Cancer Epigenetics: Tumor Heterogeneity, Plasticity of Stem-like States, and Drug Resistance
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The existence of subpopulations of cells in cancers with increased tumor-initiating capacities and self-renewal potential, often termed "cancer stem cells," is a much discussed and key area of cancer biology. Such cellular heterogeneity is very important because of its impact on therapy and especially states of treatment resistance. A major question is whether there is plasticity for evolution of these cell states during tumorigenesis that can involve movement between cell populations in a reversible fashion. In this review, we discuss the possible role of epigenetic abnormalities as well as genetic alterations in such dynamics and in the creation of cellular heterogeneity in cancers of all types.
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The blood circulation system is a key component in metastasis because many malignant cells migrate as circulating cancer cells through blood vessels.
“The blood circulation system is also a key component in metastasis because many malignant cells migrate as circulating cancer cells through blood vessels [105].”
From Microfluidic modelling of the tumor microenvironment for anti-cancer drug development (2019) · cites this paper as [105]
The sections on tumor heterogeneity discuss differences between primary tumors and metastases, and the section on epigenetic alterations mentions migratory capabilities. Neither addresses whether malignant cells travel through blood vessels as circulating cancer cells or establishes the blood circulation system’s role in metastasis. Searches for circulating tumor cells, blood vessels, bloodstream, and vascular dissemination found no supporting passage. (LLM, conf=0.76)
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- Authors
- Easwaran, H., Tsai, H.-C., & Baylin, S. B.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Baylin, Stephen B.
- Venue
- Molecular Cell
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 54
- Issue
- 5
- Pages
- 716-727
- ISSN
- 1097-2765 (ISSN-L)
- PMC
- PMC4103691
- OpenAlex
- W2064442490
- Cited by
- 915
- References
- 103
- Citations by year
- 2026: 33 · 2025: 44 · 2024: 62 · 2023: 61 · 2022: 94 · 2021: 104 · 2020: 97 · 2019: 105 · 2018: 77 · 2017: 73 · 2016: 68 · 2015: 80 · 2014: 16
- FWCI
- 8.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Molecular Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (U01HL099775, HL099775)
- National Cancer Institute (R01CA043318, CA 043318, P30CA006973)
- National Institute of Environmental Health Sciences (R01ES011858, ES011858)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- cancer epigenetics, tumor heterogeneity, cancer stem cells, drug resistance, epigenetic abnormalities, self-renewal, genetic alterations, carcinogenesis
- MeSH terms
- Animals, Humans, Neoplasms, Neoplastic Stem Cells, Gene Expression Regulation, Neoplastic, Drug Resistance, Neoplasm, Epigenesis, Genetic, Carcinogenesis
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