Abstract
The acceptance of the Cancer Stem Cell (CSC) concept has revolutionized all aspects of our understanding of cancer biology, from the cellular origin of cancer to its growth and expansion, shedding new light into the interrelations of all the cellular components of the tumour and their role in its progression. From the therapeutic point of view, the existence of CSCs also explains one of the most dramatic events in the clinical history of many cancer patients after diagnosis: the almost inevitable relapse after a period of variable clinical remission. The knowledge that tumours are maintained and propagated from just a small population of cells with self-renewal properties and resistant to current anti-proliferative treatments opens new avenues for therapeutic approaches. The development of new drugs targeting specifically these CSCs should allow us, in combination with current therapies, to eliminate entirely all the cellular components of the tumour, thus preventing relapse and completely curing the disease. Here we revise the most salient biological features of CSCs that are relevant for the development of new therapies and describe the molecular basis of the current approaches aimed at CSC elimination.
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Acknowledgments
C.C. is a Spanish “Ramón y Cajal” investigator from the Spanish Ministerio de Educación y Ciencia. Research at C.C.’s lab is partially supported by Fondo de Investigaciones Sanitarias (PI04/0261; PI080164), Junta de Castilla y León (SA087A06) and Fundación de Investigación Médica MM. J.P.L. is an investigator of the “Programa Ramón y Cajal” from the Spanish “Ministerio de Educación y Ciencia”; his work is partially supported by the “Fondo de Investigaciones Sanitarias” (PI070057) and “MEC Consolider-Ingenio 2010” (Ref. CSD2007-0017). Research in ISG group is supported partially by FEDER and by MEC (SAF2006-03726), Junta de Castilla y León (CSI13A08 and GR15), FIS (PI050087), Federación de Cajas de Ahorro Castilla y León (I Convocatoria de Ayudas para Proyectos de Investigación Biosanitaria con Células Madre), CDTEAM project (CENIT-Ingenio 2010) and MEC OncoBIO Consolider-Ingenio 2010 (Ref. CSD2007-0017).
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Sagrera, A., Pérez-Losada, J., Pérez-Caro, M., Jiménez, R., Sánchez-García, I., Cobaleda, C. (2009). Elimination of Cancer Stem Cells. In: Dittmar, T., Zanker, K. (eds) Stem Cell Biology in Health and Disease. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3040-5_16
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