Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence

Glioblastoma (World Health Organization/WHO grade IV) is the most common and most aggressive adult glial tumor. Patients with glioblastoma, despite being treated with gross total resection and post-operative radiation/chemotherapy, will almost always develop tumor recurrence. Glioblastoma stem cells...

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Main Authors: Cho-Lea Tso, Linda M. Liau, Yue Liu, Kazunari Yamada, Jinny Choe, Fei Ye, Jonathan Tso
Format: Article
Language:English
Published: MDPI AG 2011-04-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/3/2/1975/
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author Cho-Lea Tso
Linda M. Liau
Yue Liu
Kazunari Yamada
Jinny Choe
Fei Ye
Jonathan Tso
author_facet Cho-Lea Tso
Linda M. Liau
Yue Liu
Kazunari Yamada
Jinny Choe
Fei Ye
Jonathan Tso
author_sort Cho-Lea Tso
collection DOAJ
description Glioblastoma (World Health Organization/WHO grade IV) is the most common and most aggressive adult glial tumor. Patients with glioblastoma, despite being treated with gross total resection and post-operative radiation/chemotherapy, will almost always develop tumor recurrence. Glioblastoma stem cells (GSC), a minor subpopulation within the tumor mass, have been recently characterized as tumor-initiating cells and hypothesized to be responsible for post-treatment recurrence because of their enhanced radio-/chemo-resistant phenotype and ability to reconstitute tumors in mouse brains. Genome-wide expression profile analysis uncovered molecular properties of GSC distinct from their differentiated, proliferative progeny that comprise the majority of the tumor mass. In contrast to the hyperproliferative and hyperangiogenic phenotype of glioblastoma tumors, GSC possess neuroectodermal properties and express genes associated with neural stem cells, radial glial cells, and neural crest cells, as well as portray a migratory, quiescent, and undifferentiated phenotype. Thus, cell cycle-targeted radio-chemotherapy, which aims to kill fast-growing tumor cells, may not completely eliminate glioblastoma tumors. To prevent tumor recurrence, a strategy targeting essential gene pathways of GSC must be identified and incorporated into the standard treatment regimen. Identifying intrinsic and extrinsic cues by which GSC maintain stemness properties and sustain both tumorigenesis and anti-apoptotic features may provide new insights into potentially curative strategies for treating brain cancers.
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spelling doaj.art-a2d6348e9d1e4115a4e63b7596d711252023-09-02T08:24:53ZengMDPI AGCancers2072-66942011-04-01321975199510.3390/cancers3021975Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor RecurrenceCho-Lea TsoLinda M. LiauYue LiuKazunari YamadaJinny ChoeFei YeJonathan TsoGlioblastoma (World Health Organization/WHO grade IV) is the most common and most aggressive adult glial tumor. Patients with glioblastoma, despite being treated with gross total resection and post-operative radiation/chemotherapy, will almost always develop tumor recurrence. Glioblastoma stem cells (GSC), a minor subpopulation within the tumor mass, have been recently characterized as tumor-initiating cells and hypothesized to be responsible for post-treatment recurrence because of their enhanced radio-/chemo-resistant phenotype and ability to reconstitute tumors in mouse brains. Genome-wide expression profile analysis uncovered molecular properties of GSC distinct from their differentiated, proliferative progeny that comprise the majority of the tumor mass. In contrast to the hyperproliferative and hyperangiogenic phenotype of glioblastoma tumors, GSC possess neuroectodermal properties and express genes associated with neural stem cells, radial glial cells, and neural crest cells, as well as portray a migratory, quiescent, and undifferentiated phenotype. Thus, cell cycle-targeted radio-chemotherapy, which aims to kill fast-growing tumor cells, may not completely eliminate glioblastoma tumors. To prevent tumor recurrence, a strategy targeting essential gene pathways of GSC must be identified and incorporated into the standard treatment regimen. Identifying intrinsic and extrinsic cues by which GSC maintain stemness properties and sustain both tumorigenesis and anti-apoptotic features may provide new insights into potentially curative strategies for treating brain cancers.http://www.mdpi.com/2072-6694/3/2/1975/glioblastomacancer stem cellsradial glial cellsneural crest cellsneural stem cellsradio-chemoresistance
spellingShingle Cho-Lea Tso
Linda M. Liau
Yue Liu
Kazunari Yamada
Jinny Choe
Fei Ye
Jonathan Tso
Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
Cancers
glioblastoma
cancer stem cells
radial glial cells
neural crest cells
neural stem cells
radio-chemoresistance
title Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
title_full Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
title_fullStr Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
title_full_unstemmed Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
title_short Essential Gene Pathways for Glioblastoma Stem Cells: Clinical Implications for Prevention of Tumor Recurrence
title_sort essential gene pathways for glioblastoma stem cells clinical implications for prevention of tumor recurrence
topic glioblastoma
cancer stem cells
radial glial cells
neural crest cells
neural stem cells
radio-chemoresistance
url http://www.mdpi.com/2072-6694/3/2/1975/
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