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4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

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Clinical Cytology - Oral Presentations<br />

DEDIFFERENTIATION THERAPY AND DARWINISM FOR SORTING OF OVARIAN<br />

CANCER STEM CELLS<br />

Tomuleasa C1 , Soritãu O1 , Ciucã DR2 , Susman S2 , Mihu C2 1Ion Chiricuta Oncology Institute, Department of Cancer Immunology, Cluj Napoca, Romania<br />

2Iuliu Hatieganu University of Medicine and Pharmacy, Department of Pathology, Cluj<br />

Napoca, Romania<br />

Introduction. The cellular mechanisms underlying the increasing aggressiveness associated<br />

with ovarian cancer progression are poorly understood. Coupled with a lack of<br />

identification of specific markers that could aid early diagnoses, the disease becomes<br />

a major cause of cancer-related mortality in women. The high incidence of recurrence<br />

attributable to multidrug resistance and the multiple histologic phenotypes indicative<br />

of multipotency suggest a stem-like etiology of ovarian cancer. Here we adopted suspension<br />

culture combined with anti-cancer regimens as a strategy for screening ovarian<br />

cancer stem cells. These tumor stem cells could survive and be highly enriched in<br />

non-adherent suspension culture while chemotherapeutic agents could destroy most<br />

rapidly dividing cancer cells and spare relatively quiescent cancer stem cells. Material<br />

and Methods. MLS human ovarian cancer cells were cultured in serum-free medium,<br />

suplemented with Epidermal Growth Factor, basic Fibroblast Growth Factor, B27 and<br />

N2. Cells of passage 8 were treated in combination with anticancer agents Doxorubicin<br />

and Carboplatin at different peak plasma concentrations for 24 hours, and then maintained<br />

under suspension culture. The stem-like properties were confirmed by immunocytochemistry<br />

staining techniques, by multidrug resistance assays and by their ability<br />

to grow in an anchorage-independent manner in vitro as spheroids. Selected cells were<br />

also injected subcutaneously into CD1 mice to observe tumour formation. Results and<br />

Discussion.Here we present direct evidence that the aggressiveness of human ovarian<br />

cancer may be a result of transformation and dysfunction of stem cells in the ovary.<br />

The tumorigenic clones, even on serial transplantation continue to establish tumours,<br />

theraby confirming their identity as tumor stem cells. Suspension culture combined with<br />

anticancer regimens provides an effective means of isolating, culturing and purifying<br />

ovarian cancer stem cells.<br />

ciprian_tomuleasa@yahoo.com<br />

111<br />

4 th <strong>Croatian</strong> <strong>Congress</strong> of Clinical Cytology / 1 st <strong>Croatian</strong> Symposium of Analytical Cytology / 2 nd <strong>Croatian</strong> Symposium of Cytotechnology

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