2021
DOI: 10.1016/j.trecan.2020.12.014
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The Role of the Microenvironment and Immune System in Regulating Stem Cell Fate in Cancer

Abstract: Despite gains in knowledge of the intrinsic signals governing cancer progression, effective clinical management of cancer remains a challenge. Drug resistance and relapse, pose the greatest barriers to cancer care, and are often driven by the co-option of stem cell programs by subpopulations of aggressive cancer cells. Here, we focus on the role of the microenvironment in the acquisition and/ or maintenance of stem cell states in cancer in the context of resistance and metastasis. We further discuss the role o… Show more

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Cited by 66 publications
(46 citation statements)
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References 97 publications
(146 reference statements)
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“…On the one hand, signals like cytokines and growth factors from TME can activate stem cell signals such as EMT, Wnt, JAK/STAT and NFκB, enhancing tumor progression, metastasis, relapse and therapeutic resistance. On the other hand, these intrinsic signals in CSC can in turn induce TME remodeling, like angiogenesis, collagen remodeling and PD-1/PD-L1 related immune escape [12]. These results prompt that a deeper exploration of the relationship between CSC markers and TME may point us to new strategies that can improve the fate of HCC patients receiving immunotherapy.…”
Section: Introductionmentioning
confidence: 99%
“…On the one hand, signals like cytokines and growth factors from TME can activate stem cell signals such as EMT, Wnt, JAK/STAT and NFκB, enhancing tumor progression, metastasis, relapse and therapeutic resistance. On the other hand, these intrinsic signals in CSC can in turn induce TME remodeling, like angiogenesis, collagen remodeling and PD-1/PD-L1 related immune escape [12]. These results prompt that a deeper exploration of the relationship between CSC markers and TME may point us to new strategies that can improve the fate of HCC patients receiving immunotherapy.…”
Section: Introductionmentioning
confidence: 99%
“…The cellular components of the tumor microenvironment (TME) in promoting invasiveness and stemness features of carcinoma cells are well characterized [1,2]. Among them, cancer-associated fibroblast (CAFs), a major component of TME, play a key role in the regulation of tumor progression and metastasis, as well as the acquisition of stemness in carcinoma cells through the induction of various processes, including epithelial-tomesenchymal transition (EMT) [3,4].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, a minority of highly specialised cells, such as the cancer-like stem cells, is generally in the quiescent cell states that enable a beneficial environment for tumour cells to maintain tumour growth, metastasise, and resist immune and treatment control [122]. The stem-like tumour phenotype is characterised by the high expression of CD133 and CD44, these cells can also evade immune surveillance by upregulating PD-L1 and CD80 through WNT activity, making them resistant to immunebased therapies [51,[123][124][125].…”
Section: Dissecting Intra-tumoural Heterogeneity (Ith)mentioning
confidence: 99%