1. Chemoresistance is mediated by ovarian cancer leader cells in vitro
- Author
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Maree Bilandzic, Magdalena Plebanski, Amelia Matthews, Andrew N. Stephens, Nazanin Karimnia, Emma Green, Tom Jobling, and Amy L. Wilson
- Subjects
DNA Replication ,Cancer Research ,Cell division ,Green Fluorescent Proteins ,Cell ,Antineoplastic Agents ,Apoptosis ,Caspase 3 ,Biology ,Flow cytometry ,Chemo-resistance ,Live cell imaging ,Recurrence ,Cell Line, Tumor ,medicine ,Leader cells ,Humans ,Clustered Regularly Interspaced Short Palindromic Repeats ,RC254-282 ,Cell Proliferation ,Ovarian Neoplasms ,medicine.diagnostic_test ,Research ,Keratin-14 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Ovarian Cancer ,medicine.anatomical_structure ,Oncology ,Drug Resistance, Neoplasm ,Cancer cell ,Cancer research ,Female ,Cisplatin ,Ovarian cancer - Abstract
Background Leader cells are a subset of cancer cells that coordinate the complex cell-cell and cell-matrix interactions required for ovarian cancer migration, invasion, tumour deposition and are negatively associated with progression-free survival and response to therapy. Emerging evidence suggests leader cells may be enriched in response to chemotherapy, underlying disease recurrence following treatment. Methods CRISPR was used to insert a bicistronic T2A-GFP cassette under the native KRT14 (leader cell) promoter. 2D and 3D drug screens were completed in the presence of chemotherapies used in ovarian cancer management. Leader cell; proliferative (Ki67); and apoptotic status (Cleaved Caspase 3) were defined by live cell imaging and flow cytometry. Quantitative real-time PCR defined “stemness” profiles. Proliferation was assessed on the xCELLigence real time cell analyser. Statistical Analysis was performed using unpaired non-parametric t-tests or one-way ANOVA and Tukey’s multiple comparison post hoc. Results Leader cells represent a transcriptionally plastic subpopulation of ovarian cancer cells that arise independently of cell division or DNA replication, and exhibit a “stemness” profile that does not correlate with epithelial-to-mesenchymal transition. Chemotherapeutics increased apoptosis-resistant leader cells in vitro, who retained motility and expressed known chemo-resistance markers including ALDH1, Twist and CD44v6. Functional impairment of leader cells restored chemosensitivity, with leader cell-deficient lines failing to recover following chemotherapeutic intervention. Conclusions Our data demonstrate that ovarian cancer leader cells are resistant to a diverse array of chemotherapeutic agents, and are likely to play a critical role in the recurrence of chemo-resistant disease as drivers of poor treatment outcomes.
- Published
- 2021