“…Finally, this study validated previous results [ 17 ] indicating that pNET CSCs could move toward the vascular niches, in which vascular ECs are a key player. Given the critical role of ECs in arteriolar differentiation and tumor progression [ 15 , 16 , 17 , 83 , 84 , 85 ], vascular ECs in highly vascularized pNETs may nurture CSCs by direct EC-CSC interactions and by indirect generation of such vascular niche factors as LPA to activate PKD1 signaling [ 4 , 16 , 17 , 24 , 28 ], thereby, leading to progression toward malignancy, drug resistance and metastasis. Based upon previous studies and this study, we propose a working model ( Figure 7 ).…”