Abstract
Cancer stem cells (CSC) are recently proposed to be the cancer initiating cells responsible for tumorigenesis and contribute to cancer resistance. Advances have been made in identifying and enriching CSC in leukemia and several solid tumors, including breast, brain and lung cancers. These studies suggest that, like normal stem cells, CSCs should be rare, quiescent, and capable of self-renewing and maintaining tumor growth and heterogeneity. Although the concept of CSC originates from that of normal stem cells, CSCs are not necessarily aberrant counterparts of normal stem cells. In fact, they may arise from stem cells or committed progenitors of corresponding tissues, and even cells from other tissues. At the molecular level, the alteration of stem cell self-renewal pathway(s) has been recognized as an essential step for CSC transformation. Better understanding of CSC will no doubt lead to a new era of both basic and clinical cancer research, re-classification of human tumors and development of novel therapeutic strategies specifically targeting CSC.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Abbreviations
- ALL:
-
acute lymphoblastic leukemia
- AML:
-
acute myelogenous leukemia
- APML:
-
acute promyelocytic leukemia
- CML:
-
chronic myelogenous leukemia
- CSC:
-
cancer stem cells
- HSC:
-
hematopoietic stem cells
- MPD:
-
myeloproliferative disorder
- NSC:
-
neural stem cells
References
Dewey MJ, Martin DW, Martin GR, Mintz B 1977 Mosaic mice with teratocarcinoma-derived mutant cells deficient in hypoxanthine phosphoribosyltransferase. Proc Natl Acad Sci U S A 74: 5564–5568
Evans MJ, Kaufman MH 1981 Establishment in culture of pluripotential cells from mouse embryos. Nature 292: 154–156
Martin GR 1975 Teratocarcinomas as a model system for the study of embryogenesis and neoplasia. Cell 5: 229–243
Blau HM, Brazelton TR, Weimann JM 2001 The evolving concept of a stem cell: entity or function?. Cell 105: 829–841
Weissman IL 2000 Stem cells: units of development, units of regeneration, and units in evolution. Cell 100: 157–168
Weissman IL 2002 The road ended up at stem cells. Immunol Rev 185: 159–174
Bonnet D, Dick JE 1997 Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat Med 3: 730–737
Reya T, Morrison SJ, Clarke MF, Weissman IL 2001 Stem cells, cancer, and cancer stem cells. Nature 414: 105–111
Turhan AG, Lemoine FM, Debert C, Bonnet ML, Baillou C, Picard F, Macintyre EA, Varet B 1995 Highly purified primitive hematopoietic stem cells are PML-RARA negative and generate nonclonal progenitors in acute promyelocytic leukemia. Blood 85: 2154–2161
Miyamoto T, Weissman IL, Akashi K 2000 AML1/ETO-expressing nonleukemic stem cells in acute myelogenous leukemia with 8;21 chromosomal translocation. Proc Natl Acad Sci U S A 97: 7521–7526
Blair A, Hogge DE, Ailles LE, Lansdorp PM, Sutherland HJ 1997 Lack of expression of Thy-1 (CD90) on acute myeloid leukemia cells with long-term proliferative ability in vitro and in vivo. Blood 89: 3104–3112
Al-Hajj M, Wicha MS, Benito-Hernandez Morrison SJ, Clarke MF 2003 Prospective identification of tumorigenic breast cancer cells. Proc Natl Acad Sci U S A 100: 3983–3988
Castor A, Nilsson L, Astrand-Grundstrom I, Buitenhuis M, Ramirez C, Anderson K, Strombeck B, Garwicz S, Bekassy AN, Schmiegelow K, Lausen B, Hokland P, Lehmann S, Juliusson G, Johansson B, Jacobsen SE 2005 Distinct patterns of hematopoietic stem cell involvement in acute lymphoblastic leukemia. Nat Med 11: 630–637
Fang D, Nguyen TK, Leishear K, Finko R, Kulp AN, Hotz S, Van Belle PA, Xu X, Elder DE, Herlyn M 2005 A tumorigenic subpopulation with stem cell properties in melanomas. Cancer Res 65: 9328–9337
Singh SK, Hawkins C, Clarke ID, Squire JA, Bayani J, Hide T, Henkelman RM, Cusimano MD, Dirks PB 2004 Identification of human brain tumour initiating cells. Nature 432: 396–401
Taylor MD, Poppleton H, Fuller C, Su X, Liu Y, Jensen P, Magdaleno S, Dalton J, Calabrese C, Board J, Macdonald T, Rutka J, Guha A, Gajjar A, Curran T, Gilbertson RJ 2005 Radial glia cells are candidate stem cells of ependymoma. Cancer Cell 8: 323–335
