Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits

Abstract Human gastrointestinal malignancies are highly heterogeneous cancers. Clinically, heterogeneity largely contributes to tumor progression and resistance to therapy. Heterogeneity within gastrointestinal cancers is defined by molecular subtypes in genomic and transcriptomic analyses. Cancer s...

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Autores principales: Mei-Mei Li, Jun Yuan, Xin-Yuan Guan, Ning-Fang Ma, Ming Liu
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/5cd65ad0364447f187fac285fb44c16d
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spelling oai:doaj.org-article:5cd65ad0364447f187fac285fb44c16d2021-11-14T12:11:38ZMolecular subclassification of gastrointestinal cancers based on cancer stem cell traits10.1186/s40164-021-00246-x2162-3619https://doaj.org/article/5cd65ad0364447f187fac285fb44c16d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40164-021-00246-xhttps://doaj.org/toc/2162-3619Abstract Human gastrointestinal malignancies are highly heterogeneous cancers. Clinically, heterogeneity largely contributes to tumor progression and resistance to therapy. Heterogeneity within gastrointestinal cancers is defined by molecular subtypes in genomic and transcriptomic analyses. Cancer stem cells (CSCs) have been demonstrated to be a major source of tumor heterogeneity; therefore, assessing tumor heterogeneity by CSC trait-guided classification of gastrointestinal cancers is essential for the development of effective therapies. CSCs share critical features with embryonic stem cells (ESCs). Molecular investigations have revealed that embryonic genes and developmental signaling pathways regulating the properties of ESCs or cell lineage differentiation are abnormally active and might be oncofetal drivers in certain tumor subtypes. Currently, multiple strategies allow comprehensive identification of tumor subtype-specific oncofetal signatures and evaluation of subtype-specific therapies. In this review, we summarize current knowledge concerning the molecular classification of gastrointestinal malignancies based on CSC features and elucidate their clinical relevance. We also outline strategies for molecular subtype identification and subtype-based therapies. Finally, we explore how clinical implementation of tumor classification by CSC subtype might facilitate the development of more effective personalized therapies for gastrointestinal cancers.Mei-Mei LiJun YuanXin-Yuan GuanNing-Fang MaMing LiuBMCarticleGastrointestinal cancerHeterogeneityCancer stem cellCancer subtypePrecision oncologyDiseases of the blood and blood-forming organsRC633-647.5Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENExperimental Hematology & Oncology, Vol 10, Iss 1, Pp 1-23 (2021)
institution DOAJ
collection DOAJ
language EN
topic Gastrointestinal cancer
Heterogeneity
Cancer stem cell
Cancer subtype
Precision oncology
Diseases of the blood and blood-forming organs
RC633-647.5
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Gastrointestinal cancer
Heterogeneity
Cancer stem cell
Cancer subtype
Precision oncology
Diseases of the blood and blood-forming organs
RC633-647.5
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Mei-Mei Li
Jun Yuan
Xin-Yuan Guan
Ning-Fang Ma
Ming Liu
Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
description Abstract Human gastrointestinal malignancies are highly heterogeneous cancers. Clinically, heterogeneity largely contributes to tumor progression and resistance to therapy. Heterogeneity within gastrointestinal cancers is defined by molecular subtypes in genomic and transcriptomic analyses. Cancer stem cells (CSCs) have been demonstrated to be a major source of tumor heterogeneity; therefore, assessing tumor heterogeneity by CSC trait-guided classification of gastrointestinal cancers is essential for the development of effective therapies. CSCs share critical features with embryonic stem cells (ESCs). Molecular investigations have revealed that embryonic genes and developmental signaling pathways regulating the properties of ESCs or cell lineage differentiation are abnormally active and might be oncofetal drivers in certain tumor subtypes. Currently, multiple strategies allow comprehensive identification of tumor subtype-specific oncofetal signatures and evaluation of subtype-specific therapies. In this review, we summarize current knowledge concerning the molecular classification of gastrointestinal malignancies based on CSC features and elucidate their clinical relevance. We also outline strategies for molecular subtype identification and subtype-based therapies. Finally, we explore how clinical implementation of tumor classification by CSC subtype might facilitate the development of more effective personalized therapies for gastrointestinal cancers.
format article
author Mei-Mei Li
Jun Yuan
Xin-Yuan Guan
Ning-Fang Ma
Ming Liu
author_facet Mei-Mei Li
Jun Yuan
Xin-Yuan Guan
Ning-Fang Ma
Ming Liu
author_sort Mei-Mei Li
title Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
title_short Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
title_full Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
title_fullStr Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
title_full_unstemmed Molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
title_sort molecular subclassification of gastrointestinal cancers based on cancer stem cell traits
publisher BMC
publishDate 2021
url https://doaj.org/article/5cd65ad0364447f187fac285fb44c16d
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AT junyuan molecularsubclassificationofgastrointestinalcancersbasedoncancerstemcelltraits
AT xinyuanguan molecularsubclassificationofgastrointestinalcancersbasedoncancerstemcelltraits
AT ningfangma molecularsubclassificationofgastrointestinalcancersbasedoncancerstemcelltraits
AT mingliu molecularsubclassificationofgastrointestinalcancersbasedoncancerstemcelltraits
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