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Enhanced Kat3A/Catenin transcription: a common mechanism of therapeutic resistance
Andrea Bild1, Jia-Ling Teo2, Michael Kahn2
1Department of Medical Oncology & Therapeutics Research, Beckman Research Institute of the City of Hope, Duarte, CA 91010, USA.
Abstract:
Cancers are heterogeneous at the cellular level. Cancer stem cells/tumor initiating cells (CSC/TIC) both initiate tumorigenesis and are responsible for therapeutic resistance and disease relapse. Elimination of CSC/TIC should therefore be able to reverse therapy resistance. In principle, this could be accomplished by either targeting cancer stem cell surface markers or "stemness" pathways. Although the successful therapeutic elimination of "cancer stemness" is a critical goal, it is complex in that it should be achieved without depletion of or increases in somatic mutations in normal tissue stem cell populations. In this perspective, we will discuss the prospects for this goal via pharmacologically targeting differential Kat3 coactivator/Catenin usage, a fundamental transcriptional control mechanism in stem cell biology.
Insights
Targeting cancer stem cells (CSCs) could reverse therapy resistance. This perspective discusses targeting Kat3 coactivator/Catenin pathways to eliminate CSCs without harming normal stem cells.
Area of Science:
- Cancer Biology
- Stem Cell Biology
- Molecular Oncology
Background:
- Cancer cells exhibit significant heterogeneity.
- Cancer stem cells (CSCs) or tumor-initiating cells (TICs) drive tumor formation, therapeutic resistance, and relapse.
- Eliminating CSCs is a key strategy to overcome treatment resistance.
Purpose of the Study:
- To explore strategies for eliminating CSCs to reverse therapeutic resistance.
- To discuss the potential of targeting "cancer stemness" pathways.
- To address the challenge of eliminating CSCs without impacting normal stem cell populations.
Main Methods:
- Reviewing the role of CSCs in tumorigenesis and therapy resistance.
- Discussing pharmacological targeting of CSC surface markers or "stemness" pathways.
- Examining differential Kat3 coactivator/Catenin usage as a transcriptional control mechanism.
Main Results:
- CSCs are central to cancer initiation, resistance, and relapse.
- Targeting CSCs offers a potential route to reverse therapy resistance.
- Differential Kat3 coactivator/Catenin usage is a fundamental mechanism in stem cell biology.
Conclusions:
- Eliminating CSCs is critical for overcoming cancer therapeutic resistance.
- Pharmacological targeting of Kat3 coactivator/Catenin pathways presents a promising strategy.
- This approach aims to eliminate CSCs while preserving normal stem cell function and integrity.
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