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Implications of cancer stem cells in the treatment of cancer

    Chong-xian Pan

    University of California at Davis Cancer Center, 4501 X Street, Room 3016, Sacramento, CA 95817, USA.

    ,
    Wei Zhu

    Zhongshan Hospital, Department of Surgery, Division of Neurosurgery, Fudan University, 136 Yixueyuan Road, Shanghai 200032, China.

    &
    Liang Cheng

    † Author for correspondence

    Indiana University School of Medicine, Departments of Pathology & Urology, 350 West 11th Street, CPL Room 4010, Indianapolis, IN 46202, USA.

    Published Online:https://doi.org/10.2217/14796694.2.6.723

    Identification of cancer stem cells (CSCs) in both hematological and solid malignancies suggests that CSCs may be a common phenomenon for most malignancies. Similarly to normal stem cells, CSCs can self-renew and differentiate into progeny cancer cells. Almost all current therapy against cancer targets differentiated cancer cells. CSCs are more resistant to therapy secondary to quiescence, increased expression of antiapoptotic proteins and drug efflux transporters. In this article, we review the current status of CSC research and propose the targeting of CSC cell-surface molecules, signal transduction pathways, the stem cell niche, stem cell differentiation and drug resistance.

    Papers of special note have been highlighted as either of interest (•) or of considerable interest (••) to readers.

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