Capp Jean-Pascal
INSA/University of Toulouse, Laboratoire d'Ingénierie des Systèmes Biologiques et des Procédés, UMR CNRS 5504, UMR INRA 792, Toulouse, France.
J Oncol. 2019 Jun 11;2019:5189232. doi: 10.1155/2019/5189232. eCollection 2019.
The relationships between cancer and stemness have a long history that is traced here. From the mid-19th century when the first theory on the embryonic origin of cancer was formulated to works on embryonal carcinoma cells in the mid-20th century, many steps have been crossed leading to the current cancer stem cell theory postulating that tumor growth is supported by a small fraction of the tumoral cells that have stem-like properties. However, in the last fifteen years, many works regularly encourage us to revise the concept of cancer stem cell. This article mentions key results that lead to a new perspective where cancer stem cells are primarily seen as cells exhibiting increased epigenetic plasticity and increased gene expression variability. This perspective suggests new therapeutical interventions consisting in stabilizing gene expression to control cancer cell proliferation and prevent stochastic gene expression variations that could lead to therapeutic resistance.
癌症与干性之间的关系有着悠久的历史,在此进行追溯。从19世纪中叶首次提出癌症胚胎起源理论到20世纪中叶对胚胎癌细胞的研究,已经跨越了许多阶段,形成了当前的癌症干细胞理论,该理论假定肿瘤生长由一小部分具有干细胞样特性的肿瘤细胞所支持。然而,在过去的十五年中,许多研究不断促使我们重新审视癌症干细胞的概念。本文提及了一些关键成果,这些成果带来了一个新的视角,即癌症干细胞主要被视为表现出表观遗传可塑性增加和基因表达变异性增加的细胞。这一视角提出了新的治疗干预措施,包括稳定基因表达以控制癌细胞增殖,并防止可能导致治疗抗性的随机基因表达变化。