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Characterization of subpopulation lacking both B-cell and plasma cell markers in Waldenstrom macroglobulinemia cell line.

[waldenström macroglobulinemia]

Cancer cells with tumorigenic potential are limited to a small population known as cancer-initiating cells (CICs). To date, CICs have not been identified in non-Hodgkin's lymphomas. Here, we investigated a candidate of CICs of an indolent non-Hodgkin's lymphoma, Waldenstrom macroglobulinemia (WM), using WM cell line MWCL-1. WM tumor expresses both B-cell and plasma cell markers, CD20 and CD138. When stained with anti-CD20 and anti-CD138 antibodies, MWCL-1 cells were classified into three subpopulations: CD20 CD138, CD20 CD138, and CD20 CD138. When cultured, CD20 CD138 cells yielded all three subpopulations, but CD20 cells did not yield CD20 CD138 cells. Higher reactive oxygen species (ROS) expelling and in vitro colony formation activities were detected in CD20 CD138 cells than in CD20 CD138 and CD20 CD138 cells. When cultured in the absence of serum or with anti-cancer drug, CD20 CD138 cells were resistant to apoptosis. In contrast, CD20 CD138 cells were vulnerable to apoptosis in the same condition. In fact, the immunohistochemical analysis with clinical samples revealed that tumor cells in apoptosis were CD138-positive. The production of all three subpopulations, the efficient ROS expelling and in vitro colony-forming activities, and the resistance to apoptosis suggested that the CD20 CD138 cell might be a candidate of CICs in WM.