Chemical approaches to targeting drug resistance in cancer stem cells

Panagiota A Sotiropoulou1, Michael S Christodoulou2, Alessandra Silvani2

  • 1Interdisciplinary Research Institute (IRIBHM), Université Libre de Bruxelles (ULB), 808 route de Lennik, BatC, 1070 Bruxelles, Belgium.

Insights

Cancer stem cells (CSCs) drive tumor relapse due to therapy resistance. This review explores CSC resistance mechanisms, targets, and natural, derived, and synthetic compounds to overcome CSC-mediated treatment failure.

Area of Science:

  • Oncology
  • Cancer Biology
  • Pharmacology

Background:

  • Cancer stem cells (CSCs) possess high clonogenic potential and tumor-regenerating capacity.
  • CSCs are implicated in therapeutic resistance and tumor relapse across various cancer types.
  • Targeting CSCs is crucial for developing effective cancer therapies.

Purpose of the Study:

  • To review mechanisms of CSC resistance to cancer therapies.
  • To identify potential biological targets for overcoming CSC resistance.
  • To summarize chemical compounds with activity against CSCs.

Main Methods:

  • Literature review of studies on CSC resistance mechanisms.
  • Analysis of biological targets implicated in CSC survival and resistance.
  • Categorization of chemical compounds (natural, natural-derived, synthetic) based on their anti-CSC activity.

Main Results:

  • CSCs exhibit multiple resistance mechanisms contributing to treatment failure.
  • Several biological targets are proposed to overcome CSC resistance.
  • A range of natural, natural-derived, and synthetic compounds show promise in targeting CSCs.

Conclusions:

  • Understanding CSC resistance mechanisms is key to developing novel therapeutic strategies.
  • Targeting CSCs and utilizing specific chemical compounds may improve treatment outcomes.
  • Further research into CSC-targeting agents is warranted to combat tumor relapse.

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