2014
DOI: 10.1016/j.stem.2014.02.006
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Evolution of the Cancer Stem Cell Model

Abstract: Genetic analyses have shaped much of our understanding of cancer. However, it is becoming increasingly clear that cancer cells display features of normal tissue organization, where cancer stem cells (CSCs) can drive tumor growth. Although often considered as mutually exclusive models to describe tumor heterogeneity, we propose that the genetic and CSC models of cancer can be harmonized by considering the role of genetic diversity and nongenetic influences in contributing to tumor heterogeneity. We offer an app… Show more

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Cited by 1,936 publications
(1,766 citation statements)
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References 151 publications
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“…Unlike normal stem cells, self-renewal is typically downregulated in CSCs (Kreso and Dick, 2014). Until now, CSCs are recognized to represent a distinct cell population that has the capacity of self-renewal and clonal long-term repopulation (Clarke et al, 2006;Nguyen et al, 2012).…”
Section: Cancer Stem Cellsmentioning
confidence: 99%
“…Unlike normal stem cells, self-renewal is typically downregulated in CSCs (Kreso and Dick, 2014). Until now, CSCs are recognized to represent a distinct cell population that has the capacity of self-renewal and clonal long-term repopulation (Clarke et al, 2006;Nguyen et al, 2012).…”
Section: Cancer Stem Cellsmentioning
confidence: 99%
“…However, a limitation of this model is it does not take into account the importance of non-genetic variations, minor clones, and potential functional interactions between clones and tumors [8]. The cancer stem cell model asserts that a small pool of cancer cells with self-renewal and differentiation capacity serve as “seeds” to promote tumor initiation, progression and recurrence [9]. A major drawback of this model is that it neglects heterogeneous DNA within the tumor [8].…”
Section: Introductionmentioning
confidence: 99%
“…Deep phenotypic analysis of tumor-associated immune cells provides ample evidence that valuable information can be elucidated regarding the TME from cells embedded in and surrounding a cancer lesion (7). The initially rather static CSC concept was refined through the realization that even cells initially classified as nonstem cells can adopt a stem cell phenotype (8), and recent models indicate that the view of cells able to switch between various degrees of "stemness" may be more accurate (9).…”
Section: Introductionmentioning
confidence: 99%