Cell fusion: the origin of cancer stem cells?

Cell fusion is a cell-biological phenomenon, which was originally described as an event of development and homeostasis. Moreover, recent discoveries give rise to the theory that fusion events between stem cells and tumor cells could act as malignant and crucial originators in cancer stem cell (CSC) generation, besides other theories such as CSCs deriving from tissue stem cells that have accumulated genetic aberrations or CSCs deriving from differentiated progenitor cells that have regained self- renewing capacity. By now CSCs are known as cancer-initiating cells with characteristic features of stem cells, such as self-renewing, differentiation, regeneration of tissues at low cell numbers and drug resistance. This rare population of cancer-initiating cells attracts attention as a target in cancer therapies and, therefore, there is an urgent need for further investigation on CSCs is present. After 24 h co-cultivation of M13SV1 enhanced green fluorescent protein (EGFP)-neo breast stem cells and invasive HS578T-Hyg breast cancer cells under selective conditions, cell clones that emerged from spontaneous fusion events were isolated and cultivated separately. Short tandem repeat analysis of hybrid cells showed an overlap of the parental alleles, indicating that hybrid cells have been originated from real cell fusion events. Despite some varieties concerning the data of the further hybrid cell characterization due to different genetic profile among them, one can detect clear tendencies of similarity between all hybrid cell lines compared with their parental cell lines. XTT-proliferation assays, for example, show a significantly higher proliferation rate of the hybrid cell lines compared with their parental cell lines. Dependent on the hybrid cell line a 5-10-times higher proliferation rate could be detected in comparison with the breast stem cell line M13SV1 EGFP-neo, whereas, in contrast to the breast cancer cell line HS578T Hyg, the proliferation shows an up to four-times higher rate. Moreover, expression pattern analysis by real-time PCR data revealed interesting results in multiple up- and down-regulation of cancer and drug metabolism genes compared with the HS578T cell line and the M13SV1 cell line, for example, upregulation of cell cycle regulators as p16 and p53 in all hybrids, drug resistance transporters as ABCC6, ABCB1 and major vault protein (MVP) in all hybrid cell lines as well as upregulation of androgen receptor in three of four hybrid cell lines, which stands in a reciprocal relationship to downregulation of estrogen receptor in some poor prognosis breast cancers, probably indicating that fusion might cause a switch to an estrogen-independent tumor growth. The real-time PCR data have been confirmed by Western blot analysis. On the basis of spontaneous fusion between M13SV1 breast stem cells and invasive HS578T breast cancer cells we could give a promising insight into characterization of fusion cells as a possible model for CSCs. [ABSTRACT FROM AUTHOR]