Article
Author: Nakashima, Takuma ; Pallota, Jonelle G ; Ly, Michelle ; Delaidelli, Alberto ; Kharas, Kaitlin ; Bryant, Andrew ; Shin, Seungmin ; MichaelRaj, Antony K ; Livingston, Bryn G ; Wang, Hao ; Richman, Cory M ; Rasnitsyn, Alexandra ; Zhang, Jiao ; Lee, John J Y ; Millman, Jake ; Vladoiu, Maria C ; Golser, Joseph ; Haldipur, Parthiv ; Ahmed, Nabil ; Schramek, Daniel ; Funakoshi, Yusuke ; Visvanathan, Abhirami ; Chen, Chuan ; Abeysundara, Namal ; Wu, Xujia ; Sorensen, Poul H ; Patil, Vikas ; Dimitrov, Dimiter S ; Daniels, Craig ; Haapasalo, Joonas ; Orisme, Wilda ; Fong, Vernon ; Ong, Winnie ; Silvestri, Evelina ; Sirbu, Olga ; Dunham, Christopher ; Saulnier, Olivier ; Suzuki, Hiromichi ; Bashardanesh, Zahedeh ; Razavi, Ferechte ; Kameda-Smith, Michelle M ; Taylor, Michael D ; Ellison, David W ; Van Ommeren, Randy ; Millen, Kathleen J ; Bhaduri, Aparna ; Huang, Ning ; Hendrikse, Liam D ; Balin, Polina ; Weiss, William A ; Garzia, Livia ; Wechsler-Reya, Robert J ; Erickson, Anders W ; Li, Wei ; Stein, Lincoln D ; Wu, Xiaochong ; Rich, Jeremy N ; Suárez, Raúl A ; Douglas, Tajana ; Worme, Samantha ; Dirks, Peter ; Kleinman, Claudia L ; Aldinger, Kimberly A ; Jabado, Nada
We identify a population of Protogenin-positive (PRTG+ve) MYChigh NESTINlow stem cells in the four-week-old human embryonic hindbrain that subsequently localizes to the ventricular zone of the rhombic lip (RLVZ). Oncogenic transformation of early Prtg+ve rhombic lip stem cells initiates group 3 medulloblastoma (Gr3-MB)-like tumors. PRTG+ve stem cells grow adjacent to a human-specific interposed vascular plexus in the RLVZ, a phenotype that is recapitulated in Gr3-MB but not in other types of medulloblastoma. Co-culture of Gr3-MB with endothelial cells promotes tumor stem cell growth, with the endothelial cells adopting an immature phenotype. Targeting the PRTGhigh compartment of Gr3-MB in vivo using either the diphtheria toxin system or chimeric antigen receptor T cells constitutes effective therapy. Human Gr3-MBs likely arise from early embryonic RLVZ PRTG+ve stem cells inhabiting a specific perivascular niche. Targeting the PRTGhigh compartment and/or the perivascular niche represents an approach to treat children with Gr3-MB.