Identification and characterisation of NANOG+/ OCT-4high/SOX2+ doxorubicin-resistant stem-like cells from transformed trophoblastic cell lines
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Updated: Feb 14, 2026

In Vitro Differentiation of Human Pluripotent Stem Cells into Trophoblastic Cells
Published on: March 16, 2017
Reham M Balahmar1, David J Boocock2, Clare Coveney2
1School of Science and Technology, Nottingham Trent University, Clifton Lane, Nottingham NG11 8NS, United Kingdom.
Abstract:
Treatment of gestational trophoblastic diseases (GTD) involves surgery, radiotherapy and chemotherapy. Although, these therapeutic approaches are highly successful, drug resistance and toxicity remain a concern for high risk patients. This Chemoresistance has also been observed in the presence of cancer stem cells that are thought to be responsible for cases of cancer recurrence. In this study, we report the presence of previously unknown populations of trophoblastic stem-like cells (SLCs) that are resistant to the chemotherapeutic drug doxorubicin. We demonstrate that these populations express the stem cell markers NANOG and Sox2 and higher levels of OCT-4 (NANOG+/OCT-4high/SOX2+). Although chemoresistant, we show that the invasive capacity of these trophoblastic SLCs is significantly inhibited by doxorubicin treatment. To better characterise these populations, we also identified cellular pathways that are involved in SLCs-chemoresistance to doxorubicin. In summary, we provide evidence of the presence of NANOG+/OCT-4+/SOX2+ trophoblastic SLCs that are capable to contribute to the susceptibility to GTD and that may be involved in Chemoresistance associated with drug resistance and recurrence in high risk GTDs' patients. We propose that targeting these populations could be therapeutically exploited for clinical benefit.
Insights
Researchers discovered novel trophoblastic stem-like cells (SLCs) resistant to chemotherapy in gestational trophoblastic diseases (GTD). Targeting these NANOG+/OCT-4high/SOX2+ cells may improve treatment for high-risk GTD patients, addressing drug resistance and recurrence.
Area of Science:
- Reproductive Medicine
- Oncology
- Stem Cell Biology
Background:
- Gestational trophoblastic diseases (GTD) are treated with surgery, radiotherapy, and chemotherapy.
- Drug resistance and toxicity are significant challenges, particularly in high-risk patients.
- Cancer stem cells are implicated in tumor recurrence and chemoresistance.
Purpose of the Study:
- To identify and characterize novel trophoblastic stem-like cells (SLCs) in GTD.
- To investigate the chemoresistance of these SLCs to doxorubicin.
- To explore potential therapeutic targets for high-risk GTD.
Main Methods:
- Identification of trophoblastic stem-like cells (SLCs) expressing stem cell markers NANOG, OCT-4, and Sox2.
- Assessment of doxorubicin resistance and its effect on the invasive capacity of SLCs.
- Analysis of cellular pathways involved in SLC chemoresistance.
Main Results:
- Previously unknown trophoblastic SLCs (NANOG+/OCT-4high/SOX2+) were identified.
- These SLCs exhibit resistance to the chemotherapeutic drug doxorubicin.
- Doxorubicin treatment significantly inhibited the invasive capacity of these chemoresistant SLCs.
- Cellular pathways contributing to doxorubicin resistance were identified.
Conclusions:
- The study provides evidence for NANOG+/OCT-4high/SOX2+ trophoblastic SLCs in GTD.
- These SLCs may contribute to GTD susceptibility and chemoresistance, leading to drug resistance and recurrence in high-risk patients.
- Targeting these specific trophoblastic SLC populations presents a potential therapeutic strategy for clinical benefit.
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