An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids

Abstract Background Ovarian cancer (OC) is the most lethal gynecological cancer due to the recurrence of drug-resistance. Cancer initiating cells (CICs) are proposed to be responsible for the aggressiveness of OC. The rarity and difficulty of in vitro long-term cultivation of CICs challenge the deve...

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Main Authors: Yu-An Chen, Chen-Yu Lu, Wen-Fang Cheng, Kuan-Ting Kuo, Chen-Wei Yu, Hon-Nerng Ho, Hsin-Fu Chen, Szu-Hua Pan
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-022-10042-3
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author Yu-An Chen
Chen-Yu Lu
Wen-Fang Cheng
Kuan-Ting Kuo
Chen-Wei Yu
Hon-Nerng Ho
Hsin-Fu Chen
Szu-Hua Pan
author_facet Yu-An Chen
Chen-Yu Lu
Wen-Fang Cheng
Kuan-Ting Kuo
Chen-Wei Yu
Hon-Nerng Ho
Hsin-Fu Chen
Szu-Hua Pan
author_sort Yu-An Chen
collection DOAJ
description Abstract Background Ovarian cancer (OC) is the most lethal gynecological cancer due to the recurrence of drug-resistance. Cancer initiating cells (CICs) are proposed to be responsible for the aggressiveness of OC. The rarity and difficulty of in vitro long-term cultivation of CICs challenge the development of CIC-targeting therapeutics. Reprogramming cancer cells into induced cancer initiating cell (iCICs) could be an approach to solve these. Several inducible CICs have been acquired by activating the expression of stemness genes in different cancer cells. However, few reports have demonstrated the feasibility in OC. Methods Patients with primary OC receiving surgery were enrolled. Tumor tissue were collected, and OCT4, SOX2, and NANOG expressions were assessed by immunohistochemistry (IHC) staining to investigate the association of stemness markers with overall survival (OS). An high-grade serous ovarian cancer (HGSOC) cell line, OVCAR-3 was reprogrammed by transducing Yamanaka four factors OCT4, SOX2, KLF4 and MYC (OSKM) to establish an iOCIC model, iOVCAR-3-OSKM. CIC characteristics of iOVCAR-3-OSKM were evaluated by RT-PCR, sphere formation assay and animal experiments. Drug-resistance and migration ability were accessed by dye-efflux activity assay, MTT assay and migration assay. Gene profile was presented through RNA-sequencing. Lineage differentiation ability and organoid culture were determined by in vitro differentiation assays. Results In OC patients, the co-expression of multiple stem-related transcription factors (OCT4, SOX2, and NANOG) was associated with worse OS. iOVCAR-3-OSKM cells generated by reprogramming successfully exhibited stemness characteristics with strong sphere-forming and tumorigenesis ability. iOVCAR-3-OSKM cells also showed malignant potential with higher drug resistance to chemodrug, Paclitaxel (PTX) and migration ability. iOVCAR-3-OSKM was maintainable and expandable on feeder-dependent culture condition, it also preserved ovarian lineage differentiation abilities, which could well differentiate into OC cells with CK-7 and CA125 expressions and develop into an organoid mimic poor prognostic OC histological feature. Conclusions The establishment of iOVCAR-3-OSKM not only allows us to fill the gap in the information on induced CICs in OC but also provides a potential strategy to develop personalized CICs and organoid models for treating OC in the near future.
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spelling doaj.art-d640bfdf68c841e889c2d284c10295bc2022-12-22T03:13:03ZengBMCBMC Cancer1471-24072022-09-0122112110.1186/s12885-022-10042-3An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoidsYu-An Chen0Chen-Yu Lu1Wen-Fang Cheng2Kuan-Ting Kuo3Chen-Wei Yu4Hon-Nerng Ho5Hsin-Fu Chen6Szu-Hua Pan7Graduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityGraduate Institute of Oncology, College of Medicine, National Taiwan UniversityDepartment of Pathology and Graduate Institute of Pathology, College of Medicine, National Taiwan UniversityGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan UniversityAbstract Background Ovarian cancer (OC) is the most lethal gynecological cancer due to the recurrence of drug-resistance. Cancer initiating cells (CICs) are proposed to be responsible for the aggressiveness of OC. The rarity and difficulty of in vitro long-term cultivation of CICs challenge the development of CIC-targeting therapeutics. Reprogramming cancer cells into induced cancer initiating cell (iCICs) could be an approach to solve these. Several inducible CICs have been acquired by activating the expression of stemness genes in different cancer cells. However, few reports have demonstrated the feasibility in OC. Methods Patients with primary OC receiving surgery were enrolled. Tumor tissue were collected, and OCT4, SOX2, and NANOG expressions were assessed by immunohistochemistry (IHC) staining to investigate the association of stemness markers with overall survival (OS). An high-grade serous ovarian cancer (HGSOC) cell line, OVCAR-3 was reprogrammed by transducing Yamanaka four factors OCT4, SOX2, KLF4 and MYC (OSKM) to establish an iOCIC model, iOVCAR-3-OSKM. CIC characteristics of iOVCAR-3-OSKM were evaluated by RT-PCR, sphere formation assay and animal experiments. Drug-resistance and migration ability were accessed by dye-efflux activity assay, MTT assay and migration assay. Gene profile was presented through RNA-sequencing. Lineage differentiation ability and organoid culture were determined by in vitro differentiation assays. Results In OC patients, the co-expression of multiple stem-related transcription factors (OCT4, SOX2, and NANOG) was associated with worse OS. iOVCAR-3-OSKM cells generated by reprogramming successfully exhibited stemness characteristics with strong sphere-forming and tumorigenesis ability. iOVCAR-3-OSKM cells also showed malignant potential with higher drug resistance to chemodrug, Paclitaxel (PTX) and migration ability. iOVCAR-3-OSKM was maintainable and expandable on feeder-dependent culture condition, it also preserved ovarian lineage differentiation abilities, which could well differentiate into OC cells with CK-7 and CA125 expressions and develop into an organoid mimic poor prognostic OC histological feature. Conclusions The establishment of iOVCAR-3-OSKM not only allows us to fill the gap in the information on induced CICs in OC but also provides a potential strategy to develop personalized CICs and organoid models for treating OC in the near future.https://doi.org/10.1186/s12885-022-10042-3Ovarian cancer (OC)Cancer-initiating cells (CICs)Induced ovarian cancer-initiating cells (iOCICs)Organoid and drug screening
spellingShingle Yu-An Chen
Chen-Yu Lu
Wen-Fang Cheng
Kuan-Ting Kuo
Chen-Wei Yu
Hon-Nerng Ho
Hsin-Fu Chen
Szu-Hua Pan
An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
BMC Cancer
Ovarian cancer (OC)
Cancer-initiating cells (CICs)
Induced ovarian cancer-initiating cells (iOCICs)
Organoid and drug screening
title An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
title_full An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
title_fullStr An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
title_full_unstemmed An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
title_short An experimental model for ovarian cancer: propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
title_sort experimental model for ovarian cancer propagation of ovarian cancer initiating cells and generation of ovarian cancer organoids
topic Ovarian cancer (OC)
Cancer-initiating cells (CICs)
Induced ovarian cancer-initiating cells (iOCICs)
Organoid and drug screening
url https://doi.org/10.1186/s12885-022-10042-3
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