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学位論文の要旨

Abstract of Thesis 研究科

School

ヘルスシステム統合科学

Interdisciplinary Science and Engineering in Health Systems 専 攻

Division

ヘルスシステム統合科学

Interdisciplinary Science and Engineering in Health Systems 学生番号

Student No. 78430152 氏 名

Name GHMKIN HASSAN

学位論文題目 Title of Thesis(学位論文題目が英語の場合は和訳を付記)

Investigation of cancer stem cells: methods of generation from iPSCs under pancreatic microenvironment and the potential of differentiation to tumor-associated hematopoietic cells

(がん幹細胞に関する研究:膵臓の微小環境においてiPS細胞から生成する方法とがん関連血液幹細胞へ

の分化能について)

学位論文の要旨 Abstract of Thesis

Cancer stem cells (CSCs) represent the subpopulation of cancer cells with the ability to differentiate into other cell phenotypes and initiated tumorigenesis. Tumor and embryonic/tissue development, from which unique insights are provided, are closely related to each other. In this context, the transformation of normal stem cells into neoplastic cells could be suggested as tumor driven process in which normal stem cells acquire the malignancies to become CSCs. The concept of tumor initiation has been extended to theorize that the heterogeneity present in cancers is driven by a population of self-renewing CSC. Therefore, microenvironment of chronic inflammation may result in the CSC generation. CSCs are generated under irregular conditions in vivo while it is quite difficult to generate artificially because the responsible factors are still complicated to be elucidated. Induced pluripotent stem cells (iPSCs) technology have raised as potential tool to obtain pluripotent stem cells from individuals. The iPSCs facilitate modeling different types of disease including cancer with different genomic background as personalized models. Previously, our lab reported generating CSCs from mouse induced pluripotent stem cells (miPSCs) using conditioned media from cancer cell lines.

Here, I investigate different methods for conversion of both mouse and human iPSCs into CSCs. First, I report that pancreatic cancer cells could provide the microenvironments in vivo to convert miPSCs derived from normal fibroblast into CSCs. Three different pancreatic cancer lines were mixed with miPSCs and injected subcutaneously into immunodeficient mice. The miPSCs were converted in vivo into CSCs which demonstrated the characters of self-renewal, differentiation and high tumorigenicity. Moreover, the obtained CSCs exhibited variant plasticity depending on the different microenvironments of cancer and changing the gene expression profiles indicating that different metabolic pathways are associated after the conversion.

Second, I investigate the possible mechanism of conversion of miPSCs into CSCs when conditioned medium (CM) from pancreatic cancer cell line, PK8, used. I analyzed transcriptome from CSCs, which converted from iPSCs using CM from pancreatic ductal adenocarcinoma cells, and differentially expressed genes were identified. Pathway enrichment was analyzed by the Kyoto Encyclopedia of Genes and Genomes (KEGG). Comparing iPSCs with CSCs converted from iPSCs showed elevated expression of genes related to ErbB2, ErbB3 and PI3K, while KEGG pathways revealed enrich of pathways known to be involved in cancer including ErbB2/ErbB3 signal pathway by conversion of iPSCs to CSCs. Inhibition of ErbB2 by lapatinib induced cell proliferation arrest and losing of

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Name GHMKIN HASSAN

tumorgenicity of converted cells showing potential involvement of ErbB2/ErbB3 pathway in CSCs generation and could lead to potentially new options for cancer treatment and prevention.

Third, I converted human iPSCs in a media supplement with AZD6244, CHIR99021, and 50% conditioned media (CM) from Bxpc3 cell line cells. Tumorigenicity and CSC phenotype of cells were investigated in vitro and in vivo.

As a result, iPSCs cultured in the presence of CM and two inhibitors gained CSC characters developing malignant tumors when injected into the pancreas of immune-deficient mice. On the other hand, injected control cells, iPSCs, developed non-malignant teratoma. Primary isolated cells from malignant tumors showed elevated expression of genes related to CSCs and maintained the expression of stemness ones. The tumors developed from hiPSCs converted with CM kept tumorigenesis with serial transplantation. In conclusion, I showed that mimicking tumor initiation microenvironment by using CM from Bxpc3 cell line cells and inhibition of MEK and GSK-3β induce conversion of hiPSCs into CSCs.

Finally, I investigated the ability of the CSCs converted from miPSCs to differentiate into hematopoietic cells. The primary cells isolated from malignant tumors formed by the CSCs were cultured. Non-adherent cells (NACs) that arose from adherent cells were collected and their viability, as well as the morphology and expression of hematopoietic cell markers, were analyzed. Moreover, NACs were injected into the tail vein of busulfan conditioned Balb/c nude mice. Finally, CSCs were induced to differentiate to macrophages while using IL3 and SCF. The round nucleated NACs were found to be viable, positive for hematopoietic lineage markers and CD34, and expressed hematopoietic markers, just like homing to the bone marrow. When NACs were injected into mice, Wright–Giemsa staining showed that the number of white blood cells got higher than those in the control mice after four weeks.

CSCs also showed the ability to differentiate toward macrophages. CSCs were demonstrated to have the potential to provide progenies with hematopoietic markers, morphology, and homing ability to the bone marrow.

In conclusion, miPSCs were converted into CSC using novel in vivo method and showed that in vitro conversion could be related with ErbB2/ErbB3 heterodimer. Moreover, hiPSCs were also converted into CSCs using CM and signaling inhibitors. Finally, CSCs derived from iPSCs exhibited differentiation ability into hematopoietic cells.

This study gives insights on CSC generation and could lead to potentially new personalized cancer models for treatment and prevention and also give new insight into the tumor microenvironment according to the plasticity of CSCs.

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