PMID- 21151206 OWN - NLM STAT- MEDLINE DCOM- 20110519 LR - 20220330 IS - 1759-4782 (Electronic) IS - 1759-4774 (Linking) VI - 8 IP - 2 DP - 2011 Feb TI - Targeting cancer stem cells by inhibiting Wnt, Notch, and Hedgehog pathways. PG - 97-106 LID - 10.1038/nrclinonc.2010.196 [doi] AB - Tumor relapse and metastasis remain major obstacles for improving overall cancer survival, which may be due at least in part to the existence of cancer stem cells (CSCs). CSCs are characterized by tumorigenic properties and the ability to self-renew, form differentiated progeny, and develop resistance to therapy. CSCs use many of the same signaling pathways that are found in normal stem cells, such as Wnt, Notch, and Hedgehog (Hh). The origin of CSCs is not fully understood, but data suggest that they originate from normal stem or progenitor cells, or possibly other cancer cells. Therapeutic targeting of both CSCs and bulk tumor populations may provide a strategy to suppress tumor regrowth. Development of agents that target critical steps in the Wnt, Notch, and Hh pathways will be complicated by signaling cross-talk. The role that embryonic signaling pathways play in the function of CSCs, the development of new anti-CSC therapeutic agents, and the complexity of potential CSC signaling cross-talk are described in this Review. FAU - Takebe, Naoko AU - Takebe N AD - National Cancer Institute, Division of Cancer Treatment and Diagnosis, Cancer Therapy Evaluation Program, Investigational Drug Branch, EPN7131, 6130 Executive Boulevard, Rockville, Bethesda, MD 20852, USA. FAU - Harris, Pamela J AU - Harris PJ FAU - Warren, Ronald Q AU - Warren RQ FAU - Ivy, S Percy AU - Ivy SP LA - eng PT - Journal Article PT - Review DEP - 20101214 PL - England TA - Nat Rev Clin Oncol JT - Nature reviews. Clinical oncology JID - 101500077 RN - 0 (Antineoplastic Agents) RN - 0 (Hedgehog Proteins) RN - 0 (Receptors, Notch) RN - 0 (Wnt Proteins) SB - IM MH - Animals MH - Antineoplastic Agents/*therapeutic use MH - Hedgehog Proteins/*antagonists & inhibitors/metabolism MH - Humans MH - Neoplasms/metabolism/*prevention & control MH - Neoplastic Stem Cells/*drug effects MH - Receptors, Notch/*antagonists & inhibitors/metabolism MH - Signal Transduction/*drug effects MH - Wnt Proteins/*antagonists & inhibitors/metabolism EDAT- 2010/12/15 06:00 MHDA- 2011/05/20 06:00 CRDT- 2010/12/15 06:00 PHST- 2010/12/15 06:00 [entrez] PHST- 2010/12/15 06:00 [pubmed] PHST- 2011/05/20 06:00 [medline] AID - nrclinonc.2010.196 [pii] AID - 10.1038/nrclinonc.2010.196 [doi] PST - ppublish SO - Nat Rev Clin Oncol. 2011 Feb;8(2):97-106. doi: 10.1038/nrclinonc.2010.196. Epub 2010 Dec 14.