Diversity of ER-positive and HER2-negative breast cancer stem cells attained using selective culture techniques

Satoshi Sueoka1,2, Azusa Kai1, Yukino Kobayashi3

  • 1Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.

Scientific Reports
|March 11, 2025
PubMed

Insights

Researchers developed a method to selectively culture breast cancer stem cells (BCSCs) from patient tissues. This technique enhances the understanding and potential targeting of these crucial cells in estrogen receptor-positive, HER2-negative breast cancer.

Area of Science:

  • Oncology
  • Cell Biology
  • Cancer Stem Cell Research

Background:

  • Breast cancer stem cells (BCSCs) are implicated in tumor recurrence and therapy resistance.
  • Targeting BCSCs offers a promising strategy for improving breast cancer treatment outcomes.

Purpose of the Study:

  • To explore the diversity of BCSCs in estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer.
  • To establish a reliable methodology for the selective culture of BCSCs from patient-derived tissues.

Main Methods:

  • Spheroid culture of cells isolated from treatment-naïve breast cancer tissues.
  • Analysis of cell surface markers (CD44+/CD24-), stemness markers (Twist, Snail, Vimentin), and ER expression.
  • In vivo engraftment studies in mice.
  • DNA microarrays and Gene Ontology analysis for BCSC classification.

Main Results:

  • Successful spheroid culture achieved in 48 out of 57 cases, significantly increasing the CD44+/CD24- cell ratio.
  • Demonstrated stemness of cultured cells through in vivo engraftment and re-differentiation.
  • Observed ER negative conversion in 52.1% of spheroid cells and increased expression of EMT markers (Twist, Snail, Vimentin).
  • Classified ER+/HER2- BCSCs into two distinct groups based on gene expression, with one group showing higher immune response genes and the other protein binding genes.

Conclusions:

  • Spheroid culture provides a stable and selective method for culturing BCSCs from patient samples.
  • The study highlights BCSC heterogeneity and potential plasticity, including ER status and EMT marker expression.
  • Identified distinct molecular subtypes of ER+/HER2- BCSCs, paving the way for targeted therapeutic strategies.