Mechanisms of disease: the role of stem cells in the biology and treatment of gliomas

被引:40
作者
Dietrich, Joerg
Imitola, Jaime [1 ,2 ]
Kesari, Santosh
机构
[1] Harvard Univ, Sch Med, Harvard Stem Cell Inst, Boston, MA USA
[2] Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
来源
NATURE CLINICAL PRACTICE ONCOLOGY | 2008年 / 5卷 / 07期
关键词
brain tumor stem cells; cancer stem cells; gliomas; neural stem cells; progenitor cells;
D O I
10.1038/ncponc1132
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The study of neural stem cell and progenitor cell biology has improved our understanding of the biology of brain tumors in a developmental context. Recent work has demonstrated that brain tumors may harbor small subpopulations of cells that share characteristics of neural stem cells. There is still an ongoing debate about the specific role of these stem-like cells in cancer initiation, development and progression. Nonetheless, the concept of cancer stem cells has offered a new paradigm to understand tumor biology and resistance to current treatment modalities. Molecular aberrations in these cancer stem cells might be crucial targets for therapeutic intervention, with the hope of achieving more durable clinical responses. Recent studies have demonstrated that endogenous and transplanted neural stem cells and progenitor cells show a marked tropism to brain tumors. Although the mechanisms that govern these processes are poorly understood, the use of neural stem cells and progenitor cells as delivery vehicles for molecules toxic to tumors offers a promising experimental treatment strategy. This Review summarizes recent advances in the basic understanding of neural stem cell and cancer stem cell biology and the progress towards translating these novel concepts into the clinic.
引用
收藏
页码:393 / 404
页数:12
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