2017
DOI: 10.18632/oncotarget.23607
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Cancer stem cells in progression of colorectal cancer

Abstract: Colorectal cancer is one of the most common cancers worldwide with high mortality. Distant metastasis and relapse are major causes of patient death. Cancer stem cells (CSCs) play a critical role in the metastasis and relapse of colorectal cancer. CSCs are a subpopulation of cancer cells with unique properties of self-renewal, infinite division and multi-directional differentiation potential. Colorectal CSCs are defined with a group of cell surface markers, such as CD44, CD133, CD24, EpCAM, LGR5 and ALDH. They … Show more

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Cited by 189 publications
(140 citation statements)
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“…CSCs may, in part, also contribute to therapeutic resistance leading to tumor recurrence and tumor progression. Multiple surface markers have been identified for colorectal CSCs, although almost every one of them appears to be enriching for a population of cells with stem cell-related properties 39 . CD44 is involved in malignant progression, making cells less sensitive to apoptotic signals and chemoresistance in cancer 39,40 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…CSCs may, in part, also contribute to therapeutic resistance leading to tumor recurrence and tumor progression. Multiple surface markers have been identified for colorectal CSCs, although almost every one of them appears to be enriching for a population of cells with stem cell-related properties 39 . CD44 is involved in malignant progression, making cells less sensitive to apoptotic signals and chemoresistance in cancer 39,40 .…”
Section: Discussionmentioning
confidence: 99%
“…Multiple surface markers have been identified for colorectal CSCs, although almost every one of them appears to be enriching for a population of cells with stem cell-related properties 39 . CD44 is involved in malignant progression, making cells less sensitive to apoptotic signals and chemoresistance in cancer 39,40 . The standard CD44s isoform has a molecular weight of 85 kDa, while several CD44 variant isoforms (CD44v) have been reported from 85-200 kDa in cancer 41 .…”
Section: Discussionmentioning
confidence: 99%
“…CCSCs in accordance with other types of CSCs are resistance to therapies and have a higher capacity to form clones in vitro and to generate xenograft tumors in immunodeficient mice. CCSCs acquire accumulated mutations in specific oncogenes and tumor suppressor genes that confer them different erratic abilities such as stemness, producing actively proliferating cancer progenitor cells, multidrug resistance, radioresistance, apoptosis resistance, enhanced DNA repair capacity, and some phenotypic characteristics, such as expression of special cell surface markers, which are used for their isolation (Zhou et al, 2018).…”
Section: Colon Cancer Stem Cellsmentioning
confidence: 99%
“…CCSCs in accordance with other types of CSCs are resistance to therapies and have a higher capacity to form clones in vitro and to generate xenograft tumors in immunodeficient mice. CCSCs acquire accumulated mutations in specific oncogenes and tumor suppressor genes that confer them different erratic abilities such as stemness, producing actively proliferating cancer progenitor cells, multidrug resistance, radioresistance, apoptosis resistance, enhanced DNA repair capacity, and some phenotypic characteristics, such as expression of special cell surface markers, which are used for their isolation (Zhou et al, ). Identifying the origin of CCSCs might be useful for designing an effective therapy; however, there are many contradictions about the source of tumor‐initiating cells/CSCs and they may arise from the colon stem cells, colon progenitor cells, normal tumor cells, or other dedifferentiated somatic cells inside the intestine that acquire malignant molecular and cellular changes because of various carcinogenic genetic (internal or external) and environmental factors by the time and their diversity and evolution result from clonal evolution model (sequential cycles of genetic/epigenetic changes) (Nguyen, Vanner, Dirks, & Eaves, ).…”
Section: Introductionmentioning
confidence: 99%
“…The centrality and essentiality of the cancer cell of origin and the impact of the cancer microenvironment on cell fate decisions, including the metastasis-promoting bidirectional epithelial-to-mesenchymal transition (EMT), have also been investigated and should be key considerations in new targeted therapies [7]. Within this milieu, cancer stem cells (CSC) could not only directly involved as cancer cells of origin, but also in cancer progression and recurrence, cell heterogeneity and resistance to chemotherapy, invasion and metastasis [7][8][9][10]. Recent studies of the roles of CRC cell of origin in mouse models have shown that colorectal adenomas can arise from both undifferentiated stem cells at the bottoms of intestinal crypts and from transit-amplifying differentiated cells, although with different disease courses, implying that the CRC phenotype and related therapeutic strategies are dependent on the cellular and molecular backgrounds of the cell of origin, as well as on cellular microenvironment [11,12].…”
Section: Introductionmentioning
confidence: 99%