TY - JOUR TI - Novel measurements of mammary stem cells in human umbilical cord blood as prospective predictors of breast cancer susceptibility in later life AU - Qiu, L. AU - Low, H. P. AU - Chang, C. -I. AU - Strohsnitter, W. C. and AU - Anderson, M. AU - Edmiston, K. AU - Adami, H. -O. AU - Ekbom, A. AU - Hall, AU - P. AU - Lagiou, P. AU - Trichopoulos, D. AU - Hsieh, C. -C. JO - Annals of Oncology PY - 2012 VL - 23 TODO - 1 SP - 245-250 PB - Oxford University Press SN - 0923-7534, 1569-8041 TODO - 10.1093/annonc/mdr153 TODO - epithelial cell adhesion molecule; flow cytometry; hematopoietic stem cell; integrins; in utero environment; prenatal origin TODO - 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. ER -