2021
DOI: 10.3390/cancers13020328
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The Great Escape: The Power of Cancer Stem Cells to Evade Programmed Cell Death

Abstract: Cancer is one of the primary causes of death worldwide. Tumour malignancy is related to tumor heterogeneity, which has been suggested to be due to a small subpopulation of tumor cells named cancer stem cells (CSCs). CSCs exert a key role in metastasis development, tumor recurrence, and also epithelial–mesenchymal transition, apoptotic resistance, self-renewal, tumorigenesis, differentiation, and drug resistance. Several current therapies fail to eradicate tumors due to the ability of CSCs to escape different p… Show more

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Cited by 28 publications
(15 citation statements)
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References 243 publications
(158 reference statements)
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“…In this aspect, the elusion of apoptosis is a remarkable phenomenon in cancers ( 28 ). Essentially, cancer cells display lessened apoptotic events that lead to assisting the progression and metastasis of cancer cells ( 29 , 30 ). Tumor cells evade the normal apoptosis and continue to multiply, obstructing the normal cells or tissue functions, which can lead to death.…”
Section: Discussionmentioning
confidence: 99%
“…In this aspect, the elusion of apoptosis is a remarkable phenomenon in cancers ( 28 ). Essentially, cancer cells display lessened apoptotic events that lead to assisting the progression and metastasis of cancer cells ( 29 , 30 ). Tumor cells evade the normal apoptosis and continue to multiply, obstructing the normal cells or tissue functions, which can lead to death.…”
Section: Discussionmentioning
confidence: 99%
“…CSCs exhibit inherent resistance to apoptosis via a variety of mechanisms, including the overexpression of multidrug resistance transporters such as the ATP binding cassette (ABC) transporter family. ABC transporter overexpression has been documented in numerous malignancies, most noticeably in CSCs [ 138 ]. CSCs have been demonstrated to be enhanced in a variety of malignancies, leading to treatment resistance [ 139 ].…”
Section: Cancer Stem Cells In Evading Programmed Cell Deathmentioning
confidence: 99%
“…Autophagy is required for preservation of pluripotency or the ability to self-renew and remain undifferentiated which is an essential feature of CSCs [ 144 ]. In fact, it has been discovered that CSCs from various malignancies retain a strong autophagic flux [ 138 ], and along with hypoxia, it is required for the preservation of the stem cell niche. Interestingly, Zhu et al established that autophagy is HIF-1-dependent and essential for maintaining the balance between pancreatic CSCs and normal cancer cells [ 145 ].…”
Section: Cancer Stem Cells In Evading Programmed Cell Deathmentioning
confidence: 99%
“…Besides, it shows apparent heterogeneity, [1] making the current personalized medical treatment of cancer reveal obvious limitations. In addition, there are many mechanisms to evade programmed cell death in cancer cells, [2] which poses challenges for effective cancer theranostics. The booming development of nanotechnology has provided new feedback, and cascade to generate structural changes to release detectable signals or molecules finally.…”
Section: Introductionmentioning
confidence: 99%