Kim CF, Jackson EL, Woolfenden AE, Lawrence S, Babar I, Vogel S, Crowley D, Bronson RT, Jacks T 2005 Identification of bronchioalveolar stem cells in normal lung and lung cancer. Cell 121: 823–835
Holyoake T, Jiang X, Eaves C, Eaves A 1999 Isolation of a highly quiescent subpopulation of primitive leukemic cells in chronic myeloid leukemia. Blood 94: 2056–2064
Takahashi N, Miura I, Saitoh K, Miura AB 1998 Lineage involvement of stem cells bearing the philadelphia chromosome in chronic myeloid leukemia in the chronic phase as shown by a combination of fluorescence-activated cell sorting and fluorescence in situ hybridization. Blood 92: 4758–4763
Passegue E, Wagner EF, Weissman IL 2004 JunB deficiency leads to a myeloproliferative disorder arising from hematopoietic stem cells. Cell 119: 431–443
Brown D, Kogan S, Lagasse E, Weissman I, Alcalay M, Pelicci PG, Atwater S, Bishop JM 1997 A PMLRARalpha transgene initiates murine acute promyelocytic leukemia. Proc Natl Acad Sci U S A 94: 2551–2556
Early E, Moore MA, Kakizuka A, Nason-Burchenal K, Martin P, Evans RM, Dmitrovsky E 1996 Transgenic expression of PML/RARalpha impairs myelopoiesis. Proc Natl Acad Sci U S A 93: 7900–7904
Houghton J, Stoicov C, Nomura S, Rogers AB, Carlson J, Li H, Cai X, Fox JG, Goldenring JR, Wang TC 2004 Gastric cancer originating from bone marrow-derived cells. Science 306: 1568–1571
Huntly BJ, Shigematsu H, Deguchi K, Lee BH, Mizuno S, Duclos N, Rowan R, Amaral S, Curley D, Williams IR, Akashi K, Gilliland DG 2004 MOZ-TIF2, but not BCR-ABL, confers properties of leukemic stem cells to committed murine hematopoietic progenitors. Cancer Cell 6: 587–596
Jamieson CH, Ailles LE, Dylla SJ, Muijtjens M, Jones C, Zehnder JL, Gotlib J, Li K, Manz MG, Keating A, Sawyers CL, Weissman IL 2004 Granulocyte-macrophage progenitors as candidate leukemic stem cells in blast-crisis CML. N Engl J Med 351: 657–667
Cozzio A, Passegue E, Ayton PM, Karsunky H, Cleary ML, Weissman IL 2003 Similar MLL-associated leukemias arising from self-renewing stem cells and short-lived myeloid progenitors. Genes Dev 17: 3029–3035
Jaiswal S, Traver D, Miyamoto T, Akashi K, Lagasse E, Weissman IL 2003 Expression of BCR/ABL and BCL-2 in myeloid progenitors leads to myeloid leukemias. Proc Natl Acad Sci U S A 100: 10002–10007
Mitelman F 2000 Recurrent chromosome aberrations in cancer. Mutat Res 462: 247–253
Tomlins SA, Rhodes DR, Perner S, Dhanasekaran SM, Mehra R, Sun XW, Varambally S, Cao X, Tchinda J, Kuefer R, Lee C, Montie JE, Shah RB, Pienta KJ, Rubin MA, Chinnaiyan AM 2005 Recurrent fusion of TMPRSS2 and ETS transcription factor genes in prostate cancer. Science 310: 644–648
Miller SJ, Lavker RM, Sun TT 2005 Interpreting epithelial cancer biology in the context of stem cells: tumor properties and therapeutic implications. Biochim Biophys Acta 1756: 25–52
Woodward WA, Chen MS, Behbod F, Rosen JM 2005 On mammary stem cells. J Cell Sci 118: 3585–3594
Groszer M, Erickson R, Scripture-Adams DD, Lesche R, Trumpp A, Zack JA, Kornblum HI, Liu X, Wu H 2001 Negative regulation of neural stem/progenitor cell proliferation by the Pten tumor suppressor gene in vivo. Science 294: 2186–2189
Groszer M, Erickson R, Scripture-Adams DD, Dougherty JD, Le Belle J, Zack JA, Geschwind D, Liu X, Kornblum HI, Wu H 2005 PTEN Negatively Regulates Neural Stem Cell Self-Renewal by Modulating G0-G1 Cell Cycle Entry. Proc Natl Acad Sci U S A Dec 22; [Epub ahead of print]
Caussinus E, Gonzalez C 2005 Induction of tumor growth by altered stem-cell asymmetric division in Drosophila melanogaster. Nat Genet 37: 1125–1129
Clevers H 2005 Stem cells, asymmetric division and cancer. Nat Genet 37: 1027–1028
Lessard J, Sauvageau G 2003 Bmi-1 determines the proliferative capacity of normal and leukaemic stem cells. Nature 423: 255–260
Park IK, Qian D, Kiel M, Becker MW, Pihalja M, Weissman IL, Morrison SJ, Clarke MF 2003 Bmi-1 is required for maintenance of adult self-renewing haematopoietic stem cells. Nature 423: 302–305
