High ALDH activity defines ovarian cancer stem-like cells with enhanced invasiveness and EMT progress which are responsible for tumor invasion
Highlights: • Pluripotent, invasive and EMT-related genes are positively correlated. • The definition of ovarian ALDH{sup high} CSCLs is verified by their higher colony-formation, multipotent-genes expression and tumorigenicity. • Ovarian ALDH{sup high} CSCLs display advanced invasiveness, EMT progress and apoptosis-resistance. • ALDH{sup high} CSCLs take chief charge of EOC invasion, due to their elevated stemness and metastatic features. Epithelial ovarian cancer (EOC) is highly metastatic and current therapeutics are unsatisfactory. Cancer stem/stem-like cells (CSCs/CSCLs) represent a rare population of undifferentiated oncogenic cells responsible for tumor initiation and maintenance. We identified ovarian cancer ALDH{sup high} (aldehyde dehydrogenase) population could perform not only strengthened CSCLs properties embodied in colony-formation, CSCs-markers expression, and tumorigenesis in vivo, but also a greater invasive capacity with advanced EMT progress and anti-apoptosis compared with ALDH{sup low} cells. Furthermore, both the stemness and aggressive features, along with ALDH{sup high} percentages were in positive association with the invasiveness of cell lines for sorting, indicating the promotive role of ALDH{sup high} CSCLs in EOC neoplasia and metastasis, since the whole tumor was derived from the CSCLs with hyperactive self-renewal and aggression. Collectively, this study illustrates the interplay between ALDH{sup high} CSCLs and EOC invasion, and offers a novel application target for the EOC oncotherapy.