2016
DOI: 10.18632/oncotarget.14230
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Induced cancer stem cells generated by radiochemotherapy and their therapeutic implications

Abstract: Local and distant recurrence of malignant tumors following radio- and/or chemotherapy correlates with poor prognosis of patients. Among the reasons for cancer recurrence, preexisting cancer stem cells (CSCs) are considered the most likely cause due to their properties of self-renewal, pluripotency, plasticity and tumorigenicity. It has been demonstrated that preexisting cancer stem cells derive from normal stem cells and differentiated somatic cells that undergo transformation and dedifferentiation respectivel… Show more

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Cited by 55 publications
(42 citation statements)
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References 96 publications
(130 reference statements)
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“… 1 Development of chemotherapy, radiotherapy, and targeted therapy, such as trastuzumab, has decreased mortality of this disease, but millions of breast cancer patients will still die because of failure treatment. One of the well-known explanations for this is the presence of cancer stem-like cell (CSC) which is resistant to chemotherapeutics, 2 radiation, 3 and trastuzumab. 4 In addition to resistance to therapies, CSC is also responsible for tissue invasion, 5 metastasis, and recurrence.…”
Section: Introductionmentioning
confidence: 99%
“… 1 Development of chemotherapy, radiotherapy, and targeted therapy, such as trastuzumab, has decreased mortality of this disease, but millions of breast cancer patients will still die because of failure treatment. One of the well-known explanations for this is the presence of cancer stem-like cell (CSC) which is resistant to chemotherapeutics, 2 radiation, 3 and trastuzumab. 4 In addition to resistance to therapies, CSC is also responsible for tissue invasion, 5 metastasis, and recurrence.…”
Section: Introductionmentioning
confidence: 99%
“…Signaling within the tumor microenvironment (tumor niche), including oxygenation, cell-to-cell contact and secreted factors, could induce differentiated tumor cells to re-acquire stem celllike properties (62). Additionally, radio-and chemotherapy treatments have been shown to enrich CSC subpopulations in residual tumors because of selective pressure on drug-resistant cells (65)(66)(67) and due to tumor cell plasticity (64). Even though the CSC state has high plasticity, it is of high clinical importance as a potential marker for clinical outcome and target for anticancer treatment (68,69).…”
Section: The Plasticity Modelmentioning
confidence: 99%
“…With regard to the role of CSCs in induced drug resistance, studies across human tumors, including NB, widely agreed that CSCs are inherently resistant to radiotherapy and/or chemotherapy [140][141][142][143] . However, the understanding of the acquired genetic alterations in non-stem cancer cells and their transformation into iCSCs after radiochemotherapy is recently on an upsurge (reviewed in detail elsewhere [144] ). ICSCs formation was documented with common chemotherapy drugs [fluorouracil (5-FU), DOX] and with various qualities of radiation.…”
Section: Induced Cscs and Therapy Resistancementioning
confidence: 99%