Molofsky AV, He S, Bydon M, Morrison SJ, Pardal R 2005 Bmi-1 promotes neural stem cell self-renewal and neural development but not mouse growth and survival by repressing the p16Ink4a and p19Arf senescence pathways. Genes Dev 19: 1432–1437
Molofsky AV, Pardal R, Iwashita T, Park IK, Clarke MF, Morrison SJ 2003 Bmi-1 dependence distinguishes neural stem cell self-renewal from progenitor proliferation. Nature 425: 962–967
Reya T, Duncan AW, Ailles L, Domen J, Scherer DC, Willert K, Hintz L, Nusse R, Weissman IL 2003 A role for Wnt signalling in self-renewal of haematopoietic stem cells. Nature 423: 409–414
Pap M, Cooper GM 1998 Role of glycogen synthase kinase-3 in the phosphatidylinositol 3-Kinase/Akt cell survival pathway. J Biol Chem 273: 19929–19932
Brabletz T, Jung A, Reu S, Porzner M, Hlubek F, Kunz-Schughart LA, Knuechel R, Kirchner T 2001 Variable beta-catenin expression in colorectal cancers indicates tumor progression driven by the tumor environment. Proc Natl Acad Sci U S A 98: 10356–10361
Brabletz T, Jung A, Spaderna S, Hlubek F, Kirchner T 2005 Opinion: migrating cancer stem cells - an integrated concept of malignant tumour progression. Nat Rev Cancer 5: 744–749
Glinsky GV, Berezovska O, Glinskii AB 2005 Microarray analysis identifies a death-from-cancer signature predicting therapy failure in patients with multiple types of cancer. J Clin Invest 115: 1503–1521
Lin H 2002 The stem-cell niche theory: lessons from flies. Nat Rev Genet 3: 931–940
Fuchs E, Tumbar T, Guasch G 2004 Socializing with the neighbors: stem cells and their niche. Cell 116: 769–778
Spradling A, Drummond-Barbosa D, Kai T 2001 Stem cells find their niche. Nature 414: 98–104
Xie T, Spradling AC 2000 A niche maintaining germ line stem cells in the Drosophila ovary. Science 290: 328–330
Calvi LM, Adams GB, Weibrecht KW, Weber JM, Olson DP, Knight MC, Martin RP, Schipani E, Divieti P, Bringhurst FR, Milner LA, Kronenberg HM, Scadden DT 2003 Osteoblastic cells regulate the haematopoietic stem cell niche. Nature 425: 841–846
Zhang J, Niu C, Ye L, Huang H, He X, Tong WG, Ross J, Haug J, Johnson T, Feng JQ, Harris S, Wiedemann LM, Mishina Y, Li L 2003 Identification of the haematopoietic stem cell niche and control of the niche size. Nature 425: 836–841
Xie T, Spradling AC 1998 decapentaplegic is essential for the maintenance and division of germline stem cells in the Drosophila ovary. Cell 94: 251–260
Shah NP, Tran C, Lee FY, Chen P, Norris D, Sawyers CL 2004 Overriding imatinib resistance with a novel ABL kinase inhibitor. Science 305: 399–401
Acknowledgements
We thank Drs. Bangyan Stiles and Shunyou Wang for comments and suggestions, and Bahram Valamehr for proofreading.
Author information
Authors and Affiliations
Corresponding author
Additional information
This work is supported by grants from DOD PC031130 and NCI UO1 CA84128-06 and RO1 CA107166 (H.W.).
Rights and permissions
About this article
Cite this article
Guo, W., Lasky, J. & Wu, H. Cancer Stem Cells. Pediatr Res 59 (Suppl 4), 59–64 (2006). https://doi.org/10.1203/01.pdr.0000203592.04530.06
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1203/01.pdr.0000203592.04530.06
This article is cited by
-
Comprehensive Review on the Effect of Stem Cells in Cancer Progression
Current Tissue Microenvironment Reports (2024)
-
Association of SOX2, OCT4 and WNT5A Expression in Oral Epithelial Dysplasia and Oral Squamous Cell Carcinoma: An Immunohistochemical Study
Head and Neck Pathology (2020)
-
Potential role of Wnt/β-catenin signaling in blastic transformation of chronic myeloid leukemia: cross talk between β-catenin and BCR-ABL
Tumor Biology (2016)
-
Stem cell protein Piwil1 endowed endometrial cancer cells with stem-like properties via inducing epithelial-mesenchymal transition
BMC Cancer (2015)
-
miR-106b modulates cancer stem cell characteristics through TGF-β/Smad signaling in CD44-positive gastric cancer cells
Laboratory Investigation (2014)


