Persister cell plasticity in tumour drug resistance

Paul C McDonald1, Shoukat Dedhar2

  • 1Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC V5Z 1L3, Canada.

Insights

Therapeutic resistance in cancer is often driven by non-genetic, plastic changes in drug-tolerant persister (DTP) cells. Understanding DTP cell plasticity and vulnerability to ferroptosis is key to overcoming treatment failure.

Area of Science:

  • Oncology
  • Cancer Biology
  • Cellular Plasticity

Background:

  • Therapeutic resistance is a major cause of cancer mortality.
  • Non-genetic mechanisms, particularly cellular plasticity, drive acquired resistance.
  • Drug-tolerant persister (DTP) cells emerge due to this plasticity, contributing to tumor heterogeneity and treatment failure.

Purpose of the Study:

  • To review the key features of DTP cells.
  • To highlight phenotypic and metabolic plasticity as drivers of DTP cell tolerance and persistence.
  • To explore the connection between DTP cell plasticity and ferroptosis vulnerability.

Main Methods:

  • Literature review focusing on DTP cells.
  • Analysis of phenotypic and metabolic plasticity in cancer resistance.
  • Examination of the relationship between DTP cells, anastasis, and ferroptosis.

Main Results:

  • DTP cells exhibit significant phenotypic and metabolic plasticity.
  • This plasticity contributes to reversible therapeutic resistance.
  • DTP cells may be vulnerable to ferroptosis, a cell death pathway.

Conclusions:

  • Cellular plasticity is a critical factor in the emergence of DTP cells and therapeutic resistance.
  • Targeting DTP cell plasticity and exploiting ferroptosis presents a potential strategy to overcome treatment resistance.
  • Further research into DTP cells, anastasis, and ferroptosis is warranted for improved cancer therapies.

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