The Stem Cell Phenotype of Aggressive Breast Cancer Cells

Aggressive cancer cells are characterized by their capacity to proliferate indefinitely and to propagate a heterogeneous tumor comprised of subpopulations with varying degrees of metastatic propensity and drug resistance properties. Particularly daunting is the challenge we face in the field of onco...

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Main Authors: Naira V. Margaryan, Hannah Hazard-Jenkins, Mohamad A. Salkeni, Matthew B. Smolkin, James A. Coad, Sijin Wen, Elisabeth A. Seftor, Richard E. B. Seftor, Mary J. C. Hendrix
Format: Article
Language:English
Published: MDPI AG 2019-03-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/11/3/340
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author Naira V. Margaryan
Hannah Hazard-Jenkins
Mohamad A. Salkeni
Matthew B. Smolkin
James A. Coad
Sijin Wen
Elisabeth A. Seftor
Richard E. B. Seftor
Mary J. C. Hendrix
author_facet Naira V. Margaryan
Hannah Hazard-Jenkins
Mohamad A. Salkeni
Matthew B. Smolkin
James A. Coad
Sijin Wen
Elisabeth A. Seftor
Richard E. B. Seftor
Mary J. C. Hendrix
author_sort Naira V. Margaryan
collection DOAJ
description Aggressive cancer cells are characterized by their capacity to proliferate indefinitely and to propagate a heterogeneous tumor comprised of subpopulations with varying degrees of metastatic propensity and drug resistance properties. Particularly daunting is the challenge we face in the field of oncology of effectively targeting heterogeneous tumor cells expressing a variety of markers, especially those associated with a stem cell phenotype. This dilemma is especially relevant in breast cancer, where therapy is based on traditional classification schemes, including histological criteria, differentiation status, and classical receptor markers. However, not all patients respond in a similar manner to standard-of-care therapy, thereby necessitating the need to identify and evaluate novel biomarkers associated with the difficult-to-target stem cell phenotype and drug resistance. Findings related to the convergence of embryonic and tumorigenic signaling pathways have identified the embryonic morphogen Nodal as a promising new oncofetal target that is reactivated only in aggressive cancers, but not in normal tissues. The work presented in this paper confirms previous studies demonstrating the importance of Nodal as a cancer stem cell molecule associated with aggressive breast cancer, and advances the field by providing new findings showing that Nodal is not targeted by standard-of-care therapy in breast cancer patients. Most noteworthy is the linkage found between Nodal expression and the drug resistance marker ATP-binding cassette member 1 (ABCA1), which may provide new insights into developing combinatorial approaches to overcome drug resistance and disease recurrence.
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spelling doaj.art-bf548a4c131e45e2a025c6679f99bff22023-09-03T05:46:50ZengMDPI AGCancers2072-66942019-03-0111334010.3390/cancers11030340cancers11030340The Stem Cell Phenotype of Aggressive Breast Cancer CellsNaira V. Margaryan0Hannah Hazard-Jenkins1Mohamad A. Salkeni2Matthew B. Smolkin3James A. Coad4Sijin Wen5Elisabeth A. Seftor6Richard E. B. Seftor7Mary J. C. Hendrix8Department of Biochemistry, West Virginia University, Morgantown, WV 26506, USAWest Virginia University Cancer Institute, West Virginia University, Morgantown, WV 26506, USAWest Virginia University Cancer Institute, West Virginia University, Morgantown, WV 26506, USAWest Virginia University Cancer Institute, West Virginia University, Morgantown, WV 26506, USAWest Virginia University Cancer Institute, West Virginia University, Morgantown, WV 26506, USAWest Virginia University Cancer Institute, West Virginia University, Morgantown, WV 26506, USADepartment of Biochemistry, West Virginia University, Morgantown, WV 26506, USADepartment of Biochemistry, West Virginia University, Morgantown, WV 26506, USADepartment of Biology, Shepherd University, Shepherdstown, WV 25443, USAAggressive cancer cells are characterized by their capacity to proliferate indefinitely and to propagate a heterogeneous tumor comprised of subpopulations with varying degrees of metastatic propensity and drug resistance properties. Particularly daunting is the challenge we face in the field of oncology of effectively targeting heterogeneous tumor cells expressing a variety of markers, especially those associated with a stem cell phenotype. This dilemma is especially relevant in breast cancer, where therapy is based on traditional classification schemes, including histological criteria, differentiation status, and classical receptor markers. However, not all patients respond in a similar manner to standard-of-care therapy, thereby necessitating the need to identify and evaluate novel biomarkers associated with the difficult-to-target stem cell phenotype and drug resistance. Findings related to the convergence of embryonic and tumorigenic signaling pathways have identified the embryonic morphogen Nodal as a promising new oncofetal target that is reactivated only in aggressive cancers, but not in normal tissues. The work presented in this paper confirms previous studies demonstrating the importance of Nodal as a cancer stem cell molecule associated with aggressive breast cancer, and advances the field by providing new findings showing that Nodal is not targeted by standard-of-care therapy in breast cancer patients. Most noteworthy is the linkage found between Nodal expression and the drug resistance marker ATP-binding cassette member 1 (ABCA1), which may provide new insights into developing combinatorial approaches to overcome drug resistance and disease recurrence.http://www.mdpi.com/2072-6694/11/3/340Nodalbreast cancerABCA1cancer stem cellsdoxorubicin/cyclophosphamide/taxanes (paclitaxel or docetaxel) (ACT)docetaxel/carboplatin/trastuzumab/pertuzumab (TCHP)docetaxel/cyclophosphamide (TC)
spellingShingle Naira V. Margaryan
Hannah Hazard-Jenkins
Mohamad A. Salkeni
Matthew B. Smolkin
James A. Coad
Sijin Wen
Elisabeth A. Seftor
Richard E. B. Seftor
Mary J. C. Hendrix
The Stem Cell Phenotype of Aggressive Breast Cancer Cells
Cancers
Nodal
breast cancer
ABCA1
cancer stem cells
doxorubicin/cyclophosphamide/taxanes (paclitaxel or docetaxel) (ACT)
docetaxel/carboplatin/trastuzumab/pertuzumab (TCHP)
docetaxel/cyclophosphamide (TC)
title The Stem Cell Phenotype of Aggressive Breast Cancer Cells
title_full The Stem Cell Phenotype of Aggressive Breast Cancer Cells
title_fullStr The Stem Cell Phenotype of Aggressive Breast Cancer Cells
title_full_unstemmed The Stem Cell Phenotype of Aggressive Breast Cancer Cells
title_short The Stem Cell Phenotype of Aggressive Breast Cancer Cells
title_sort stem cell phenotype of aggressive breast cancer cells
topic Nodal
breast cancer
ABCA1
cancer stem cells
doxorubicin/cyclophosphamide/taxanes (paclitaxel or docetaxel) (ACT)
docetaxel/carboplatin/trastuzumab/pertuzumab (TCHP)
docetaxel/cyclophosphamide (TC)
url http://www.mdpi.com/2072-6694/11/3/340
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