Controversies in cancer stem cells: targeting embryonic signaling pathways

Naoko Takebe1, S Percy Ivy

  • 1National Cancer Institute, Division of Cancer Treatment and Diagnosis, Cancer Therapy Evaluation Program, Investigational Drug Branch, Bethesda, MD 20852, USA.

Insights

Targeting cancer stem cells (CSCs) with novel agents is a promising oncology field. Experimental therapies targeting CSC self-renewal pathways like Notch, Hedgehog, and Wnt are in early development.

Area of Science:

  • Oncology
  • Cancer Biology
  • Drug Development

Background:

  • Cancer stem cells (CSCs) are crucial for tumor growth and recurrence.
  • Understanding the CSC niche microenvironment is essential for effective cancer therapies.
  • CSCs rely on self-renewal pathways, presenting therapeutic targets.

Discussion:

  • Investigational agents targeting Notch, Hedgehog, and Wnt pathways are in late preclinical and early clinical development.
  • These conserved embryonic signaling pathways are critical for CSC self-renewal.
  • Targeting CSCs offers a novel strategy for developing antitumor therapies.

Key Insights:

  • Novel therapeutic agents are being developed to selectively target cancer stem cells (CSCs).
  • CSCs' dependence on self-renewal pathways makes them vulnerable to experimental agents.
  • Early-phase clinical trials are investigating agents targeting Notch, Hedgehog, and Wnt pathways.

Outlook:

  • Further research into CSCs and their microenvironments is needed.
  • Development of targeted therapies for CSCs holds promise for improved cancer treatment.
  • Clinical trials will determine the efficacy and safety of novel CSC-targeting agents.

Related Concept Videos

Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Embryonic Stem Cells00:57

Embryonic Stem Cells

Embryonic stem (ES) cells were first discovered in mice in 1981 by Martin Evans. In 1998, James Thomson identified a method to isolate embryonic stem cells from humans. Human embryonic stem cells (hESCs) are obtained from 3-5 day old embryos that remain unused after an in vitro fertilization procedure.
ES cells are grown in a culture medium where they can divide indefinitely, creating ES cell lines. Under certain conditions, ES cells can differentiate, either spontaneously into a variety of...
Embryonic Stem Cells00:58

Embryonic Stem Cells

Embryonic stem (ES) cells are undifferentiated pluripotent cells, meaning they can produce any cell type in the body. This gives them tremendous potential in science and medicine since they can generate specific cell types for use in research or to replace body cells lost due to damage or disease.
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Mesenchymal Stem Cells01:19

Mesenchymal Stem Cells

Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their access...