Despite considerable progress in the development of anticancer therapies, the mortality caused by cancer relapse and metastasis is still progressing which makes it the first cause of tumor-related death. Dormant or slow-cycling tumor cells are thought to be drug resistant and have the capability to survive from the traditional chemotherapy, thus become a source of tumor relapse and metastasis, and an obstacle to therapy. Although slow-cycling tumor cells play an important role in tumor relapse and metastasis, the research about slow-cycling tumor cells is deficient till now. In our research, we studied the biological characteristic of slow-cycling tumor cells and analyzed the therapeutic effect of the vaccine using inactivated slow-cycling tumor cells.First of all, fluorescent dye-stained CT-26cells were analyzed with flow cytometry, and the results demonstrated that there is a small population of slow-cycling tumor cells in the mouse colon carcinoma CT-26cell line. Then slow-cycling tumor cells were sorted using flow cytometry and injected into the mouse to determine their tumorigenicity. The results showed that compared with normal tumor cells, slow-cycling tumor cells had a higher tumorigenicity. And the results of side population analysis indicated that cancer stem cells were enriched in the slow-cycling tumor cells. The number of residual tumor cells was determined after culture in the medium with5-FU, and the percentage of slow-cycling tumor cell in residual tumor after drug treatment was analyzed. The results of above two experiments demonstrated the drug-resistant potential of slow-cycling tumor cells. All the findings provided good evidence for the hypothesis that slow-cycling and drug-resistant tumor cells are the source of tumor relapse and metastasis and an obstacle to therapy.To inhibit tumor recurrence and metastasis more effectively, therapy that selectively targets the slow-cycling tumor cells should be developed to complement the conventional therapies. What we found indicated that drug-treated and slow-cycling tumor cells induced a more intense immune response in vitro. Moreover, colon-tumor-bearing mice were immunized with inactivated slow-cycling CT-26cells to estimate vaccine efficacy, and the result showed that vaccination with inactivated slow-cycling tumor cells obviously reduced tumor volume and prolonged overall survival of tumor-bearing mice. Then we also did the preliminary research about the mechanism of the vaccination with slow-cycling tumor cells.In conclusion, our study provides good evidence for the hypothesis that slow-cycling tumor cells are the source of tumor relapse and metastasis, suggests that targeting of slow-cycling tumor cells application using immunotherapy is a possible treatment to complement traditional antitumor therapy. |