Abstract:Objective To detect the expression of ALDH1 in gastric cancer cell lines and to identify the biological characteristics of ALDH1+ cells. Methods Aldefluor assay was used to detect the expression of ALDH1 in gastric cancer cell lines MGC-803, BGC-823 and MKN-45 by flow cytometry. MGC-803 cell line was selected to isolate ALDH1+ and ALDH1- cells, then the differentiation potential, plate cloning, drug resistance, stemness genes and tumorigenicity of the cells were studied. Results The positive expression ratio of ALDH1 in MGC-803, BGC-823 and MKN-45 cells was (13.00 ± 1.34)%, (5.80 ± 2.15)% and (36.50 ± 5.40)% respectively. ALDH1+ and ALDH1- cells were sorted and cultured for 1 week, the positive expression ratio of ALDH1 was 21.2% and 3.9% respectively. The colony formation rate was (42.63 ± 0.63)% in the ALDH1+ cell group, which was significantly higher than (18.50 ± 2.04)% in the ALDH1- cell group (P < 0.05). Under the same 5-FU concentration, the growth inhibition rate of the ALDH1+ cell group was lower than that of ALDH1- cell group, the difference was statistically significant (P < 0.05). With subcutaneous inoculation of 5×103 ALDH1+ and ALDH1- cells in mice, ALDH1+ cells had a higher rate of tumor formation than ALDH1- cells, the difference of the tumor volume between the two groups was statistically significant (P < 0.05). Conclusions ALDH1 is actively expressed in gastric cancer cell lines. ALDH1+ cells have stem cell properties, which may provide a new diagnostic and therapeutic approach for gastric cancer.