Curr Mol Biol Rep. 2017 Sep;3(3):159-164. doi: 10.1007/s40610-017-0067-5. Epub 2017 Jul 10.
Targeting the Stem Cell Properties of Adult Breast Cancer Cells: Using Combinatorial Strategies to Overcome Drug Resistance.
Current molecular biology reports
Naira V Margaryan, Elisabeth A Seftor, Richard E B Seftor, Mary J C Hendrix
Affiliations
Affiliations
- Department of Biochemistry, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV 26506 USA.
- Cancer Institute, West Virginia University, Morgantown, WV 26506 USA.
- Department of Biology, Shepherd University, Shepherdstown, WV 25443 USA.
- Department of Internal Medicine, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV 26506 USA.
PMID: 29152453
PMCID: PMC5687579 DOI: 10.1007/s40610-017-0067-5
Abstract
PURPOSE OF REVIEW: Cancer is a major public health problem worldwide. In aggressive cancers, which are heterogeneous in nature, there exists a paucity of targetable molecules that can be used to predict outcome and response to therapy in patients, especially those in the high risk category with a propensity to relapse following chemotherapy. This review addresses the challenges pertinent to treating aggressive cancer cells with inherent stem cell properties, with a special focus on triple-negative breast cancer (TNBC).
RECENT FINDINGS: Plasticity underlies the cancer stem cell (CSC) phenotype in aggressive cancers like TNBC. Progenitors and CSCs implement similar signaling pathways to sustain growth, and the convergence of embryonic and tumorigenic signaling pathways has led to the discovery of novel oncofetal targets, rigorously regulated during normal development, but aberrantly reactivated in aggressive forms of cancer.
SUMMARY: Translational studies have shown that Nodal, an embryonic morphogen, is reactivated in aggressive cancers, but not in normal tissues, and underlies tumor growth, invasion, metastasis and drug resistance. Front-line therapies do not inhibit Nodal, but when a combinatorial approach is used with an agent such as doxorubicin followed by anti-Nodal antibody therapy, significant decreases in cell growth and viability occur. These findings are of special interest in the development of new therapeutic interventions that target the stem cell properties of cancer cells to overcome drug resistance and metastasis.
Keywords: Breast cancer; Cancer stem cells; Combinatorial therapy; Doxorubicin; Nodal; Predictive biomarker
References
- Med Oncol. 2013;30(3):653 - PubMed
- Expert Opin Ther Targets. 2007 Apr;11(4):497-505 - PubMed
- Breast Cancer Res. 2004;6(6):R605-15 - PubMed
- Nature. 2000 Aug 3;406(6795):536-40 - PubMed
- Cancer Res. 2005 Dec 15;65(24):11520-8 - PubMed
- Mol Cancer Ther. 2015 Mar;14 (3):779-787 - PubMed
- Cell Stem Cell. 2011 Nov 4;9(5):433-46 - PubMed
- Expert Rev Dermatol. 2009;4(1):67-78 - PubMed
- Br J Cancer. 2008 Jan 15;98(1):137-42 - PubMed
- Cancer Biol Ther. 2010 Nov 15;10(10):955-60 - PubMed
- J Cell Biochem. 2007 Jul 1;101(4):908-17 - PubMed
- Breast Cancer Res Treat. 1999 May;55(2):127-36 - PubMed
- Oncology (Williston Park). 2008 Oct;22(11):1233-9; discussion 1239-40, 1243 - PubMed
- Int J Biochem Cell Biol. 2013 Apr;45(4):885-98 - PubMed
- Prostate. 2011 Aug 1;71(11):1198-209 - PubMed
- Semin Cancer Biol. 2014 Dec;29:1-2 - PubMed
- Nature. 2000 Aug 17;406(6797):747-52 - PubMed
- Nature. 1994 Feb 17;367(6464):645-8 - PubMed
- Cancer Res. 2009 Sep 15;69(18):7131-4 - PubMed
- Onco Targets Ther. 2015 Jan 16;8:177-93 - PubMed
- Nat Rev Mol Cell Biol. 2009 Feb;10(2):91-103 - PubMed
- Epigenomics. 2009 Dec;1(2):387-98 - PubMed
- Nature. 2000 Jan 27;403(6768):385-9 - PubMed
- Nature. 2015 Apr 16;520(7547):358-62 - PubMed
- Clin Cancer Res. 2010 Jan 1;16(1):45-55 - PubMed
- Breast Cancer Res. 2012 May 11;14(3):R75 - PubMed
- J Clin Oncol. 2008 Jul 1;26(19):3153-8 - PubMed
- J Natl Cancer Inst. 2004 Oct 6;96(19):1473-7 - PubMed
- Nat Med. 2006 Aug;12(8):925-32 - PubMed
- Lab Invest. 2017 Feb;97(2):176-186 - PubMed
- Mol Cancer Res. 2015 Apr;13(4):670-80 - PubMed
- Semin Cancer Biol. 2014 Dec;29:40-50 - PubMed
- Cell Cycle. 2016 May 2;15(9):1295-302 - PubMed
- Clin Cancer Res. 2009 Mar 15;15(6):1845-7 - PubMed
- Oncotarget. 2015 Oct 27;6(33):34071-86 - PubMed
- Breast Cancer Res. 2000;2(6):417-22 - PubMed
- Proc Natl Acad Sci U S A. 2003 Apr 1;100(7):3983-8 - PubMed
- Nat Rev Cancer. 2003 Jun;3(6):411-21 - PubMed
- Proc Natl Acad Sci U S A. 2008 Mar 18;105(11):4329-34 - PubMed
- Cancer Res. 2009 Feb 15;69(4):1302-13 - PubMed
Publication Types
Grant support