Methods: The expression of the CSC markers ABCG2, ALDH1 and Bmi-1 were examined by flow cytometry in cell lines OKF6 (normal oral mucosa), DOK (mild dysplastic mucosa), POE (severe dysplasia) and PJ15, SCC04, SCC09, SCC15, SCC25 (oral squamous cell carcinomas). RT-PCR was utilised to characterise expression of stem-ness related genes Snail 1 & 2 and Twist 1 & 2 in the same cell lines.
Results: Bmi-1 and ABCG2 co-expression is increased in OSCC compared to normal and dysplastic cell lines. ALDH1 and Twist-2 expression is increased in dysplastic and OSCC cell lines. Snail-1 expression is decreased in dysplastic and increased in OSCC cell lines. Snail-2 expression is increased in dysplastic and decreased in OSCC cell lines.
Conclusions: The investigation of CSC biomarkers in these cell lines has elucidated valuable understanding in characterising the initiation and progression of HNSCCs. Co-expression of stem cell markers Bmi-1 and ABCG2 may identify OSCC. ALDH1 and Twist-2 expression may be an important indicator of a tissue’s progression through dysplasia to OSCC. The relationship between Snail 1 and 2 in oral tissues, as it progresses through dysplasia to OSCC, needs further investigation. Future research of CSC biomarkers in OSCC primary tissue will provide deeper understanding of the disease process and will have profound implications for diagnosis, prognosis and treatment.