Tumor hypoxia has been attributed to play a crucial role in tumorigenesis and therapeutic resistance. Recently, it has been suggested that hypoxia leads to and maintains the undifferentiated state of tumor stem cells, thereby contributing to chemoresistance. The aim of the present study is to investigate the influence of hypoxia on the protein expression of a panel of stem cell and chemoresistance markers using in vivo-like multicellular tumor spheroids derived from a glioblastoma short-term culture with tumor stem cell properties (SJ-1) as well as a conventional glioblastoma cell line (U87). Spheroids were formed in 21% and 1% O(2) in serum-free medium. The immunohistochemical panel included hypoxia (HIF-1α, HIF-2α), proliferation (Ki-67), and stem cell markers (CD133, podoplanin, Bmi-1, nestin, Sox-2) as well as markers related to chemoresistance (MGMT, TIMP-1, Lamp-1, MRP1, MDR-1). As spheroids derived in hypoxia were smaller than in normoxia, a set of experiments was included in which the culturing time of hypoxic spheroids was extended to obtain equally sized spheroids. The results showed that expression of HIF-1α and HIF-2α was increased in hypoxia, whereas Ki-67 was reduced. Expression of stem cell markers CD133, podoplanin, Bmi-1, and nestin was increased in hypoxia, whereas Sox-2 was increased in SJ-1 only. TIMP-1 and Lamp-1 were increased in both SJ-1 and U87. In conclusion, the tumor cell phenotype related to stemness, and thereby potentially to chemoresistance, seems to depend on the oxygen tension, suggesting that development of therapeutic strategies targeting tumor stem cells should take oxygen tension into account.
Effects of chemotherapeutics on glioma cell lines and spheroids are usually investigated without evaluating the effects of chemotherapeutics on normal brain tissue. To perform such investigations, the aim of this study was to establish a panel of markers for detection of general cell death and more specific neuronal and glial degeneration induced by chemotherapeutics in organotypic rat corticostriatal slice cultures. The slice cultures were exposed to the alkylating agents temozolomide (TMZ) and nimustine (ACNU), the tyrosine kinase inhibitor imatinib mesylate (IM) and the microtubule-destabilizing agent vincristine (VCR). Densitometric measurements of uptake of the fluorescent dye propidium iodide (PI) were used for quantifying cellular degeneration. Moreover, paraffin sections were hematoxylin eosine stained and immunostained for the neuronal marker microtubule-associated protein 2 (MAP2), the astroglial marker glial fibrillary acidic protein (GFAP), and the oligodendroglial marker p25α. The results showed that the supposed clinically relevant drug concentrations were non-toxic. However, a time dependent increase in PI uptake was observed for high drug concentrations, except for TMZ, where no toxicity was observed. Corresponding immunostaining showed loss of MAP2 and increased expression of GFAP and p25α for cultures exposed to 1,000 nM VCR. Cultures exposed to high concentrations of ACNU and IM disintegrated, leaving no tissue for histology. In conclusion, corticostriatal slice cultures and the established panel of markers represent an excellent tool for detecting toxicity induced by chemotherapeutics. Toxicity was not detected at clinical concentrations, but high concentrations with toxic effects were identified suggesting that some of the earlier identified anti-cancer effects are general cytotoxic effects and not specific anti-cancer effects.
Tumor hypoxia and the presence of tumor stem cells are features related to glioblastoma tumorigenicity and malignancy. Moreover, chemotherapy seems to have limited effects on tumor stem cells. In the present study the aim was to investigate this further using U87 monolayer cultures, but also the more in vivo like multicellular spheroids. We investigated the effect of nimustine (ACNU) on U87 monolayer cultures and spheroids cultured in 1 % and 21 % oxygen. A WST-1-based cytotoxicity assay and a clonogenic assay were used for detection of effects of ACNU on monolayer cultures. Moreover, spheroids were exposed to ACNU and the effect evaluated by a clonogenic assay and immunohistochemical staining on spheroid paraffin sections using markers of apoptosis (caspase-3, TUNEL), stem cell related markers (CD133, podoplanin, Bmi-1, nestin) and the proliferation marker (Ki-67). We found hypoxia to reduce the effect of ACNU on U87 monolayer cultures and spheroids in both WST-1 and clonogenic assays. In spheroids, this was confirmed by caspase-3 and TUNEL staining. Furthermore, stem cell markers were preserved to a higher extent in hypoxia. However, this preservation was not seen with the proliferation marker Ki-67. In conclusion, the present study underlines the role of tumor hypoxia in chemoresistance, suggesting that the more immature features related to tumor stem cells may contribute to this. Note: This abstract was not presented at the AACR 101st Annual Meeting 2010 because the presenter was unable to attend. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 443.
Effects of chemotherapeutics on glioma cell lines and spheroids are usually investigated without evaluating the effects of even very high concentrations of chemotherapeutics on normal brain tissue. To perform such investigations, the aim of the present study was to establish a panel of markers for detection of general cell death and more specific neuronal and glial degeneration induced by chemotherapeutics in organotypic rat corticostriatal slice cultures. Organotypic rat corticostriatal slice cultures were exposed to the alkylating agents temozolomide and nimustine, the tyrosine kinase inhibitor imatinib mesylate and the microtubule destabilizing agent vincristine. Densitometric measurements of uptake of the fluorescent dye propidium iodide were used for quantifying cellular degeneration. Moreover, paraffin sections were HE stained and immunohistochemically stained for the neuronal marker MAP2, the astroglial marker GFAP, and the oligodendrocyte marker p25α. The results showed that clinical drug concentrations were non-toxic. However, a time dependent increase in PI uptake was observed for supratherapeutic concentrations of the drugs, except for temozolomide, where no toxicity was observed at all. Corresponding immunostaining showed loss of MAP2 staining and increased expression of GFAP and p25α for cultures exposed to 1000 nM vincristine. Cultures exposed to supratherapeutic concentrations of nimustine and imatinib mesylate disintegrated, leaving no tissue for histology. In conclusion, corticostriatal slice cultures and the established panel of markers represent an excellent tool for detecting toxicity by chemotherapeutics. Toxicity was not detected at clinical concentrations, but high concentrations with toxic effects were identified suggesting that some of the earlier identified anti-cancer effects in the literature are general cytotoxic effects and not specific anti-cancer effects. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 4319. doi:10.1158/1538-7445.AM2011-4319
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