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Published in: European Archives of Oto-Rhino-Laryngology 2/2009

01-02-2009 | Review Article

The Stem Cell Network model: clinical implications in cancer

Authors: Rubén Cabanillas, José L. Llorente

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2009

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Abstract

This review will discuss the aspects of stem cell biology that can contribute to explain tumor development and why standard oncology treatments sometimes fail. We also propose an integrated model of tumor progression based on the putative occurrence of Stem Cell Networks (SCNs). In a SCN, the somatic stem cells are derived from a common embryonic stem cell, share a specific molecular profile and maintain a high degree of cell-cycle synchronization. In the study of cancer, the SCN model introduces an additional conceptual frame to the interpretation of both the cancer stem cell (CSC) hypothesis and the field cancerization concept. The CSC model may explain how the cancer fields develop, justifies their sizes and shapes, contribute to explain the local recurrences in patients with free margins, the second primary tumors, the success of organ preserving surgical approaches or the trend of different tumors to metastasize to certain locations. We propose that the SCN model of cancer provides some clues for further understanding tumor progression and raises promising experimental and clinical implications.
Literature
4.
go back to reference Park CH, Bergsagel DE, McCulloch EA (1971) Mouse myeloma tumor stem cells: a primary cell culture assay. J Natl Cancer Inst 46:411–422PubMed Park CH, Bergsagel DE, McCulloch EA (1971) Mouse myeloma tumor stem cells: a primary cell culture assay. J Natl Cancer Inst 46:411–422PubMed
6.
go back to reference Buzzeo MP, Scott EW, Cogle CR (2007) The hunt for cancer-initiating cells: a history stemming from leukemia. Leukemia 21(8):1619–1627PubMedCrossRef Buzzeo MP, Scott EW, Cogle CR (2007) The hunt for cancer-initiating cells: a history stemming from leukemia. Leukemia 21(8):1619–1627PubMedCrossRef
19.
go back to reference Wang S, Garcia AJ, Wu M, Lawson DA, Witte ON, Wu H (2006) Pten deletion leads to the expansion of a prostatic stem/progenitor cell subpopulation and tumor initiation. Proc Natl Acad Sci USA 103:1480–1485. doi:10.1073/pnas.0510652103 PubMedCrossRef Wang S, Garcia AJ, Wu M, Lawson DA, Witte ON, Wu H (2006) Pten deletion leads to the expansion of a prostatic stem/progenitor cell subpopulation and tumor initiation. Proc Natl Acad Sci USA 103:1480–1485. doi:10.​1073/​pnas.​0510652103 PubMedCrossRef
20.
go back to reference Prince ME, Sivanandan R, Kaczorowski A et al (2007) Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma. Proc Natl Acad Sci USA 104:973–978. doi:10.1073/pnas.0610117104 PubMedCrossRef Prince ME, Sivanandan R, Kaczorowski A et al (2007) Identification of a subpopulation of cells with cancer stem cell properties in head and neck squamous cell carcinoma. Proc Natl Acad Sci USA 104:973–978. doi:10.​1073/​pnas.​0610117104 PubMedCrossRef
21.
go back to reference Hambardzumyan D, Becher OJ, Rosenblum MK, Pandolfi PP, Manova-Todorova K, Holland EC (2008) PI3K pathway regulates survival of cancer stem cells residing in the perivascular niche following radiation in medulloblastoma in vivo. Genes Dev 22:436–448. doi:10.1101/gad.1627008 PubMedCrossRef Hambardzumyan D, Becher OJ, Rosenblum MK, Pandolfi PP, Manova-Todorova K, Holland EC (2008) PI3K pathway regulates survival of cancer stem cells residing in the perivascular niche following radiation in medulloblastoma in vivo. Genes Dev 22:436–448. doi:10.​1101/​gad.​1627008 PubMedCrossRef
22.
go back to reference Dalerba P, Dylla SJ, Park IK et al (2007) Phenotypic characterization of human colorectal cancer stem cells. Proc Natl Acad Sci USA 134(4):10158–10163CrossRef Dalerba P, Dylla SJ, Park IK et al (2007) Phenotypic characterization of human colorectal cancer stem cells. Proc Natl Acad Sci USA 134(4):10158–10163CrossRef
26.
