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Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
Breast cancer stem cells: Biology and therapeutic implications
Ramesh Butti1, Vinoth Prasanna Gunasekaran1, Totakura V S Kumar1
1National Centre for Cell Science, SP Pune University Campus, Pune 411007, India.
Abstract:
Breast cancer remains to be a dreadful disease even with several advancements in radiation and chemotherapies, owing to the drug resistance and tumor relapse caused by breast cancer stem cells. Cancer stem cells are a minute population of cells of solid tumors which show self-renewal and differentiation properties as well as tumorigenic potential. Several signaling pathways including Notch, Hippo, Wnt and Hedgehog and tumor-stroma exchanges play a critical role in the self-renewal and differentiation of cancer stem cells in breast cancer. Cancer stem cells can grow anchorage-independent manner so they disseminate to different parts of the body to form secondary tumors. Cancer stem cells promote angiogenesis by dedifferentiating to endothelial cells as well as secreting proangiogenic and angiogenic factors. Moreover, multidrug resistance genes and drug efflux transporters expressed in breast cancer stem cells confer resistance to various conventional chemotherapeutic drugs. Indeed, these therapies are recognised to enhance the percent of cancer stem cell population in tumors leading to cancer relapse with increased aggressiveness. Hence, devising the therapeutic interventions to target cancer stem cells would be useful in increasing patients' survival rates. In addition, targeting the self-renewal pathways and tumor-stromal cross-talk helps in eradicating this population. Reversal of the cancer stem cell-mediated drug resistance would increase the sensitivity to various conventional drugs for the effective management of breast cancer. In this review, we have discussed the cancer stem cell origin and their involvement in angiogenesis, metastasis and therapy-resistance. We have also summarized different therapeutic approaches to eradicate the same for the successful treatment of breast cancer.
Insights
Breast cancer stem cells drive relapse and drug resistance. Targeting these cells and their pathways offers a promising strategy to improve patient survival and enhance treatment effectiveness.
Area of Science:
- Oncology
- Cancer Biology
Background:
- Breast cancer remains a significant health challenge despite advances in chemotherapy and radiation.
- Breast cancer stem cells (CSCs) are implicated in tumor relapse, metastasis, and resistance to conventional therapies.
- CSCs possess self-renewal and differentiation capabilities, contributing to tumor heterogeneity and therapeutic failure.
Purpose of the Study:
- To review the origin and multifaceted roles of breast CSCs in cancer progression.
- To explore the mechanisms by which CSCs contribute to angiogenesis, metastasis, and therapy resistance.
- To summarize current and emerging therapeutic strategies targeting CSCs for improved breast cancer treatment.
Main Methods:
- Literature review of studies on breast cancer stem cells.
- Analysis of signaling pathways (Notch, Hippo, Wnt, Hedgehog) involved in CSC self-renewal.
- Examination of CSC interactions with the tumor microenvironment and their role in angiogenesis and metastasis.
Main Results:
- CSCs promote tumor growth, angiogenesis, and metastasis through self-renewal and differentiation.
- CSCs exhibit inherent multidrug resistance via specific genes and efflux transporters.
- Conventional therapies can inadvertently enrich the CSC population, leading to relapse.
Conclusions:
- Targeting breast CSCs is crucial for overcoming therapeutic resistance and preventing tumor recurrence.
- Interventions aimed at CSC self-renewal pathways and tumor-stroma interactions are vital.
- Reversing CSC-mediated drug resistance can enhance sensitivity to existing breast cancer treatments.
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