目的：比较人Luminal A型和HER-2阳性乳腺癌的肿瘤干细胞的生物学行为差异。方法：用Luminal A型和HER-2阳性乳腺癌组织培分离并培养原代乳腺癌细胞，获取富含肿瘤干细胞的微球体（MS）；用胰酶将MS消化成单细胞（微球体细胞，MSDC），比较两类乳腺癌MSDC的体外增殖和自我更新能力、ALDH1+表型肿瘤干细胞含量，以及移植NOD/SCID小鼠后的成瘤情况。结果：Luminal A型和HER-2阳性乳腺癌组织分离的原代乳腺癌细胞均能培养出MS，但相对于Luminal A型乳腺癌，HER-2阳性乳腺癌来源的MS形成时间短，生成的MS体积大；HER-2阳性乳腺癌来源的MSDC无论在无血清或添加血清的培养基中的增殖与再生能力均明显强于Luminal A型乳腺癌来源的MSDC，且前者含ALDH1表型干细胞比例明显高于后者（均P<0.05）；HER-2阳性乳腺癌的MSDC在NOD/SCID小鼠体内成瘤能力也强于Luminal A型乳腺癌来源的MSDC。结论：Luminal A型和HER-2阳性乳腺癌分离出来肿瘤干细胞生物学行为存在明显的差异，两者可能有不同肿瘤干细胞起源。
Comparison of biological behaviors in cancer stem cells derived from Luminal A and HER-2-positive breast cancer
Objective: To compare the difference in biological behaviors between two types of tumor stem cells derived from human Luminal A and HER-2-positive breast cancer. Methods: Primary breast cancer cells were isolated from specimens of Luminal A and HER-2-positive breast cancer tissues and cultured, and then the mammospheres (MSs) were obtained, which were highly enriched in tumor stem cells. MSs were dissociated into single cells (mammospheres-derived cells, MSDCs) by trypsin digestion, and then the proliferative and regenerative abilities in vitro, the proportions of ALDH1+ cell population, and the tumor formation abilities after inoculation into NOD/SCID mice were compared between MSDCs from the two types of breast cancer. Results: MSs formed in the primary cultured breast cancer cells either isolated from Luminal A or HER-2-positive breast cancer tissue. However, in HER-2-positive breast cancer, the MSs formation time was shorter and their volume was larger than those in Luminal A breast cancer. The proliferative and regenerative abilities in MSDCs from HER-2-positive breast cancer were significantly higher than those in MSDCs from Luminal A breast cancer either cultured in serum-free medium or medium containing serum, and the proportion of ALDH1+ cell population in the former was significantly higher than that in the latter (all P<0.05). The tumor formation ability of MSDCs from HER-2-positive breast cancer was stronger than that of MSDCs from Luminal A breast cancer in NOD/SCID mice. Conclusion: The tumor stem cells isolated from Luminal A and HER-2-positive breast cancer have significantly different biological behaviors. So the two types of breast cancer may originate from different tumor stem cells.