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Brain Cancer Stem Cells in Adults and Children: Cell Biology and Therapeutic Implications
Tamara J Abou-Antoun1, James S Hale2, Justin D Lathia2,3,4
1School of Pharmacy, Department of Pharmaceutical Sciences, Lebanese American University, Byblos, Lebanon.
Abstract:
Brain tumors represent some of the most malignant cancers in both children and adults. Current treatment options target the majority of tumor cells but do not adequately target self-renewing cancer stem cells (CSCs). CSCs have been reported to resist the most aggressive radiation and chemotherapies, and give rise to recurrent, treatment-resistant secondary malignancies. With advancing technologies, we now have a better understanding of the genetic, epigenetic and molecular signatures and microenvironmental influences which are useful in distinguishing between distinctly different tumor subtypes. As a result, efforts are now underway to identify and target CSCs within various tumor subtypes based on this foundation. This review discusses progress in CSC biology as it relates to targeted therapies which may be uniquely different between pediatric and adult brain tumors. Studies to date suggest that pediatric brain tumors may benefit more from genetic and epigenetic targeted therapies, while combination treatments aimed specifically at multiple molecular pathways may be more effective in treating adult brain tumors which seem to have a greater propensity towards microenvironmental interactions. Ultimately, CSC targeting approaches in combination with current clinical therapies have the potential to be more effective owing to their ability to compromise CSCs maintenance and the mechanisms which underlie their highly aggressive and deadly nature.
Insights
Targeting cancer stem cells (CSCs) is crucial for treating aggressive brain tumors in children and adults. New therapies aim to overcome resistance by targeting CSCs, offering improved outcomes for brain tumor patients.
Area of Science:
- Oncology
- Cancer Biology
- Neuro-oncology
Background:
- Brain tumors are highly malignant cancers in pediatric and adult populations.
- Current treatments often fail to target cancer stem cells (CSCs), which drive tumor recurrence and treatment resistance.
- Advancements in understanding tumor biology reveal distinct subtypes and microenvironmental factors.
Purpose of the Study:
- To review progress in cancer stem cell (CSC) biology.
- To explore targeted therapies for CSCs in pediatric and adult brain tumors.
- To highlight differences in therapeutic strategies based on tumor characteristics.
Main Methods:
- Review of current literature on CSC biology and targeted therapies.
- Analysis of genetic, epigenetic, and molecular signatures of brain tumors.
- Comparison of CSC targeting approaches in pediatric versus adult brain tumors.
Main Results:
- Pediatric brain tumors may respond better to genetic and epigenetic targeted therapies.
- Adult brain tumors might benefit more from combination treatments targeting multiple molecular pathways and microenvironmental interactions.
- Targeting CSCs offers a promising strategy to overcome treatment resistance and improve patient outcomes.
Conclusions:
- Understanding CSC biology is key to developing more effective brain tumor treatments.
- Therapeutic strategies for targeting CSCs may differ significantly between pediatric and adult brain tumors.
- Combining CSC-targeted therapies with existing treatments holds potential to compromise CSC maintenance and combat aggressive tumor behavior.
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