PMID- 37511291 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230801 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 14 DP - 2023 Jul 16 TI - Intratumor Heterogeneity and Treatment Resistance of Solid Tumors with a Focus on Polyploid/Senescent Giant Cancer Cells (PGCCs). LID - 10.3390/ijms241411534 [doi] LID - 11534 AB - Single cell biology has revealed that solid tumors and tumor-derived cell lines typically contain subpopulations of cancer cells that are readily distinguishable from the bulk of cancer cells by virtue of their enormous size. Such cells with a highly enlarged nucleus, multiple nuclei, and/or multiple micronuclei are often referred to as polyploid giant cancer cells (PGCCs), and may exhibit features of senescence. PGCCs may enter a dormant phase (active sleep) after they are formed, but a subset remain viable, secrete growth promoting factors, and can give rise to therapy resistant and tumor repopulating progeny. Here we will briefly discuss the prevalence and prognostic value of PGCCs across different cancer types, the current understanding of the mechanisms of their formation and fate, and possible reasons why these tumor repopulating "monsters" continue to be ignored in most cancer therapy-related preclinical studies. In addition to PGCCs, other subpopulations of cancer cells within a solid tumor (such as oncogenic caspase 3-activated cancer cells and drug-tolerant persister cancer cells) can also contribute to therapy resistance and pose major challenges to the delivery of cancer therapy. FAU - Mirzayans, Razmik AU - Mirzayans R AD - Department of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, AB T6G 1Z2, Canada. FAU - Murray, David AU - Murray D AD - Department of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, AB T6G 1Z2, Canada. LA - eng PT - Journal Article PT - Review DEP - 20230716 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Humans MH - *Neoplasms/drug therapy/genetics/metabolism MH - Giant Cells/metabolism MH - Polyploidy PMC - PMC10380821 OTO - NOTNLM OT - anastasis OT - apoptosis OT - cancer therapy OT - intratumor heterogeneity OT - polyploid giant cancer cells OT - precision oncology OT - preclinical assays OT - senescence COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:48 MHDA- 2023/07/31 06:42 PMCR- 2023/07/16 CRDT- 2023/07/29 01:23 PHST- 2023/07/02 00:00 [received] PHST- 2023/07/14 00:00 [revised] PHST- 2023/07/14 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/29 11:48 [pubmed] PHST- 2023/07/29 01:23 [entrez] PHST- 2023/07/16 00:00 [pmc-release] AID - ijms241411534 [pii] AID - ijms-24-11534 [pii] AID - 10.3390/ijms241411534 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jul 16;24(14):11534. doi: 10.3390/ijms241411534.