“…Furthermore, although CD44 expression is reported to be reduced in metastases (Nagabhushan et al, 1996;De Marzo et al, 1998;Noordzij et al, 1999), the CD44 þ PCa cells are found to predominate in two visceral metastases (Liu et al, 1999). Similar to expression studies, the potential role of CD44 in PCa development and metastases is controversial -although some studies show a tumor-suppressive function of CD44 in overexpression experiments (Gao et al, 1997(Gao et al, , 1998, many other studies implicate CD44 in PCa cell proliferation, adhesion, migration, and invasion in vitro as well as in metastatic dissemination in vivo (Lokeshwar et al, 1995;Paradis et al, 1998;Liu et al, 1999;Draffin et al, 2004;Omara-Opyene et al, 2004). Many studies mentioned above utilize either human tissues to carry out correlative immunohistochemistry (IHC) or bulk-cultured PCa cells to carry out overexpression experiments and the key experiment of using purified CD44 þ and CD44 À cells from the same culture or tumor to compare their potentially different biological and tumorigenic properties has not yet been done.…”