2010
DOI: 10.1093/jnci/djp535
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Prognostic Significance of Tumorigenic Cells With Mesenchymal Features in Pancreatic Adenocarcinoma

Abstract: ALDH expression marks pancreatic cancer cells that have stem cell and mesenchymal features. The enhanced clonogenic growth and migratory properties of ALDH-positive pancreatic cancer cells suggest that they play a key role in the development of metastatic disease that negatively affects the overall survival of patients with pancreatic adenocarcinoma.

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Cited by 385 publications
(413 citation statements)
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“…We found that the majority of primary tumor specimens lacked expression of ALDH1-positive cells (70%), while this protein was widely expressed in normal pancreas specimens. This is in contrast with a recent study (55) that found high expression of ALDH1 in PDCA. This discrepancy might be due to variability in tumor sampling, or it could be that tumors are phenotypically and functionally distinct in terms of CSC.…”
Section: Discussioncontrasting
confidence: 99%
“…We found that the majority of primary tumor specimens lacked expression of ALDH1-positive cells (70%), while this protein was widely expressed in normal pancreas specimens. This is in contrast with a recent study (55) that found high expression of ALDH1 in PDCA. This discrepancy might be due to variability in tumor sampling, or it could be that tumors are phenotypically and functionally distinct in terms of CSC.…”
Section: Discussioncontrasting
confidence: 99%
“…In a review performed by Januchowski et al, the association between high level expression of ALDH1A1 and poor prognosis was shown in breast (Black et al, 2009;Tanei et al, 2009), bladder and prostate cancer patients (Li et al, 2010). It has also been shown to be a marker of CSCs in many types of solid tumors, including liver (Lingala et al, 2010), head and neck (Clay et al, 2010), pancreas (Rasheed et al, 2010), lung (Rasheed et al, 2010) ovary (Deng et al, 2010), and colon carcinomas (Lugli et al, 2010). Similar results were reported by Tanei et al in another study on breast cancer indicating the association between high expression of ALDH1A1 with lower overall survival and increase the number of ALDH1A1+ cells after chemptherapy (Tanei et al, 2009), since chemotherapy cannot eradicate cancer stem cells (CSCs) expressing ALDH1A1.…”
Section: Discussionmentioning
confidence: 99%
“…The ALDH1-high population of tumor cells is resistant to antitumor agents and exhibits a tumorigenic potential, suggesting that ALDH1 is one of the markers for cancer-initiating cells (CICs) (1). The presence of a large number of ALDH1-high cells is indicative of poor prognosis in cancers of the breast (1,4), lung (5), pancreas (6), bladder (7) and prostate (8).…”
Section: Introductionmentioning
confidence: 99%