“…Because the resistance to chemotherapy and cancer relapse are major clinical challenges attributed to a subpopulation of CSC, several agents that target CSC-associated cell surface receptors (e.g., CD44), signaling pathways (e.g., Notch and Wnt) and ABC efflux transporters are now in clinical trials- Figure 3 Costa, Gaspar, Coutinho, & Correia, 2014;Ivascu & Kubbies, 2007;Tomlinson, Alpaugh, & Barsky, 2001), hepatocyte (Takei et al, 2005), prostate cancer (Enmon, O'Connor, Song, Lacks, & Schwartz, 2002), and renal carcinoma spheroids (Shimazui et al, 2004). Moreover, several studies already revealed that the expression of E-cadherins is more evident in spheroids than in 2D cultures Liang, Xu, Wang, Li, & He, 2016;Xu et al, 2014). For instance, E-cadherins expression was more than fivefolds higher in 14 days old spheroids, formed with carcinoma cells derived from differentiated hepatocytes (Huh7), than in their 2D cell cultures .…”