Dissection of a stem cell hierarchy in the human breast

Agla Jael Rubner Fridriksdottir

Abstract

The human breast is a unique organ in that it undergoes most of its development after birth under
the control of systemic hormones. Throughout the reproductive life of women, the breast gland
undergoes changes in morphogenesis as evidenced by continuous cell proliferation, differentiation
and apoptosis during each menstrual cycle. These changes are most prominent during pregnancy,
lactation and involution after breast feeding. These highly dynamic changes are thought to rely on
the presence of a breast epithelial stem cell population (reviewed in (Fridriksdottir et al. 2005)).
Nevertheless, cellular pathways that contribute to adult human breast gland architecture and cell
lineages have not been described. Here, I identify a candidate stem cell niche in ducts, and zones
containing progenitor cells in lobules (Villadsen and Fridriksdottir et al. 2007). Putative stem cells
residing in ducts are essentially quiescent, whereas the progenitor cells in the lobules are latent or
actively dividing. Cells from ducts and lobules are collected and functionally characterized by
colony formation on tissue culture plastic, mammosphere formation in suspension culture, and
morphogenesis in laminin-rich extracellular matrix gel. Staining for the epithelial lineage markers,
cytokeratins K14 and K19, further reveals multipotent cells in the stem cell zone and three lineage-
restricted cell types outside this zone. Multiparameter cell sorting and functional characterization
with reference to anatomical sites in situ confirm this pattern. One of the lineage-restricted cell
types is a luminal epithelial progenitor, which prospectively can be highly enriched for by cell
sorting with CDw75. This progenitor among other markers expresses the GATA-binding protein 3
(GATA-3) transcription factor and endocrine receptors. The candidate stem cell on the other hand is
enriched for in c-KIT-positive and Aldeflour-positive populations by fluorescent-activated cell
sorting (FACS) analysis. That the four cell types are indeed constituents of a heretofore undescribed
stem cell hierarchy is assessed in long-term cultures where senescence is bypassed. These findings
identify an adult human breast ductal stem cell activity and the earliest descendants thereof. Further
characterization of the ductal stem cell niche, especially in terms of possible interaction with
surrounding stromal cells (Sigurdsson and Fridriksdottir et al. 2006) is highly warranted as this
may lead to identification of those long-term breast resident(s) that accumulate enough genetic hits
for clonal expansion and tumor development, i.e. the cellular origin(s) of breast cancer.
Original languageEnglish
PublisherMuseum Tusculanum
Publication statusPublished - 2008

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