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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Main Authors: Sophie C. Lodestijn, Sanne M. van Neerven, Louis Vermeulen, Maarten F. Bijlsma
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Cancers
Subjects:
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.
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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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AT sannemvanneerven stemcellsintheexocrinepancreasduringhomeostasisinjuryandcancer
AT louisvermeulen stemcellsintheexocrinepancreasduringhomeostasisinjuryandcancer
AT maartenfbijlsma stemcellsintheexocrinepancreasduringhomeostasisinjuryandcancer