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Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
Targeting Breast Cancer Stem Cells Using Naturally Occurring Phytoestrogens
Mai Nguyen1,2, Clodia Osipo2,3
1MD/PhD Program, Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, USA.
Abstract:
Breast cancer therapies have made significant strides in improving survival for patients over the past decades. However, recurrence and drug resistance continue to challenge long-term recurrence-free and overall survival rates. Mounting evidence supports the cancer stem cell model in which the existence of a small population of breast cancer stem cells (BCSCs) within the tumor enables these cells to evade conventional therapies and repopulate the tumor, giving rise to more aggressive, recurrent tumors. Thus, successful breast cancer therapy would need to target these BCSCs, as well the tumor bulk cells. Since the Women's Health Initiative study reported an increased risk of breast cancer with the use of conventional hormone replacement therapy in postmenopausal women, many have turned their attention to phytoestrogens as a natural alternative. Phytoestrogens are plant compounds that share structural similarities with human estrogens and can bind to the estrogen receptors to alter the endocrine responses. Recent studies have found that phytoestrogens can also target BCSCs and have the potential to complement conventional therapy eradicating BCSCs. This review summarized the latest findings of different phytoestrogens and their effect on BCSCs, along with their mechanisms of action, including selective estrogen receptor binding and inhibition of molecular pathways used by BCSCs. The latest results of phytoestrogens in clinical trials are also discussed to further evaluate the use of phytoestrogen in the treatment and prevention of breast cancer.
Insights
Phytoestrogens show promise in targeting breast cancer stem cells (BCSCs) and complementing traditional treatments. These natural compounds may offer a new strategy for preventing recurrence and overcoming drug resistance in breast cancer therapy.
Area of Science:
- Oncology
- Endocrinology
- Pharmacology
Background:
- Breast cancer recurrence and drug resistance remain significant challenges despite advances in therapy.
- The cancer stem cell (CSC) model highlights a subpopulation of breast cancer stem cells (BCSCs) responsible for tumor repopulation and therapeutic evasion.
- Phytoestrogens, plant-derived compounds mimicking human estrogens, are being explored as natural alternatives to conventional hormone replacement therapy.
Purpose of the Study:
- To review the latest findings on phytoestrogens and their effects on breast cancer stem cells (BCSCs).
- To elucidate the mechanisms of action through which phytoestrogens target BCSCs.
- To evaluate the clinical trial results of phytoestrogens for breast cancer treatment and prevention.
Main Methods:
- Literature review of recent studies on phytoestrogens and BCSCs.
- Analysis of mechanisms including selective estrogen receptor modulation and inhibition of CSC-specific pathways.
- Summary of clinical trial data on phytoestrogen efficacy in breast cancer.
Main Results:
- Phytoestrogens demonstrate the ability to target and affect BCSCs.
- Mechanisms involve selective estrogen receptor binding and interference with BCSCs' molecular pathways.
- Emerging clinical data suggest potential roles in breast cancer treatment and prevention.
Conclusions:
- Phytoestrogens represent a promising therapeutic avenue for targeting BCSCs in breast cancer.
- They have the potential to enhance conventional therapies by eradicating BCSCs and preventing recurrence.
- Further clinical evaluation is warranted to establish their role in breast cancer management.
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