2019
DOI: 10.1002/jcp.29344
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Prospects for the involvement of cancer stem cells in the pathogenesis of osteosarcoma

Abstract: Osteosarcoma (OS) is one of the most common bone tumors in children and adolescents that cause a high rate of mortality in this age group and tends to be metastatic, in spite of chemotherapy and surgery. The main reason for this can be returned to a small group of malignant cells called cancer stem cells (CSCs). OS-CSCs play a key role in the resistance to treatment and relapse and metastasis through selfrenewal and differentiation abilities. In this review, we intend to go through the different aspects of thi… Show more

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Cited by 26 publications
(19 citation statements)
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“…Despite this progress, curative treatment of OS remains challenging with subsequent poor prognosis and shortened life expectancy [ 3 ]. Early diagnosis and treatment of OS, particularly with nonmetastatic OS, is crucial for improving the prognosis of OS patients [ 4 ]. Unfortunately, few distinctive diagnostic and prognostic biomarkers have been identified.…”
Section: Introductionmentioning
confidence: 99%
“…Despite this progress, curative treatment of OS remains challenging with subsequent poor prognosis and shortened life expectancy [ 3 ]. Early diagnosis and treatment of OS, particularly with nonmetastatic OS, is crucial for improving the prognosis of OS patients [ 4 ]. Unfortunately, few distinctive diagnostic and prognostic biomarkers have been identified.…”
Section: Introductionmentioning
confidence: 99%
“…The incidence of osteosarcoma recurrence and metastasis due to the failure of the conventional therapies is strictly related to the critical role of CSCs, presented in several tumours, that exhibit stem-like phenotype and high drug resistance suggesting their involvement in tumour invasiveness and metastasis frequently observed in osteosarcoma patients 15 . Moreover, the lack of predictive in vitro models of the real physio-pathological scenario leads to a poor clinical translation of many apparently promising drugs candidates but also to fail in deciphering the biological events.…”
Section: Discussionmentioning
confidence: 99%
“…They are considered to be mainly responsible for maintaining tumor cell vitality through self-renewal and infinite proliferation abilities, especially under hypoxia conditions [ 21 , 122 ]. Besides, CSCs are more resistant to conventional chemotherapy/radiotherapy and even latest immunotherapy [ 120 ], which may contribute toward cancer treatment failure and worsening of patients’ prognosis [ 123 , 124 ].…”
Section: Regulatory Network Of Lncrnas and Wnt Signaling Pathway In Osteosarcomamentioning
confidence: 99%
“…Drug resistance remains a multifaceted obstacle in cancer treatment, which may be attributed to tumor heterogeneity, survival pathway activation, and cytotoxic drug efflux [ 40 ]. Osteosarcoma patients often develop drug resistance, which may in turn largely impairs the therapeutic effect of chemotherapy, and eventually leads to tumor recurrence [ 124 , 129 ]. It is necessary to undermine the mechanisms in osteosarcoma chemoresistance, and thus to provide innovative strategy for efficacy improvement in chemotherapy.…”
Section: Regulatory Network Of Lncrnas and Wnt Signaling Pathway In Osteosarcomamentioning
confidence: 99%