1. Phenotypic and functional characterization of Glioblastoma cancer stem cells identified through 5-aminolevulinic acid-assisted surgery [corrected]
- Author
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Giusy Battilana, Sara Bianco, Alessandro Della Puppa, Chiara Frasson, Luca Persano, Renato Scienza, Elena Rampazzo, and Giuseppe Basso
- Subjects
5-Aminolevulinic acid ,Cancer Research ,Pathology ,medicine.medical_specialty ,Cellular differentiation ,Biopsy ,Nerve Tissue Proteins ,Biology ,Stain ,Cancer stem cell ,Antigens, CD ,medicine ,Humans ,CD133 ,AC133 Antigen ,Antigens ,Glycoproteins ,Photosensitizing Agents ,Cancer stem cells ,Brain Neoplasms ,Aminolevulinic Acid ,medicine.disease ,Flow Cytometry ,Phenotype ,CD ,Ki-67 Antigen ,Neurology ,Oncology ,Glioblastoma ,Cancer cell ,Cancer research ,Neoplastic Stem Cells ,Peptides ,Neurology (clinical) - Abstract
5-aminolevulinic acid (5-ALA) introduction in the surgical management of Glioblastoma (GBM) enables the intra-operatively identification of cancer cells in the mass by means of fluorescence. Here, we analyzed the phenotype of GBM cells isolated from distinct tumour areas determined by 5-ALA (tumour core, 5-ALA intense and vague layers) and the potency of 5-ALA labelling in identifying GBM cells and cancer stem cells (CSCs) in the mass. 5-ALA identified distinct layers in the mass, with less differentiated cells residing in the core of the tumour. 5-ALA was able to stain up to 68.5% of CD133(+) cells in the 5-ALA intense layer and, although 5-ALA(+) cells retrieved from different tumour areas contained a similar proportion of CD133(+) cells (range 27.5-35.6%), those from the vague layer displayed the lowest ability to self-renew. In conclusion, our data demonstrate that a substantial amount of GBM cells and CSCs in the mass are able to avoid 5-ALA labelling and support the presence of heterogenic CSC populations in the GBM mass.
- Published
- 2013