go back to reference Yuan Y, Zhou L, Miyamoto T et al (2001) AML1-ETO expression is directly involved in the development of acute myeloid leukemia in the presence of additional mutations. Proc Natl Acad Sci USA 98:10398–10403. doi:10.1073/pnas.171321298 PubMedCrossRef Yuan Y, Zhou L, Miyamoto T et al (2001) AML1-ETO expression is directly involved in the development of acute myeloid leukemia in the presence of additional mutations. Proc Natl Acad Sci USA 98:10398–10403. doi:10.​1073/​pnas.​171321298 PubMedCrossRef
27.
go back to reference Zhou Z, Flesken-Nikitin A, Nikitin AY (2007) Prostate cancer associated with p53 and Rb deficiency arises from the stem/progenitor cell-enriched proximal region of prostatic ducts. Cancer Res 67(12):5683–5690PubMedCrossRef Zhou Z, Flesken-Nikitin A, Nikitin AY (2007) Prostate cancer associated with p53 and Rb deficiency arises from the stem/progenitor cell-enriched proximal region of prostatic ducts. Cancer Res 67(12):5683–5690PubMedCrossRef
28.
33.
go back to reference Slaughter DP, Southwick HW, Smejkal W (1953) Field cancerization in oral stratified squamous epithelium; clinical implications of multicentric origin. Cancer 6:963–968. doi :10.1002/1097-0142(195309)6:5<963::AID-CNCR2820060515>3.0.CO;2-QPubMedCrossRef Slaughter DP, Southwick HW, Smejkal W (1953) Field cancerization in oral stratified squamous epithelium; clinical implications of multicentric origin. Cancer 6:963–968. doi :10.1002/1097-0142(195309)6:5<963::AID-CNCR2820060515>3.0.CO;2-QPubMedCrossRef
34.
35.
36.
go back to reference Shen L, Kondo Y, Rosner GL et al (2005) MGMT promoter methylation and field defect in sporadic colorectal cancer. J Natl Cancer Inst 97:1330–1338PubMedCrossRef Shen L, Kondo Y, Rosner GL et al (2005) MGMT promoter methylation and field defect in sporadic colorectal cancer. J Natl Cancer Inst 97:1330–1338PubMedCrossRef
38.
go back to reference Heaphy CM, Bisoffi M, Fordyce CA et al (2006) Telomere DNA content and allelic imbalance demonstrate field cancerization in histologically normal tissue adjacent to breast tumors. Int J Cancer 119:108–116. doi:10.1002/ijc.21815 PubMedCrossRef Heaphy CM, Bisoffi M, Fordyce CA et al (2006) Telomere DNA content and allelic imbalance demonstrate field cancerization in histologically normal tissue adjacent to breast tumors. Int J Cancer 119:108–116. doi:10.​1002/​ijc.​21815 PubMedCrossRef
39.
go back to reference Ha PK, Tong BC, Westra WH et al (2002) Mitochondrial C-tract alteration in premalignant lesions of the head and neck: a marker for progression and clonal proliferation. Clin Cancer Res 8:2260–2265PubMed Ha PK, Tong BC, Westra WH et al (2002) Mitochondrial C-tract alteration in premalignant lesions of the head and neck: a marker for progression and clonal proliferation. Clin Cancer Res 8:2260–2265PubMed
40.
go back to reference Chandran UR, Dhir R, Ma C, Michalopoulos G, Becich M, Gilbertson J (2005) Differences in gene expression in prostate cancer, normal appearing prostate tissue adjacent to cancer and prostate tissue from cancer free organ donors. BMC Cancer 5:45. doi:10.1186/1471-2407-5-45 PubMedCrossRef Chandran UR, Dhir R, Ma C, Michalopoulos G, Becich M, Gilbertson J (2005) Differences in gene expression in prostate cancer, normal appearing prostate tissue adjacent to cancer and prostate tissue from cancer free organ donors. BMC Cancer 5:45. doi:10.​1186/​1471-2407-5-45 PubMedCrossRef
41.
go back to reference Braakhuis BJ, Tabor MP, Kummer JA, Leemans CR, Brakenhoff RH (2003) A genetic explanation of Slaughter’s concept of field cancerization: evidence and clinical implications. Cancer Res 63:1727–1730PubMed Braakhuis BJ, Tabor MP, Kummer JA, Leemans CR, Brakenhoff RH (2003) A genetic explanation of Slaughter’s concept of field cancerization: evidence and clinical implications. Cancer Res 63:1727–1730PubMed
42.
