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Updated: Jun 25, 2026

3D Cell-Printed Hypoxic Cancer-on-a-Chip for Recapitulating Pathologic Progression of Solid Cancer
Published on: January 5, 2021
Cancer stem cells, hypoxia and metastasis
Richard P Hill1, Delphine T Marie-Egyptienne, David W Hedley
1Division of Applied Molecular Oncology, Ontario Cancer Institute/Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada. hill@uhnres.utoronto.ca
Hypoxia, or low oxygen, may maintain cancer stem cells and drive metastasis. This microenvironment condition influences epithelial-mesenchymal transition (EMT), a key process in cancer spread and treatment resistance.
Area of Science:
- Oncology
- Stem Cell Biology
- Cancer Microenvironment Research
Background:
- Metastasis requires cancer stem cells (CSCs).
- The tumor microenvironment, including hypoxia, influences CSCs.
- Stem cell niches, potentially hypoxic, maintain stem cell phenotypes.
Purpose of the Study:
- Discuss the role of hypoxia in maintaining the CSC phenotype.
- Explore the link between CSCs and epithelial-mesenchymal transition (EMT).
- Highlight hypoxia's potential impact on cancer progression and treatment resistance.
Main Methods:
- Literature review of studies on stem cell niches and hypoxia.
- Analysis of evidence linking hypoxia to CSC maintenance.
- Examination of recent research on the hypoxia-EMT connection.
Main Results:
- Hypoxic niches may support CSCs, preserving their undifferentiated state.
- Evidence suggests a link between hypoxia and genes involved in EMT.
- Hypoxia is prevalent in tumors and associated with treatment resistance.
Conclusions:
- Hypoxia is a critical factor in the tumor microenvironment that may maintain cancer stem cells.
- The interplay between hypoxia and EMT presents a potential mechanism for metastasis.
- Further research is needed to confirm the role of hypoxia in cancer stem cell maintenance and EMT.
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