Audia Alessandra, Conroy Siobhan, Glass Rainer, Bhat Krishna P L
Department of Translational Molecular Pathology, University of Texas, M.D. Anderson Cancer Center, Houston, TX, United States.
Department of Pathology and Medical Biology, University Medical Center, Groningen, Netherlands.
Front Oncol. 2017 Jul 10;7:143. doi: 10.3389/fonc.2017.00143. eCollection 2017.
Glioblastoma is the most common and highly malignant primary brain tumor, and patients affected with this disease exhibit a uniformly dismal prognosis. Glioma stem-like cells (GSCs) are a subset of cells within the bulk tumor that possess self-renewal and multi-lineage differentiation properties similar to somatic stem cells. These cells also are at the apex of the cellular hierarchy and cause tumor initiation and expansion after chemo-radiation. These traits make them an attractive target for therapeutic development. Because GSCs are dependent on the brain microenvironment for their growth, and because non-tumorigenic cell types in the microenvironment can influence GSC phenotypes and treatment response, a better understanding of these cell types is needed. In this review, we provide a focused overview of the contributions from the microenvironment to GSC homing, maintenance, phenotypic plasticity, and tumor initiation. The interaction of GSCs with the vascular compartment, mesenchymal stem cells, immune system, and normal brain cell types are discussed. Studies that provide mechanistic insight into each of these GSC-microenvironment interactions are warranted in the future.
胶质母细胞瘤是最常见且高度恶性的原发性脑肿瘤,罹患此病的患者预后普遍不佳。胶质瘤干细胞(GSCs)是实体瘤内的一类细胞亚群,具有与体细胞干细胞相似的自我更新和多谱系分化特性。这些细胞也处于细胞层级的顶端,在放化疗后引发肿瘤起始和扩展。这些特性使其成为治疗开发的一个有吸引力的靶点。由于胶质瘤干细胞的生长依赖于脑微环境,且微环境中的非致瘤细胞类型可影响胶质瘤干细胞的表型和治疗反应,因此需要更好地了解这些细胞类型。在本综述中,我们重点概述了微环境对胶质瘤干细胞归巢、维持、表型可塑性和肿瘤起始的作用。讨论了胶质瘤干细胞与血管区室、间充质干细胞、免疫系统和正常脑细胞类型的相互作用。未来有必要开展研究,以深入了解这些胶质瘤干细胞与微环境相互作用的机制。