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Targeted and Selective Treatment of Pluripotent Stem Cell-derived Teratomas Using External Beam Radiation in a Small-animal Model
Published on: February 17, 2019
Controversies in cancer stem cells: targeting embryonic signaling pathways
1National Cancer Institute, Division of Cancer Treatment and Diagnosis, Cancer Therapy Evaluation Program, Investigational Drug Branch, Bethesda, MD 20852, USA.
Abstract:
Selectively targeting cancer stem cells (CSC) or tumor-initiating cells (TIC; from this point onward referred to as CSCs) with novel agents is a rapidly emerging field of oncology. Our knowledge of CSCs and their niche microenvironments remains a nascent field. CSC's critical dependence upon self-renewal makes these regulatory signaling pathways ripe for the development of experimental therapeutic agents. Investigational agents targeting the Notch, Hedgehog, and Wnt pathways are currently in late preclinical development stages, with some early phase 1-2 testing in human subjects. This series of articles will provide an overview and summary of the current state of knowledge of CSCs, their interactive microenvironment, and how they may serve as important targets for antitumor therapies. We also examine the scope and stage of development of early experimental agents that specifically target these highly conserved embryonic signaling pathways.
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.
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