go back to reference Garcia SB, Park HS, Novelli M, Wright NA (1999) Field cancerization, clonality, and epithelial stem cells: the spread of mutated clones in epithelial sheets. J Pathol 187:61–81. doi :10.1002/(SICI)1096-9896(199901)187:1<61::AID-PATH247>3.0.CO;2-IPubMedCrossRef Garcia SB, Park HS, Novelli M, Wright NA (1999) Field cancerization, clonality, and epithelial stem cells: the spread of mutated clones in epithelial sheets. J Pathol 187:61–81. doi :10.1002/(SICI)1096-9896(199901)187:1<61::AID-PATH247>3.0.CO;2-IPubMedCrossRef
43.
go back to reference Tabor MP, Brakenhoff RH, van Houten VM et al (2001) Persistence of genetically altered fields in head and neck cancer patients: biological and clinical implications. Clin Cancer Res 7:1523–1532PubMed Tabor MP, Brakenhoff RH, van Houten VM et al (2001) Persistence of genetically altered fields in head and neck cancer patients: biological and clinical implications. Clin Cancer Res 7:1523–1532PubMed
45.
go back to reference Wong DJ, Paulson TG, Prevo LJ et al (2001) p16(INK4a) lesions are common, early abnormalities that undergo clonal expansion in Barrett’s metaplastic epithelium. Cancer Res 61:8284–8289PubMed Wong DJ, Paulson TG, Prevo LJ et al (2001) p16(INK4a) lesions are common, early abnormalities that undergo clonal expansion in Barrett’s metaplastic epithelium. Cancer Res 61:8284–8289PubMed
49.
go back to reference Chu TY, Shen CY, Lee HS, Liu HS (1999) Monoclonality and surface lesion-specific microsatellite alterations in premalignant and malignant neoplasia of uterine cervix: a local field effect of genomic instability and clonal evolution. Genes Chromosomes Cancer 24:127–134. doi :10.1002/(SICI)1098-2264(199902)24:2<127::AID-GCC5>3.0.CO;2-8PubMedCrossRef Chu TY, Shen CY, Lee HS, Liu HS (1999) Monoclonality and surface lesion-specific microsatellite alterations in premalignant and malignant neoplasia of uterine cervix: a local field effect of genomic instability and clonal evolution. Genes Chromosomes Cancer 24:127–134. doi :10.1002/(SICI)1098-2264(199902)24:2<127::AID-GCC5>3.0.CO;2-8PubMedCrossRef
50.
go back to reference Rosenthal AN, Ryan A, Hopster D, Jacobs IJ (2002) Molecular evidence of a common clonal origin and subsequent divergent clonal evolution in vulval intraepithelial neoplasia, vulval squamous cell carcinoma and lymph node metastases. Int J Cancer 99:549–554. doi:10.1002/ijc.10362 PubMedCrossRef Rosenthal AN, Ryan A, Hopster D, Jacobs IJ (2002) Molecular evidence of a common clonal origin and subsequent divergent clonal evolution in vulval intraepithelial neoplasia, vulval squamous cell carcinoma and lymph node metastases. Int J Cancer 99:549–554. doi:10.​1002/​ijc.​10362 PubMedCrossRef
52.
go back to reference Grepmeier U, Dietmaier W, Merk J et al (2005) Deletions at chromosome 2q and 12p are early and frequent molecular alterations in bronchial epithelium and NSCLC of long-term smokers. Int J Oncol 27:481–488PubMed Grepmeier U, Dietmaier W, Merk J et al (2005) Deletions at chromosome 2q and 12p are early and frequent molecular alterations in bronchial epithelium and NSCLC of long-term smokers. Int J Oncol 27:481–488PubMed
54.
go back to reference Kitago M, Ueda M, Aiura K et al (2004) Comparison of K-ras point mutation distributions in intraductal papillary-mucinous tumors and ductal adenocarcinoma of the pancreas. Int J Cancer 110:177–182. doi:10.1002/ijc.20084 PubMedCrossRef Kitago M, Ueda M, Aiura K et al (2004) Comparison of K-ras point mutation distributions in intraductal papillary-mucinous tumors and ductal adenocarcinoma of the pancreas. Int J Cancer 110:177–182. doi:10.​1002/​ijc.​20084 PubMedCrossRef
55.
go back to reference Hanson JA, Gillespie JW, Grover A et al (2006) Gene promoter methylation in prostate tumor-associated stromal cells. J Natl Cancer Inst 98:255–261PubMed Hanson JA, Gillespie JW, Grover A et al (2006) Gene promoter methylation in prostate tumor-associated stromal cells. J Natl Cancer Inst 98:255–261PubMed
56.
