions
        • Isoflurane
        • 1‐ml syringe
        • 25‐gauge needles
        • Vaporizing anesthesia device (e.g., Drager 19.1, Anesthesia Service and Equipment) with access to clinical‐grade oxygen
        • Betadine scrub
        • Hair removal equipment (shaver or Nair) if using non‐nude mice
        • Warming equipment, e.g., heat lamp, isothermal pad (Deltaphase Isothermal Pad, Braintree Scientific)

        Basic Protocol 5: Spheroid Assay of Putative Cancer Stem Cells

          Materials
        • Heterogeneous cell population, or subpopulation
        • B‐27 supplement, 50× (Gibco #12587‐010)
        • Serum‐free medium of choice
        • Recombinant FGF‐basic (Gibco #PHG0021L)
        • Recombinant EGF (Gibco #PHG0311)
        • Costar ultra‐low‐attachment multiple‐well plates (Corning #3473)
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        Figures

        •   Figure Figure 14.28.1 Spheroid growth in a heterogeneous sample. Unsorted A2780 ovarian cancer cells were plated in serum‐free differentiation‐inhibiting medium on ultra‐low‐attachment plates. A spheroid of fused cells is noted to have a different phenotype than the majority of dividing cells, which remain attached as aggregates but not spheroids (A ). Cells plated as a single cell per well can sometimes form spheroids, which can be maintained for several weeks (B ).
          View Image
        •   Figure Figure 14.28.2 CD555 expression in a heterogeneous population. Dissociated cells from a freshly collected solid tumor were subjected to flow cytometric analysis after exposure to anti‐CD555‐FITC antibody. Gating based on the negative control shows that 1.8% of cells are CD555‐positive. Side scatter plotted on y axis against intensity of FITC signal on x axis.
          View Image
        •   Figure Figure 14.28.3 Platinum resistance in the CD555 population. Dissociated cells were sorted by flow cytometry based on CD555 expression, and plated into 96‐well plates, 2000 cells per well. After 6 hr, the medium was replaced with medium with increasing concentrations of carboplatin or vehicle. After 5 days, cells were subjected to MTT. CD555‐positive cells were much more resistant, demonstrating a carboplatin IC50 value of 82 nM, while CD555‐negative cells had an IC50 value of 4.4 nM.
          View Image

        Videos

        Literature Cited

        Literature Cited
           Dalerba, P., Cho, R.W., and Clarke, M.F. 2007a. Cancer stem cells: models and concepts. Annu. Rev. Med. 58:267‐284.
           Dalerba, P., Dylla, S.J., Park, I.K., Liu, R., Wang, X., Cho, R.W., Hoey, T., Gurney, A., Huang, E.H., Simeone, D.M., Shelton, A.A., Parmiani, G., Castelli, C., and Clarke, M.F. 2007b. Phenotypic characterization of human colorectal cancer stem cells. Proc. Natl. Acad. Sci. U.S.A. 104:10158‐10163.
           Dontu, G., Al‐Hajj, M., Abdallah, W.M., Clarke, M.F., and Wicha, M.S. 2003. Stem cells in normal breast development and breast cancer. Cell Proliferat. 36:59‐72.
           Galli, R., Binda, E., Orfanelli, U., Cipelletti, B., Gritti, A., De Vitis, S., Fiocco, R., Foroni, C., Dimeco, F., and Vescovi, A. 2004. Isolation and characterization of tumorigenic, stem‐like neural precursors from human glioblastoma. Cancer Res. 64:7011‐7021.
           Goodell, M.A. 2005. Stem cell identification and sorting using the Hoechst 33342 side population (SP). Curr. Protoc. Cytom. 34:9.18.1‐9.18.11.
           Goodell, M.A., Brose, K., Paradis, G., Conner, A.S., and Mulligan, R.C. 1996. Isolation and functional properties of murine hematopoietic stem cells that are replicating in vivo. J. Exp. Med. 183:1797‐1806.
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           O'Brien, C.A., Pollett, A., Gallinger, S., and Dick, J.E. 2007. A human colon cancer cell capable of initiating tumour growth in immunodeficient mice. Nature 445:106‐110.
           Petriz, J. 2013. Flow cytometry of the side population (SP). Curr. Protoc. Cytom. 64:9.23.1‐9.23.20.
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