Cancer Stem-Cell Theory

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The cancer stem cell theory hypothesizes that tumors or cancers arise from mutations or epigenetic changes in normal stem cells. These mutated or genetically altered stem cells possess the properties of the normal stem cells such as the ability to self-renew, differentiate into any type of body cell, and resist apoptosis. Hence, the cancer stem cells (CSC) are named so. It is also suggested that because of the above-mentioned properties of the cancer stem cells, the current anti-cancer therapies are not entirely successful (Gil et al, 2008). Despite surgery and other therapies, even if very few of these cancer stem cells survive, they can continue to act as a source for more tumors, even though the therapies eliminate all visible signs of cancer.
The acquisition of an immortalized proliferative potential is very important for human tumors because, otherwise, the tumors will not grow in number nor will they metastasize. Mutations in progenitor cells would not be transmitted too far as they have limited replication and proliferation ability. Thus, the growth of the tumors will be limited. Hence, if there is even a very small population of cells with the ability to proliferate continuously, there will be a source for productions of more cells for the tumor. Clonogenic assays have shown that, though most cells in a tumor have a limited ability to proliferate, a subset of cancer cells exist in these tumors that continuously proliferate and give rise to new tumors on transplantation.
Strategy to target cancer stem cells: The identification of CSC is essential for development of better and effective therapeutic strategies. The drugs used in the current therapies and treatments target not only the tumor cells, but also, the norm...

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...plicates the identification of the loss of tumor suppressor gene (TSG) is epigenetic changes in the gene promoter. Hypomethylation of DNA and hyperacetylation of histones in the promoter region leads to successful transcription of the DNA. Therefore, any alteration in either of the two will disrupt the gene transcription.
Hypermethylation of the CpG island in the promoter of TSG leading to gene inactivation has been well established. Inactivation of TSGs due to promoter methylation is relatively lesser compared to LOH due to chromosomal recombination or gene conversion and hence difficult to detect.
The other epigenetic change that may contribute to TSG inactivation is alterations in histone modification such as reduced acetylation of the histone.
Histone modification may or may not be dependent on DNA methylation and is difficult to detect compared to LOH.

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