Open AccessHepatic cancer stem cells and drug resistance: Relevance in targeted therapies for hepatocellular carcinoma
Author(s) -
Caecilia Sukowati,
Natalia Rosso,
Lory Saveria Crocè,
Claudio Tiribelli
Publication year - 2010
Publication title -
world journal of hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 55
ISSN - 1948-5182
DOI - 10.4254/wjh.v2.i3.114
Subject(s) - medicine , cancer stem cell , hepatocellular carcinoma , drug resistance , cancer research , cancer , atp binding cassette transporter , targeted therapy , stem cell , pharmacology , cancer cell , transporter , bioinformatics , biology , microbiology and biotechnology , gene , genetics
Hepatocellular carcinoma (HCC) is one of most common malignancies in the world. Systemic treatments for HCC, particularly for advanced stages, are limited by the drug resistance phenomenon which ultimately leads to therapy failure. Recent studies have indicated an association between drug resistance and the existence of the cancer stem cells (CSCs) as tumor initiating cells. The CSCs are resistant to conventional chemotherapies and might be related to the mechanisms of the ATP Binding Cassette (ABC) transporters and alterations in the CSCs signaling pathways. Therefore, to contribute to the development of new HCC treatments, further information on the characterization of CSCs, the modulation of the ABC transporters expression and function and the signaling pathway involved in the self renewal, initiation and maintenance of the cancer are required. The combination of transporters modulators/inhibitors with molecular targeted therapies may be a potent strategy to block the tumoral progression. This review summarizes the association of CSCs, drug resistance, ABC transporters activities and changes in signaling pathways as a guide for future molecular therapy for HCC.