@article{3152065, title = "Novel measurements of mammary stem cells in human umbilical cord blood as prospective predictors of breast cancer susceptibility in later life", author = "Qiu, L. and Low, H. P. and Chang, C. -I. and Strohsnitter, W. C. and and Anderson, M. and Edmiston, K. and Adami, H. -O. and Ekbom, A. and Hall, and P. and Lagiou, P. and Trichopoulos, D. and Hsieh, C. -C.", journal = "Annals of Oncology", year = "2012", volume = "23", number = "1", pages = "245-250", publisher = "Oxford University Press", issn = "0923-7534, 1569-8041", doi = "10.1093/annonc/mdr153", keywords = "epithelial cell adhesion molecule; flow cytometry; hematopoietic stem cell; integrins; in utero environment; prenatal origin", abstract = "Background: The size of the breast stem-cell pool could underlie the intrauterine roots of breast cancer. We studied whether breast stem cells exist in umbilical cord blood and if they correlate with hematopoietic stem-cell measurements that have been positively associated with perinatal risk factors for breast cancer. Subjects and methods: We isolated mononuclear cells from umbilical cord blood of 170 singleton full-term pregnancies and determined, by reverse transcription polymerase chain reaction, the presence of genes of putative breast epithelial stem-cell/progenitor markers [including epithelial cell adhesion molecule (EpCAM), CD49f (alpha 6-integrin), CD117 (c-kit receptor), CD24, and CD29 (beta 1-integrin)]. By immunocytochemistry, we colocalized protein expressions of EpCAM(+)CD49f(+), CD49f(+)CD24(+), and CD24(+)CD29(+). We correlated concentrations of putative breast stem-cell/progenitor subpopulations, quantified by flow cytometry, with concentrations of hematopoietic stem cells. Results: Mammary stem-cell phenotypes were identified in umbilical cord blood. The measured EpCAM(+) subpopulation was positively correlated with concentrations of CD34(+) and CD34(+) CD38(-) hematopoietic stem cells (both P = 0.006). Additionally, EpCAM(+)CD49f(+) and CD49f(+)CD24(+) subpopulations were positively correlated to the CD34(+) cells (P = 0.03 and 0.008, respectively). Conclusion: The positive association between measurable breast and hematopoietic stem cells in human umbilical cord blood suggests plausible mechanisms for a prenatal influence on breast cancer risk." }