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ARTICLE
Changes of protein expression during tumorosphere formation of small cell lung cancer circulating tumor cells
SANDRA STICKLER1, BARBARA RATH1, MAXIMILIAN HOCHMAIR2, CLEMENS LANG3, LUKAS WEIGL4, GERHARD HAMILTON1,*
1 Institute of Pharmacology, Medical University of Vienna, Vienna, Austria
2 Karl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria
3 Department of Trauma Surgery, Sozialmedizinisches Zentrum Ost, Donauspital, Vienna, Austria
4 Division of Special Anesthesia and Pain Medicine, Medical University of Vienna, Vienna, Austria
* Corresponding Author: Gerhard Hamilton,
Oncology Research 2023, 31(1), 13-22. https://doi.org/10.32604/or.2022.027281
Received 23 October 2022; Accepted 31 January 2023; Issue published 01 March 2023
Abstract
Small cell lung cancer (SCLC) is frequently disseminated and has a dismal prognosis with survival times of
approximately two years. This cancer responds well to initial chemotherapy but recurs within a short time as a
globally chemoresistant tumor. Circulating tumor cells (CTCs) are held responsible for metastasis, the extremely high
numbers of these cells in advanced SCLC allowed us to establish several permanent CTC cell lines. These CTCs are
distinguished by the spontaneous formation of large spheroids, termed tumorospheres, in regular tissue culture. These
contain quiescent and hypoxic cells in their interior and are associated with high chemoresistance compared to single
cell cultures. Nine CTC lines were compared for their expression of 84 proteins associated with cancer either as single
cells or in the form of tumorospheres in Western blot arrays. With the exception of the UHGc5 line, all other CTC
lines express EpCAM and lack a complete EpCAM-negative, vimentin-positive epithelial-mesenchymal transition
(EMT) phenotype. Upon formation of tumorospheres the expression of EpCAM, that mediates cell-cell adhesion is
markedly upregulated. Proteins such as E-Cadherin, p27 KIP1, Progranulin, BXclx, Galectin-3, and Survivin showed
variable changes for the distinct CTC cell lines. In conclusion, EpCAM presents the most critical marker for
individual SCLC CTCs and the assembly of highly chemoresistant tumorospheres.
Keywords
Cite This Article
STICKLER, S., RATH, B., HOCHMAIR, M., LANG, C., WEIGL, L. et al. (2023). Changes of protein expression during tumorosphere formation of small cell lung cancer circulating tumor cells.
Oncology Research, 31(1), 13–22. https://doi.org/10.32604/or.2022.027281