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The therapeutic promise of the cancer stem cell concept
Natasha Y. Frank, … , Tobias Schatton, Markus H. Frank
Natasha Y. Frank, … , Tobias Schatton, Markus H. Frank
Published January 4, 2010
Citation Information: J Clin Invest. 2010;120(1):41-50. https://doi.org/10.1172/JCI41004.
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The therapeutic promise of the cancer stem cell concept

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Abstract

Cancer stem cells (CSCs) are a subpopulation of tumor cells that selectively possess tumor initiation and self-renewal capacity and the ability to give rise to bulk populations of nontumorigenic cancer cell progeny through differentiation. As we discuss here, they have been prospectively identified in several human malignancies, and their relative abundance in clinical cancer specimens has been correlated with malignant disease progression in human patients. Furthermore, recent findings suggest that clinical cancer progression driven by CSCs may contribute to the failure of existing therapies to consistently eradicate malignant tumors. Therefore, CSC-directed therapeutic approaches might represent translationally relevant strategies to improve clinical cancer therapy, in particular for those malignancies that are currently refractory to conventional anticancer agents directed predominantly at tumor bulk populations.

Authors

Natasha Y. Frank, Tobias Schatton, Markus H. Frank

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Figure 2

The therapeutic promise of CSC-directed targeting strategies.

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The therapeutic promise of CSC-directed targeting strategies.
A number o...
A number of therapeutic strategies directed at CSCs are beginning to be experimentally validated. These approaches could potentially enhance responsiveness to current anticancer treatment regimens and might reduce the risk of relapse and dissemination. The approaches include ablation using antitumor agents that target prospective markers of CSCs (e.g., monoclonal antibodies and activated immune cells); reversal of chemo- or radioresistance mechanisms operative in CSC; CSC pathway interference; differentiation therapy; disruption of protumorigenic CSC-microenvironment interactions; antiangiogenic or antivasculogenic therapy; and disruption of immunoevasion pathways.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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