Cancer and stem cells Flashcards
Where are all the precursors of the cell types of the body?
In the 3 germ layers
When do the pluripotent cells start differentiating?
During gastrulation
What happens to the stem cells when they leave the niche?
They begin to differentiate and give rise to more specialised cell types
Under the influence of pro-differentiation signals
What development does the cell cycle drive?
BOTH embryonic and postnatal development
What genes disrupt the cell cycle?
- Oncogenes: capable of transforming a normal cell –> cancer cell when ACTIVE
- TSG: restrict proliferation when active (mutations inactivate)
What are carcinogenic factors?
1) Chemical:
- Smoking
2) Parasites
3) Radiation:
- UV
- Ionising
4) Viruses:
- HPV
- HBV
What are carcinogenic factors capable of?
Activating oncogenes
Inhibiting TSGs
Describe the appearance of tumours
What does this mean?
Heterogeneous
Cells in the SAME tumour exhibit DIFFERENCES in terms of:
- Differentiation rate
- Proliferation rate
- Migratory and invasive capacity
- Size
- Therapeutic response
- Tumourgenicity
What is ‘intra-tumour heterogeneity’
Differences between cells in the same tumour
What is ‘inter-tumour heterogeneity’?
Differences between DIFFERENT tumours
How is the heterogeneity between tumours explained?
2 different models:
1) Stochastic
2) Cancer stem cell model
What is the stochastic model for cancer?
States that ALL tumour cells are EQUIPOTENT and can either differentiate or self-renew
Cells have unlimited proliferative capacity
ALL the cells of a tumour are tumour-initiating
All tumour cells are EQUALLY SUSCEPTIBLE to treatment (all have the same proliferative potential, all can be targeted by anti-proliferative drugs)
What does equipotent mean?
Equal capacity to differentiate
What are the problems with the stochastic model for cancer?
Tumours tend to RECUR after treatment, indicating:
- Not all cells are EQUALLY vulnerable to anti-proliferative treatments (some are differentially resistant to the drugs)
What is the cancer stem cell model for cancer?
States that only a SUBSET of tumour cells have the ability for long-term self renewal and therefore cancer formation
These cells give rise to COMMITTED progenitors with LIMITED proliferative potential that will eventually terminally differentiate
What does the cancer stem cell model form?
A hierarchy of differentiation:
- Tumour stays heterogenous
- Small reservoir os slowly proliferating CSCs
What are the therapeutic implications of the cancer stem cell model of cancer?
1) CSCs represent a very SMALL fraction of the cells in the tumour
2) If treat the cancer with drug that kills mainly proliferating cells - CSCs ESCAPE treatment
Why do CSCs escape the drug treatment that kills mainly proliferating cells?
CSCs are slowly proliferating/dormant
Resistant to the treatment
How can normal stem cells be functionally tested?
Ability for functional reconstruction
How can cancer stem cells be functionally tested?
Ability to initiate a tumour
What is the difference between the need for self-renewal in normal stem cells and cancer stem cells?
Normal - needed in order to maintain HOMEOSTASIS
Cancer - serves as a tool for TUMOUR GROWTH
What is the difference/similarities between the regulation of normal stem cells and cancer stem cells?
Similarities: Same signalling pathways (eg. Wnt)
Differences: Cancer - ELEVATED signalling
What are the different possibilities for a cancer cell to arise?
1) REPROGRAMMING event:
- One or more genetic/epigenetic transformation events that drive specialised cells (differentiated from stem cells) BACK into cancer stem cell entity
- Gives the cells capacity for self-renewal and differentiation
2) ONCOGENIC transformation:
- Normal stem cell transformed into a CSC that fuels tumour growth
- Through number of genetic/epigenetic transformations
Are the 2 mechanisms that can cause cancer mutually exclusive?
NO - they can happen in the SAME tumour
BUT, different cancers can be driven by one more than the other