Treatment resistance mechanisms of malignant glioma tumor stem cells

Philip G R Schmalz1, Michael J Shen, John K Park

  • 1Surgical and Molecular Neuro-Oncology Unit, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA. parkjk@ninds.nih.gov.

Cancers
|November 12, 2013
PubMed

Insights

Malignant gliomas contain resistant tumor stem cells. These cells evade cancer therapies, contributing to treatment failure and tumor regrowth.

Area of Science:

  • Oncology
  • Cancer Biology
  • Neuro-oncology

Background:

  • Malignant gliomas are aggressive brain tumors known for poor treatment outcomes.
  • Tumor resistance to conventional therapies like radiation and chemotherapy is a major clinical challenge.
  • A subpopulation of tumor stem cells within gliomas is implicated in treatment resistance.

Purpose of the Study:

  • To discuss the mechanisms by which tumor stem cells contribute to treatment resistance in malignant gliomas.
  • To highlight the role of tumor stem cells in glioma persistence and recurrence.
  • To review how these stem cells evade or repair damage from cancer therapies.

Main Methods:

  • Literature review and synthesis of recent evidence on tumor stem cells in malignant gliomas.
  • Analysis of proposed mechanisms of therapy resistance in tumor stem cells.
  • Discussion of the implications for glioma treatment and future research.

Main Results:

  • Malignant gliomas harbor a subpopulation of cells with stem cell characteristics.
  • These tumor stem cells exhibit enhanced resistance to radiation and chemotherapy compared to differentiated glioma cells.
  • Tumor stem cells are proposed as a key factor in glioma treatment failure, persistence, and recurrence.

Conclusions:

  • Tumor stem cells represent a critical target for overcoming treatment resistance in malignant gliomas.
  • Understanding the resistance mechanisms of these cells is crucial for developing more effective therapeutic strategies.
  • Targeting tumor stem cells may offer a promising approach to improve outcomes for patients with malignant gliomas.

Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
2.7K
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...
4.3K
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

2.0K
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.1K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.8K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

3.9K