Supplementary Methods and References Cancer tissue disaggregation and primary cell culture of rectal cancer stem cells Cancer tissue collected from primary surgical specimens or mouse xenografts were rinsed three times with phosphate buffer saline (PBS) added in 5× penicillin-streptomycin solution. The washed cancer tissue were minced with sterile scissors into small (0.5-1mm3) fragments and resuspended in serum-free DMEM:F12 medium(HyClone, Logan, UT, USA) with 1 mg/ml Collagenase type IV(Sigma, Louis, MO, USA),which St. incubated for 30-40 min at 37°C to obtain enzymatic disaggregation. Cells were then resuspended by pipetting and serially filtered by using sterile 70 μm nylon meshes. Contaminated blood cells were removed by incubation in ammonium chrloride potassium phosphate hypotonic buffer for 6 min on 4°C. The resulting cancer cells were cultured in a serum-free medium supplemented with 20 ng/ml EGF (Perprotech, Rocky Hill, NJ, US) and 10 ng/ml FGF-2 (Perprotech). The tumor cells were subjected to DMEM medium (Hyclone) containing 20% FBS for differentiation and the Caco-2 human colon cancer cell line was maintained in IMEM Medium (Hyclone) supplemented with 20% fetal bovine serum (FBS; Hycolne), 100 units/ml penicillin and 100 mg/ml streptomycin in a humidified incubator under 95% air and 5% CO2 at 37°C. Immunohistochemistry, Immunofluorescent Assay and Immunobloting Tumor specimens from mice or clinical patients were washed with 1× phosphate-buffered saline (PBS), fixed with 4% paraformaldehyde (Sigma), and 1 embedded in Parafilm. Sections (4 μm thick) were deparaffinized and rehydrated before staining. Tissue antigens were retrieved by boiling in 10 mmol/L (pH 6.0) citrate buffer (Sigma) or EDTA (ph 8.0) for 45 minutes. Sections were naturally cooled down to room temperature before treating with 3% H2O2, and next samples were hybridized with monoclonal antibodies CD44 (Abcam, Cambridge, MA, USA; dilution 1:100) CD54 (Abcam, dilution 1:100), CDX2 (Abcam, dilution 1:200), CK7 (Abcam, dilution 1:200), CK20 (Abcam, dilution 1:200) and EGFR (Epitomics, dilution 1:150) overnight at 4°C. Isotype IgG staining was used as a negative control of immunohistochemistry experiments. Sections were then stained with 800× diluted secondary antibodies (Santa Cruz, Heidelberg, Germany) for 1 hour at room temperature. Spheres were fixation with 4% paraformaldehyde (Sigma) for 30 minutes before embedment in low melting point agarose for 1 hour at 4°C. The coagulated agarose was embedded in Oct compound (Tissue Tek). For frozen section (4 μm thickness) and differentiated cells were plated onto matrigel-coated glass coverslips for 1week before fixation with 4% paraformaldehyde (Sigma) for 30 minutes at room temperature followed by PBS washes. Cells were permeabilized with 0.1- 0.5% Triton X-100/PBS for 10 minutes at room temperature, washed with 1× PBS, and blocked in 3% BSA 1 in PBS for 30 minutes before probing with CD44 Abcam, dilution 1:200, CD54 (Abcam, dilution 1:200), CDX2 (Abcam, dilution 1:200), CK7 (Abcam, dilution 1:200), CK20 (Abcam, dilution 1:200), E-cadherin (Abcam, dilution:1:200), EpCAM (Abcam, dilution 1:100), fibronectin(Abcam, dilution:1:200), Vimentin 2 (Santa Cruz, dilution:1:200), α-SMA (Sigma, dilution:1:800) and Bmi1 (Epitomics, dilution:1:200), Isotype IgG staining was used as a negative control of Immunofluorescent experiments. primary antibodies overnight at 4°C, and followed by the fluorescence-tagged mouse or rabbit secondary antibodies (dilution:1:800). Fluorescence images were visualized with a fluorescence microscope (Zeiss Axio scope A1) or confocol microscole (Nikon A1). Immunoblotting was performed as described2 with the following primary antibodies: Snail (Abcam,1:1000), slug (Abcam,1:1000), E-cadherin (BD Biosciences,1:1000), Vimentin (Santa Cruz Biotechnology, 1:1000), (Themofish, 1:800) , Fibronectin α-SMA (Sigma,1:5000), Lgr5 (Epitomics, Burlingame, CA, USA, 1:800), Bmi1 (Epitomics,1:1000). Secondary antibodies were as follows: goat anti-rabbit IgG-HRP ( Santa Cruz Biotechnology), goat anti-mouse IgG-HRP (Santa Cruz Biotechnology). DNA/RNA extraction and RT-PCR Genomic DNA was isolated from spheroids followed by Neucleo Spin Tissue kit (MACHEREY-NAGEL, Düren, Germany), The extracted DNA was also used for PCR amplification of k-ras exon 2. PCR primers sets were designed using software Primer ExpressTM (Applied Biosystem, Foster City, CA, USA) according to the sequence deposited in GenBank (NC000012) for k-ras, k-ras primer sequence as follows: Forward:5’ CCTGCTGAAAATGACTGAATA 3’ and reverse: 5’ CCTGCTGTGTCGAGAATAT 3’. PCR products were purified by the High pure PCR product Purification Kit (Roche, Shanghai, China) and then analyzed for sequence 3 alterations by sequencing. Total RNA of cells was extracted with Tripure reagent kit (Roche) according to the manufacturer’s protocol. Subsequently, reverse-transcription of RNA and real time PCR was performed using Takara RNA PCR kit. The primers was as described by Medici D. et al.3 The target genes including E-cadherin, Fibronectin, vimentin, α-sma, snail and slug genes were investigated by the manufacturer on an Bio-Rad CFX96 themal cycler (Bio-Rad, Hercules, CA, USA), with 40 cycles per sample. Cycling temperatures were as follows:denaturing, 95°C; annealing, 60°C. The relative quantitation of relative genes expression was calculated using the comparative Ct method (2-△△Ct). Experimental target quantities were normalized to the endogenous Human GAPDH control. Migration assays in vitro For transwell migration assays, 1 × 104 isolated tumor cells were plated in the top chamber with the non-coated membrane (24-well insert, 8 μm pore size, Millipore, Billerica, MA, USA). The cells were resuspended in 250μl of DMEM-F12 and placed in the upper chamber, and medium supplemented with 10% FBS was used as a chemo-attractant in the lower chamber. Cells were incubated for 24h and cells that did not migrate or invade through the pores were removed by a cotton swab. Cells on the lower surface of the membrane were stained and counted. Supplementary References 4 1. Ho Y, Gruhler A, Heilbut A, Bader GD, Moore L, Adams SL, et al. Systematic identification of protein complexes in Saccharomyces cerevisiae by mass spectrometry. Nature 2002, 415(6868): 180-183. 2. Todaro M, Alea MP, Di Stefano AB, Cammareri P, Vermeulen L, Lovino F, et al. Colon cancer stem cells dictate tumor growth and resist cell death by production of interleukin-4. Cell Stem Cell 2007, 1(4): 389-402. 3. Medici D, Hay ED, epithelial-mesenchymal Olsen transition BR. Snail through and Slug promote beta-catenin-T-cell factor-4-dependent expression of transforming growth factor-beta3. Mol Biol Cell 2008, 19(11): 4875-4887. 5