2010
DOI: 10.1038/nrclinonc.2010.196
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Targeting cancer stem cells by inhibiting Wnt, Notch, and Hedgehog pathways

Abstract: Tumor relapse and metastasis remain major obstacles for improving overall cancer survival, which may be due at least in part to the existence of cancer stem cells (CSCs). CSCs are characterized by tumorigenic properties and the ability to self-renew, form differentiated progeny, and develop resistance to therapy. CSCs use many of the same signaling pathways that are found in normal stem cells, such as Wnt, Notch, and Hedgehog (Hh). The origin of CSCs is not fully understood, but data suggest that they originat… Show more

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Cited by 862 publications
(708 citation statements)
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References 130 publications
(106 reference statements)
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“…3 The origin of CSCs is not fully understood; however, data suggest that they originate from normal stem or progenitor cells or, possibly, from other cancer cells. 18 Tumors composed of small populations of CSCs and large numbers of differentiated tumor cells may be particularly susceptible to combination drug regimens that target each cell population. Therapeutic targeting of both CSCs and bulk tumor populations may provide a strategy to suppress tumor regrowth.…”
Section: Notch1 Expression Can Predict the Prognosis Of Patients Withmentioning
confidence: 99%
See 1 more Smart Citation
“…3 The origin of CSCs is not fully understood; however, data suggest that they originate from normal stem or progenitor cells or, possibly, from other cancer cells. 18 Tumors composed of small populations of CSCs and large numbers of differentiated tumor cells may be particularly susceptible to combination drug regimens that target each cell population. Therapeutic targeting of both CSCs and bulk tumor populations may provide a strategy to suppress tumor regrowth.…”
Section: Notch1 Expression Can Predict the Prognosis Of Patients Withmentioning
confidence: 99%
“…Therapeutic targeting of both CSCs and bulk tumor populations may provide a strategy to suppress tumor regrowth. 18 Tumor relapse and metastasis remain major obstacles to improving overall cancer survival, and CSCs are considered a major cause of tumor relapse after conventional therapy because of their resistance to chemotherapy and radiotherapy modalities. 19,20 The slow growth rate and chemoresistant characteristics suggest that CSCs may survive routine chemotherapy, only to reinitiate tumor growth at a later point in time.…”
Section: Notch1 Expression Can Predict the Prognosis Of Patients Withmentioning
confidence: 99%
“…metastasis | mammary tumor E merging data suggest that tumor recurrence and poor clinical outcome of cancer patients may be due to the fact that a small subset of stem-like cells, called cancer stem cells (CSCs) (1), identified on the basis of a combination of CD44 + /CD24 − , and/or aldehyde dehydrogenase 1 (ALDH1) activity (2,3), evade effects of systemic therapies. Alterations in critical signaling pathways such as Notch, Hedgehog, and Wnt allow stem cells to undergo uncontrolled proliferation and form tumors (4,5).…”
mentioning
confidence: 99%
“…Cyclopamine was the first Hh inhibitor to be identified (20) and its mechanism of action is well established (21). A number of preclinical and clinical studies have been performed using cyclopamine and synthetic SMO antagonists (23,39). Studies using disease animal models have reinforced the potential of cyclopamine as an anticancer drug (19,(40)(41)(42)(43).…”
Section: Discussionmentioning
confidence: 99%