go back to reference Kros JM, Zheng P, Dinjens WN, Alers JC (2002) Genetic aberrations in gliomatosis cerebri support monoclonal tumorigenesis. J Neuropathol Exp Neurol 61:806–814PubMed Kros JM, Zheng P, Dinjens WN, Alers JC (2002) Genetic aberrations in gliomatosis cerebri support monoclonal tumorigenesis. J Neuropathol Exp Neurol 61:806–814PubMed
61.
go back to reference Brabletz T, Jung A, Spaderna S, Hlubek F, Kirchner T (2005) Opinion: migrating cancer stem cells—an integrated concept of malignant tumour progression. Nat Rev Cancer 5:744–749. doi:10.1038/nrc1694 PubMedCrossRef Brabletz T, Jung A, Spaderna S, Hlubek F, Kirchner T (2005) Opinion: migrating cancer stem cells—an integrated concept of malignant tumour progression. Nat Rev Cancer 5:744–749. doi:10.​1038/​nrc1694 PubMedCrossRef
63.
go back to reference Merkle FT, Mirzadeh Z, Alvarez-Buylla A (2007) Mosaic organization of neural stem cells in the adult brain. Science 317(5836):381–384PubMedCrossRef Merkle FT, Mirzadeh Z, Alvarez-Buylla A (2007) Mosaic organization of neural stem cells in the adult brain. Science 317(5836):381–384PubMedCrossRef
70.
go back to reference Califano J, Leong PL, Koch WM, Eisenberger CF, Sidransky D, Westra WH (1999) Second esophageal tumors in patients with head and neck squamous cell carcinoma: an assessment of clonal relationships. Clin Cancer Res 5:1862–1867PubMed Califano J, Leong PL, Koch WM, Eisenberger CF, Sidransky D, Westra WH (1999) Second esophageal tumors in patients with head and neck squamous cell carcinoma: an assessment of clonal relationships. Clin Cancer Res 5:1862–1867PubMed
71.
go back to reference Tabor MP, van Houten VM, Kummer JA et al (2002) Discordance of genetic alterations between primary head and neck tumors and corresponding metastases associated with mutational status of the TP53 gene. Genes Chromosomes Cancer 33:168–177. doi:10.1002/gcc.10019 PubMedCrossRef Tabor MP, van Houten VM, Kummer JA et al (2002) Discordance of genetic alterations between primary head and neck tumors and corresponding metastases associated with mutational status of the TP53 gene. Genes Chromosomes Cancer 33:168–177. doi:10.​1002/​gcc.​10019 PubMedCrossRef
73.
74.
go back to reference Prevo LJ, Sanchez CA, Galipeau PC, Reid BJ (1999) p53-mutant clones and field effects in Barrett’s esophagus. Cancer Res 59:4784–4787PubMed Prevo LJ, Sanchez CA, Galipeau PC, Reid BJ (1999) p53-mutant clones and field effects in Barrett’s esophagus. Cancer Res 59:4784–4787PubMed
76.
go back to reference Braakhuis BJ, Tabor MP, Leemans CR, van der Waal I, Snow GB, Brakenhoff RH (2002) Second primary tumors and field cancerization in oral and oropharyngeal cancer: molecular techniques provide new insights and definitions. Head Neck 24:198–206. doi:10.1002/hed.10042 PubMedCrossRef Braakhuis BJ, Tabor MP, Leemans CR, van der Waal I, Snow GB, Brakenhoff RH (2002) Second primary tumors and field cancerization in oral and oropharyngeal cancer: molecular techniques provide new insights and definitions. Head Neck 24:198–206. doi:10.​1002/​hed.​10042 PubMedCrossRef
80.
go back to reference Neville BW, Day TA (2002) Oral cancer and precancerous lesions. CA Cancer J Clin 52:195–215PubMed Neville BW, Day TA (2002) Oral cancer and precancerous lesions. CA Cancer J Clin 52:195–215PubMed
81.
82.
go back to reference Alvarez Marcos CA, Llorente Pendas JL, Franco Gutierrez V et al (2007) Tumour recurrence in squamous head and neck cancer. Acta Otorrinolaringol Esp 58:156–163PubMed Alvarez Marcos CA, Llorente Pendas JL, Franco Gutierrez V et al (2007) Tumour recurrence in squamous head and neck cancer. Acta Otorrinolaringol Esp 58:156–163PubMed
86.
