Regulation and Transitions of Tumor Initiating Cells and Their Microenvironment in Breast Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Tumor Microenvironment".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 6868

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First Department of Pediatrics, National and Kapodistrian University of Athens, 11527 Goudi-Athens, Greece
Interests: gene regulation; signal transduction; innate immunity; malignant disease; acute leukemia
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Special Issue Information

Dear Colleagues,

Breast cancer has been, and remains, the leading example of a malignant disease associated with tumor-initiating cells. Recent years have witnessed the discovery of interesting features of breast cancer stem cells. These features include their interactions with stromal cells, their effects on the immune system, and the role of their phenotype transitions in metastasis.

Furthermore, research increasingly suggests a connection between signaling pathways activated in stem cells during developmental processes of the breast gland, and the signaling pathways that operate in breast tumor-initiating cells. Key differences between normal and malignant stem cells exist and include factors that regulate inflammatory cascades. Mutations and microenvironmental cues act as a driving force toward breast cancer stem cell fate. Heterogeneity and metabolic plasticity make epithelial cancer notoriously unpredictable.

Several important questions remain open: what is the relative contribution of each factor in metastasis, and are all the characterized mediators essential in the process?

How many important phenotypic intermediates remain unknown? To what extent is current research capable of mirroring the phenomena that occur during breast cancer progression? Do we have an accurate picture of cellular heterogeneity, and how could we devise new models to describe in vivo cancer development with more precision? How can the identification of breast cancer stem cell phenotypes help us to get closer to personalized treatment?

Additionally, although breast cancer has been the primary field of stem cell research, which part of the progress made in the study of other malignant diseases can be applied in breast cancer?

How can the results of breast cancer research be translated into treatments more accurately?

Finally, to what extent and depth can the momentum gained from the COVID-19 mobilization help to also propel and advance the field of cancer research, despite the heterogeneity that characterizes malignant disease? We have certainly witnessed the difficulty in accurately describing fundamental processes in disease progression and, nevertheless, the tremendous impact of the active involvement of the scientific community that bore fruit in a period of great challenges.

Dr. Spiros Vlahopoulos
Guest Editor

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Keywords

  • adenocarcinoma
  • breast cancer
  • cancer stem cell
  • epithelial–mesenchymal transition
  • mesenchymal–epithelial transition
  • phenotypic transitions
  • chromatin modifications
  • epigenetic regulation
  • tissue microenvironment
  • genome maintenance

Published Papers (2 papers)

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15 pages, 1696 KiB  
Article
A Triphenylphosphonium-Functionalized Delivery System for an ATM Kinase Inhibitor That Ameliorates Doxorubicin Resistance in Breast Carcinoma Mammospheres
by Venturina Stagni, Archontia Kaminari, Claudia Contadini, Daniela Barilà, Rosario Luigi Sessa, Zili Sideratou, Spiros A. Vlahopoulos and Dimitris Tsiourvas
Cancers 2023, 15(5), 1474; https://doi.org/10.3390/cancers15051474 - 25 Feb 2023
Cited by 2 | Viewed by 1503
Abstract
The enzyme ataxia-telangiectasia mutated (ATM) kinase is a pluripotent signaling mediator which activates cellular responses to genotoxic and metabolic stress. It has been shown that ATM enables the growth of mammalian adenocarcinoma stem cells, and therefore the potential benefits in cancer chemotherapy of [...] Read more.
The enzyme ataxia-telangiectasia mutated (ATM) kinase is a pluripotent signaling mediator which activates cellular responses to genotoxic and metabolic stress. It has been shown that ATM enables the growth of mammalian adenocarcinoma stem cells, and therefore the potential benefits in cancer chemotherapy of a number of ATM inhibitors, such as KU-55933 (KU), are currently being investigated. We assayed the effects of utilizing a triphenylphosphonium-functionalized nanocarrier delivery system for KU on breast cancer cells grown either as a monolayer or in three-dimensional mammospheres. We observed that the encapsulated KU was effective against chemotherapy-resistant mammospheres of breast cancer cells, while having comparably lower cytotoxicity against adherent cells grown as monolayers. We also noted that the encapsulated KU sensitized the mammospheres to the anthracycline drug doxorubicin significantly, while having only a weak effect on adherent breast cancer cells. Our results suggest that triphenylphosphonium-functionalized drug delivery systems that contain encapsulated KU, or compounds with a similar impact, are a useful addition to chemotherapeutic treatment schemes that target proliferating cancers. Full article
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27 pages, 1650 KiB  
Review
Breast Cancer Stem Cells: Signaling Pathways, Cellular Interactions, and Therapeutic Implications
by Lei Wang, Zeng Jin, Rohan P. Master, Chandra K. Maharjan, Madison E. Carelock, Tiffany B. A. Reccoppa, Myung-Chul Kim, Ryan Kolb and Weizhou Zhang
Cancers 2022, 14(13), 3287; https://doi.org/10.3390/cancers14133287 - 5 Jul 2022
Cited by 12 | Viewed by 4702
Abstract
Breast cancer stem cells (BCSCs) constitute a small population of cells within breast cancer and are characterized by their ability to self-renew, differentiate, and recapitulate the heterogeneity of the tumor. Clinically, BCSCs have been correlated with cancer progression, metastasis, relapse, and drug resistance. [...] Read more.
Breast cancer stem cells (BCSCs) constitute a small population of cells within breast cancer and are characterized by their ability to self-renew, differentiate, and recapitulate the heterogeneity of the tumor. Clinically, BCSCs have been correlated with cancer progression, metastasis, relapse, and drug resistance. The tumorigenic roles of BCSCs have been extensively reviewed and will not be the major focus of the current review. Here, we aim to highlight how the crucial intrinsic signaling pathways regulate the fate of BCSCs, including the Wnt, Notch, Hedgehog, and NF-κB signaling pathways, as well as how different cell populations crosstalk with BCSCs within the TME, including adipocytes, endothelial cells, fibroblasts, and immune cells. Based on the molecular and cellular activities of BCSCs, we will also summarize the targeting strategies for BCSCs and related clinical trials. This review will highlight that BCSC development in breast cancer is impacted by both BCSC endogenous signaling and external factors in the TME, which provides an insight into how to establish a comprehensively therapeutic strategy to target BCSCs for breast cancer treatments. Full article
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