Title:Cancer Stem Cells and Chemoresistance in Ewing Sarcoma
Volume: 18
Issue: 7
Author(s): Rafael Pereira dos Santos, Rafael Roesler*, Lauro Gregianin, André T. Brunetto, Mariane da Cunha Jaeger, Algemir Lunardi Brunetto and Caroline Brunetto de Farias
Affiliation:
- Cancer and Neurobiology Laboratory, Experimental Research Center, Clinical Hospital (CPE-HCPA), Federal University
of Rio Grande do Sul, Porto Alegre, RS, Brazil
- Department of Pharmacology, Institute for Basic Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Keywords:
Ewing sarcoma, sarcoma, pediatric cancer, chemoresistance, cancer stem cell, stem cell.
Abstract: Resistance to chemotherapy poses a major challenge for cancer treatment. Reactivating a stem
cell program resembling that seen in embryonic development can lead cancer cells to acquire a stem-cell
phenotype characterized by expression of stemness genes, pluripotency, high self-renewal ability, and
tumor-initiating capability. These cancer stem cells (CSCs) are usually resistant to anticancer drugs and
are likely involved in treatment failure in many cancer types. Ewing sarcoma (ES) is a pediatric cancer
type typically resulting from a typical genetic alteration affecting bone or soft tissues. Despite advances in
treatment, survival prognostic remains poor for patients with refractory or recurrent disease. Here, we
review the increasing evidence indicating that ES tumors contain a CSC subpopulation expressing stem
cell genes, including BM1, OCT3/4, NANOG, and SOX2, that plays a role in resistance to drug treatment,
and current experimental strategies that successfully counteract chemoresistance mediated by CSCs in
ES.