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1111111111111111111in11111uumu (12) United States Patent (1o) Patent No.: US 8,679,835 B2 Hlatky (45) Date of Patent: Mar. 25, 2014 (54) TUMOR-INITIATING CELLS AND METHODS (56) References Cited OF USE U.S. PATENT DOCUMENTS (75) Inventor: Lynn Hlatky, Boston, MA (US) 2002/0102230 Al 8/2002 Wang et al. 2004/0142333 Al 7/2004 Lu et al. (73) Assignee: GeneSys Research Institute, Brighton, MA (US) OTHER PUBLICATIONS (*) Notice: Subject to any disclaimer, the term of this Chakraborty (Cancer Research. 2000; 60:2512-2519).* Kirsten Walen (In Vitro Cell. Dev. Biol.-Animal; Jun. 2004; 40: patent is extended or adjusted under 35 150-158).* U.S.C. 154(b) by 0 days. Fridman et al. (Oncogene. 2003; 22: 9030-9040).* Chen et al. (Experimental Neurology. 2006; 198: 129-135).* (21) Appl. No.: 12/495,417 International Search Report dated Nov. 25, 2009, corresponding to related application PCT/US09/03924. (22) Filed: Jun. 30, 2009 Duelli et al., "Cell Fusion: Ahidden enemy?" Cancer Cell, May 2003, vol. 3, pp. 445-448. (65) Prior Publication Data Terada et al., "Bone marrow cells adopt the phenotype of other cells by spontaneous cell fusion", Nature, vol. 416, Apr. 4, 2002, pp. US 2010/0162419 Al Jun. 24, 2010 542-545. Related U.S. Application Data * cited by examiner (60) Provisional application No. 61/133,497, filed on Jun. 30, 2008. Primary Examiner Scott Long (74) Attorney, Agent, or Firm Edwards Wildman Palmer (51) Int. Cl. LLP; David G. Conlin; Richard B. Emmons A 01 67100 (2006.01) C12N 5112 (2006.01) (57) ABSTRACT C12N 5102 (2006.01) Provided herein are an isolated or enriched population of C12Q 1102 (2006.01) tumor initiating cells derived from normal cells, cells suscep- A61K39100 (2006.01) tible to neoplasia, or neoplastic cells. Methods of use of the (52) U.S. Cl. cells for screening for anti -hyperproliferative agents, and use USPC ............. 435/346; 435/325; 435/378; 435/29; of the cells for animal models of hyperproliferative disorders 435/377; 424/277.1 including metastatic cancer, diagnostic methods, and thera- (58) Field of Classification Search peutic methods are provided. None See application file for complete search history. 51 Claims, 20 Drawing Sheets U.S. Patent Mar. 25, 2014 Sheet 1 of 20 US 8,679,835 B2 a MLF—MLF LLC—LLC LF Figure U.S. Patent Mar. 25, 2014 Sheet 2 of 20 US 8,679,835 B2 .a ~j C .1: 1 1pl Four continu ed U.S. Patent Mar. 25, 2014 Sheet 3 of 20 US 8,679,835 B2 (58,8%) 60.[ 24,8% 114,7% ,e-540- 30, ------------------------------ 0 20.- --------------------------------- 10 0 MLF LLC MLF-&4LFp25 .0% ti No lwiwt 24 hr Figure I continued U.S. Patent Mar. 25, 2014 Sheet 4 of 20 US 8,679,835 B2 mall R-R 10 MEN-H* . ............ 0• ..... ..................... 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C 0 4) -E ~ 0 M iz < 0 CD a 0 (SAeo) awl LL U.S. Patent Mar. 25, 2014 Sheet 15 of 20 US 8,679,835 B2 Q ON, 00 LL U.S. Patent Mar. 25, 2014 Sheet 16 of 20 US 8,679,835 B2 '' S is im .............. .. ... ........................... ......... ... ....................... ...... ....... .. ;.N W.10 iz U.S. Patent Mar. 25, 2014 Sheet 17 of 20 US 8,679,835 B2 CD T 4.e%as. U.S. Patent Mar. 25, 2014 Sheet 18 of 20 US 8,679,835 B2 A PSA-1HO Figure 11 U.S. Patent Mar. 25,2014 Sheet 19 of 20 US 8,679,835 B2 (D (D 0 0 U.S. Patent Mar. 25, 2014 Sheet 20 of 20 US 8,679,835 B2 2 3 I ............. ................. .................... ........ ;gi zpp Figure 11 continued US 8,679,835 B2 2 TUMOR-INITIATING CELLS AND METHODS Many cancers will eventually recur, and these recurrences can OF USE be fatal. This observation has given rise to the hypothesis that cancer may originate in a small population of cancer stem CROSS-REFERENCE TO RELATED cells that are responsible for the growth of tumors and that are APPLICATION 5 resistant to conventional cancer therapies. Cancer stem cells are believed to be quite rare, and have been difficult to isolate. This application claims the benefit of U.S. Provisional Methods for generating cells that are capable of initiating Application No. 61/133,497, filed on Jun. 30, 2008, the entire tumors and isolated populations of such cells are required for contents of which are incorporated herein by reference. the identification of novel anti-neoplastic agents that are use- 10 ful not only as chemotherapeutic s, but that can prevent cancer STATEMENT OF RIGHTS TO INVENTIONS relapse by targeting tumor-initiating cells that are capable of MADE UNDER FEDERALLY SPONSORED regenerating a tumor when anti-cancer therapy is completed. RESEARCH SUMMARY OF THE INVENTION The work was supported by in part, by NASA grant 15 NNJ06HA28G. The Government has certain rights in the The invention provides tumor-initiating cell compositions, invention. methods for producing a tumor-initiating cell, the use of such cells for the identification of agents useful for the treatment or BACKGROUND OF THE INVENTION prevention of neoplasia and neoplasia relapse following che- 20 motherapy or radiation therapy, as well as anti-neoplasia vac- Thirty years of investigations into the molecular genetics cines, and for the treatment of diseases and disorders associ- and signaling of cancer cells have revealed cancer to be a ated with a deficiency in cell number. genetic disease. The prevailing carcinogenesis paradigm The invention provides an isolated cell selected for having asserts that cancer originates from a single cell which, undergone at least one spontaneous cell-cell fusion, or a through a series of well-defined mutations and selected clonal 25 descendant of said cell, wherein said cell is self-renewing. expansions, ultimately transforms into a cancer cell. Intense Such cells can be used for the methods taught herein. study has identified three critical gene classes which contrib- The invention further provides a tumor-initiating cell ute to the carcinogenesis process: oncogenes, tumor-suppres- selected as having undergone spontaneous cell-cell fusion or sor genes and DNA repair genes, sometimes referred to as a descendant of said cell. Tumor-initiating cells of the inven- stability genes. Beyond the abnormal regulation of these clas- 30 tion give rise to a neoplasia in vitro or in vivo under suitable sic cancer genes, a number of additional processes which are growth conditions. Further, the tumor initiating cells of the common across cancer types have been identified as hall- invention exhibit one or more characteristic features as dem- marks of the disease. These include sustained angiogenesis, onstrated herein. These characteristics include, but are not tissue invasion and metastasis, and unlimited replicative limited to, aneuploidy, increased cellular proliferation rate capacity. Cancer cells also exhibit genomic instability, where 35 relative to a corresponding reference cell, periodically the progeny of cancer cells express increasing levels of chro- increased expression of VEGF, k-ras, myc, MMP-9, CD44 or mosomal aberrations and allelic imbalance. Genomic insta- Bcl-2 relative to a corresponding reference cell, periodically bility generates the vast genotypic and phenotypic diversity reduced expression of CDKn2A and p53 relative to a corre- found in all tumors, and it is the major obstacle in cancer sponding reference cell, formation of a colony in soft agar in treatment. 40 vitro, and formation of a tumor in vivo. Despite these major inroads into elucidating the carcino- The tumor initiating cells of the invention can be generated genesis process, there still remain large gaps in scientists' by the spontaneous fusion between a neoplastic cell and a understanding of how mutations actually drive cell transfor- neoplastic cell, a non-neoplastic cell and a neoplastic cell, or mation and the subsequent cancer progression.