Targeting cancer stem cells for reversing therapy resistance: mechanism, signaling, and prospective agents

He-Ming Zhou1, Ji-Gang Zhang1, Xue Zhang1

  • 1Department of Clinical Pharmacy, Shanghai General Hospital, Shanghai Jiao Tong University School of medicine, No.100 Haining Road, 200080, Shanghai, People's Republic of China.

Insights

Cancer stem cells (CSCs) drive tumor growth and treatment resistance. Understanding CSC hallmarks and resistance mechanisms is crucial for developing new therapies to improve patient outcomes and prevent relapse.

Area of Science:

  • Oncology
  • Cancer Biology
  • Translational Medicine

Background:

  • Cancer stem cells (CSCs) possess self-renewal and differentiation capabilities, driving tumor progression and therapeutic resistance.
  • The precise mechanisms underlying CSC behavior and treatment failure remain incompletely understood.
  • Identifying CSC hallmarks and resistance pathways is vital for refining treatment strategies and reducing cancer recurrence.

Purpose of the Study:

  • To review the identification and characteristics of CSCs.
  • To elucidate the intrinsic and extrinsic mechanisms of therapy resistance in CSCs.
  • To explore CSC signaling pathways involved in treatment failure and discuss potential CSC-targeting agents.

Main Methods:

  • Literature review of CSC identification and resistance mechanisms.
  • Analysis of signaling pathways mediating CSC-driven treatment failure.
  • Clinical perspective on CSC-targeting agents in various cancers.

Main Results:

  • CSCs play a critical role in tumor progression and resistance to conventional therapies.
  • Various intrinsic and extrinsic factors contribute to CSC therapy resistance.
  • Specific signaling pathways are implicated in CSC-mediated treatment failure.

Conclusions:

  • Targeting CSCs and their associated mechanisms offers a promising strategy for improving cancer therapy.
  • Further research into CSC biology may lead to novel drug discovery and improved therapeutic regimens.
  • Understanding CSCs is key to overcoming treatment resistance and reducing cancer relapse.

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