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Published on: May 14, 2016
Killing time for cancer stem cells (CSC): discovery and development of selective CSC inhibitors
María Pérez-Caro1, Isidro Sánchez-García
1Laboratorio 13, Instituto de Biología Molecular Celular del Cáncer, CSIC/ Universidad de Salamanca, Campus Unamuno s/n, 37007-Salamanca, Spain.
Abstract:
Can cancer be cured or will it have to be controlled as a chronic disease? Despite a better understanding of the biology of tumour cells, the treatment of most cancers has not significantly changed for the past three decades. Are current cancer drugs targeted at the wrong kind of cells? Accumulating evidence has implicated that cancer is a disease of stem cells. In this context, a small fraction of cancer cells adopt the properties of stem cells. In some cases, the cancer stem cells (CSC) could be the close derivative of normal tissue stem cells. In either situation, the net result will be the same, in that CSC are the cells to be used as targets in the development of molecular and pharmaceutical therapies to treat and prevent human cancer. This could be a paradigm shift in the treatment of cancer, away from targeting the blast cells and towards the targeting of the CSC. A challenge to this approach will be to find a way to specifically target CSC without toxicity to normal cells. In this article, we propose how CSC can be used in therapy programs (target identification, drug discovery, etc.). Therefore, in the future, it might be possible to rid a patient of all his/her cancer cells, including the cancer stem cells.
Insights
Cancer may be a stem cell disease. Targeting cancer stem cells (CSCs) offers a new therapeutic strategy, potentially shifting treatment from eradicating bulk tumor cells to eliminating CSCs for a complete cure.
Area of Science:
- Oncology
- Stem Cell Biology
- Cancer Therapeutics
Background:
- Despite advances in tumor biology, cancer treatment paradigms have remained largely unchanged for decades.
- Current therapies may target the wrong cellular components, necessitating a re-evaluation of treatment strategies.
- Emerging evidence suggests cancer is fundamentally a stem cell disorder.
Purpose of the Study:
- To explore the role of cancer stem cells (CSCs) as a therapeutic target.
- To propose a paradigm shift in cancer treatment strategies focusing on CSCs.
- To outline how CSCs can be utilized in future cancer therapy programs.
Main Methods:
- Review of accumulating evidence implicating stem cells in cancer development.
- Analysis of the potential of targeting cancer stem cells (CSCs) over bulk tumor cells.
- Proposal of CSC-centric approaches for target identification and drug discovery.
Main Results:
- Cancer stem cells (CSCs), a small fraction of tumor cells with stem cell properties, are identified as crucial drivers of cancer.
- Targeting CSCs represents a potential paradigm shift from conventional cancer therapies.
- Developing therapies that specifically target CSCs without harming normal cells is a key challenge.
Conclusions:
- Cancer stem cells (CSCs) are a promising target for novel molecular and pharmaceutical therapies.
- A future where patients are free of all cancer cells, including CSCs, may be achievable.
- This approach could lead to more effective treatments and prevention of human cancers.
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