Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer
Cell generation and renewal are essential processes to develop, maintain, and regenerate tissues. New cells can be generated from immature cell types, such as stem-like cells, or originate from more differentiated pre-existing cells that self-renew or transdifferentiate. The adult pancreas is a dorm...
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MDPI AG
2021-06-01
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Series: | Cancers |
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Online Access: | https://www.mdpi.com/2072-6694/13/13/3295 |
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author | Sophie C. Lodestijn Sanne M. van Neerven Louis Vermeulen Maarten F. Bijlsma |
author_facet | Sophie C. Lodestijn Sanne M. van Neerven Louis Vermeulen Maarten F. Bijlsma |
author_sort | Sophie C. Lodestijn |
collection | DOAJ |
description | Cell generation and renewal are essential processes to develop, maintain, and regenerate tissues. New cells can be generated from immature cell types, such as stem-like cells, or originate from more differentiated pre-existing cells that self-renew or transdifferentiate. The adult pancreas is a dormant organ with limited regeneration capacity, which complicates studying these processes. As a result, there is still discussion about the existence of stem cells in the adult pancreas. Interestingly, in contrast to the classical stem cell concept, stem cell properties seem to be plastic, and, in circumstances of injury, differentiated cells can revert back to a more immature cellular state. Importantly, deregulation of the balance between cellular proliferation and differentiation can lead to disease initiation, in particular to cancer formation. Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease with a 5-year survival rate of only ~9%. Unfortunately, metastasis formation often occurs prior to diagnosis, and most tumors are resistant to current treatment strategies. It has been proposed that a specific subpopulation of cells, i.e., cancer stem cells (CSCs), are responsible for tumor expansion, metastasis formation, and therapy resistance. Understanding the underlying mechanisms of pancreatic stem cells during homeostasis and injury might lead to new insights to understand the role of CSCs in PDAC. Therefore, in this review, we present an overview of the current literature regarding the stem cell dynamics in the pancreas during health and disease. Furthermore, we highlight the influence of the tumor microenvironment on the growth behavior of PDAC. |
first_indexed | 2024-03-10T09:53:47Z |
format | Article |
id | doaj.art-6e1ecf493d104eebaf108d29add9fee3 |
institution | Directory Open Access Journal |
issn | 2072-6694 |
language | English |
last_indexed | 2024-03-10T09:53:47Z |
publishDate | 2021-06-01 |
publisher | MDPI AG |
record_format | Article |
series | Cancers |
spelling | doaj.art-6e1ecf493d104eebaf108d29add9fee32023-11-22T02:29:22ZengMDPI AGCancers2072-66942021-06-011313329510.3390/cancers13133295Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and CancerSophie C. Lodestijn0Sanne M. van Neerven1Louis Vermeulen2Maarten F. Bijlsma3Laboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, Cancer Center Amsterdam and Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsLaboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, Cancer Center Amsterdam and Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsLaboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, Cancer Center Amsterdam and Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsLaboratory for Experimental Oncology and Radiobiology, Center for Experimental and Molecular Medicine, Cancer Center Amsterdam and Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsCell generation and renewal are essential processes to develop, maintain, and regenerate tissues. New cells can be generated from immature cell types, such as stem-like cells, or originate from more differentiated pre-existing cells that self-renew or transdifferentiate. The adult pancreas is a dormant organ with limited regeneration capacity, which complicates studying these processes. As a result, there is still discussion about the existence of stem cells in the adult pancreas. Interestingly, in contrast to the classical stem cell concept, stem cell properties seem to be plastic, and, in circumstances of injury, differentiated cells can revert back to a more immature cellular state. Importantly, deregulation of the balance between cellular proliferation and differentiation can lead to disease initiation, in particular to cancer formation. Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease with a 5-year survival rate of only ~9%. Unfortunately, metastasis formation often occurs prior to diagnosis, and most tumors are resistant to current treatment strategies. It has been proposed that a specific subpopulation of cells, i.e., cancer stem cells (CSCs), are responsible for tumor expansion, metastasis formation, and therapy resistance. Understanding the underlying mechanisms of pancreatic stem cells during homeostasis and injury might lead to new insights to understand the role of CSCs in PDAC. Therefore, in this review, we present an overview of the current literature regarding the stem cell dynamics in the pancreas during health and disease. Furthermore, we highlight the influence of the tumor microenvironment on the growth behavior of PDAC.https://www.mdpi.com/2072-6694/13/13/3295pancreaspancreatitispancreatic cancerpancreatic stem cellsstem cell dynamicsmicroenvironment |
spellingShingle | Sophie C. Lodestijn Sanne M. van Neerven Louis Vermeulen Maarten F. Bijlsma Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer Cancers pancreas pancreatitis pancreatic cancer pancreatic stem cells stem cell dynamics microenvironment |
title | Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer |
title_full | Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer |
title_fullStr | Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer |
title_full_unstemmed | Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer |
title_short | Stem Cells in the Exocrine Pancreas during Homeostasis, Injury, and Cancer |
title_sort | stem cells in the exocrine pancreas during homeostasis injury and cancer |
topic | pancreas pancreatitis pancreatic cancer pancreatic stem cells stem cell dynamics microenvironment |
url | https://www.mdpi.com/2072-6694/13/13/3295 |
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