87.
go back to reference Jiang X, Hitchcock A, Bryan EJ et al (1996) Microsatellite analysis of endometriosis reveals loss of heterozygosity at candidate ovarian tumor suppressor gene loci. Cancer Res 56:3534–3539PubMed Jiang X, Hitchcock A, Bryan EJ et al (1996) Microsatellite analysis of endometriosis reveals loss of heterozygosity at candidate ovarian tumor suppressor gene loci. Cancer Res 56:3534–3539PubMed
88.
go back to reference Tsai YC, Lu Y, Nichols PW, Zlotnikov G, Jones PA, Smith HS (1996) Contiguous patches of normal human mammary epithelium derived from a single stem cell: implications for breast carcinogenesis. Cancer Res 56:402–404PubMed Tsai YC, Lu Y, Nichols PW, Zlotnikov G, Jones PA, Smith HS (1996) Contiguous patches of normal human mammary epithelium derived from a single stem cell: implications for breast carcinogenesis. Cancer Res 56:402–404PubMed
90.
go back to reference Teixeira MR, Ribeiro FR, Torres L et al (2004) Assessment of clonal relationships in ipsilateral and bilateral multiple breast carcinomas by comparative genomic hybridisation and hierarchical clustering analysis. Br J Cancer 91:775–782PubMed Teixeira MR, Ribeiro FR, Torres L et al (2004) Assessment of clonal relationships in ipsilateral and bilateral multiple breast carcinomas by comparative genomic hybridisation and hierarchical clustering analysis. Br J Cancer 91:775–782PubMed
91.
go back to reference Humphrey LL, Helfand M, Chan BK, Woolf SH (2002) Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 137:347–360PubMed Humphrey LL, Helfand M, Chan BK, Woolf SH (2002) Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 137:347–360PubMed
92.
go back to reference Gray LC, Vaidya JS, Baum M et al (2004) Functional maps of metastases from breast cancers: proof of the principle that multidimensional scaling can summarize disease progression. World J Surg 28:646–651. doi:10.1007/s00268-004-7207-9 PubMedCrossRef Gray LC, Vaidya JS, Baum M et al (2004) Functional maps of metastases from breast cancers: proof of the principle that multidimensional scaling can summarize disease progression. World J Surg 28:646–651. doi:10.​1007/​s00268-004-7207-9 PubMedCrossRef
93.
go back to reference Franklin WA, Gazdar AF, Haney J et al (1997) Widely dispersed p53 mutation in respiratory epithelium. A novel mechanism for field carcinogenesis. J Clin Invest 100:2133–2137. doi:10.1172/JCI119748 PubMedCrossRef Franklin WA, Gazdar AF, Haney J et al (1997) Widely dispersed p53 mutation in respiratory epithelium. A novel mechanism for field carcinogenesis. J Clin Invest 100:2133–2137. doi:10.​1172/​JCI119748 PubMedCrossRef
100.
go back to reference Cabanillas R, Rodrigo JP, Llorente JL, Suarez V, Ortega P, Suarez C (2004) Functional outcomes of transoral laser surgery of supraglottic carcinoma compared with a transcervical approach. Head Neck 26:653–659. doi:10.1002/hed.20063 PubMedCrossRef Cabanillas R, Rodrigo JP, Llorente JL, Suarez V, Ortega P, Suarez C (2004) Functional outcomes of transoral laser surgery of supraglottic carcinoma compared with a transcervical approach. Head Neck 26:653–659. doi:10.​1002/​hed.​20063 PubMedCrossRef
102.
go back to reference Lee SC, Shores CG, Weissler MC (2008) Salvage surgery after failed primary concomitant chemoradiation. Curr Opin Otolaryngol Head Neck Surg 16:135–140PubMedCrossRef Lee SC, Shores CG, Weissler MC (2008) Salvage surgery after failed primary concomitant chemoradiation. Curr Opin Otolaryngol Head Neck Surg 16:135–140PubMedCrossRef
103.
go back to reference Marioni G, Marchese-Ragona R, Lucioni M, Staffieri A (2008) Organ-preservation surgery following failed radiotherapy for laryngeal cancer. Evaluation, patient selection, functional outcome and survival. Curr Opin Otolaryngol Head Neck Surg 16:141–146PubMed Marioni G, Marchese-Ragona R, Lucioni M, Staffieri A (2008) Organ-preservation surgery following failed radiotherapy for laryngeal cancer. Evaluation, patient selection, functional outcome and survival. Curr Opin Otolaryngol Head Neck Surg 16:141–146PubMed
Metadata
Title
The Stem Cell Network model: clinical implications in cancer
Authors
Rubén Cabanillas
José L. Llorente
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2009
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-008-0809-3

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