The dualistic origin of human tumors
Open accessAbstract
Life starts with a zygote, which is formed by the fusion of a haploid sperm and egg. The formation of a blastomere by cleavage division (nuclear division without an increase in cell size) is the first step in embryogenesis, after the formation of the zygote. Blastomeres are responsible for reprogramming the parental genome as a new embryonic genome for generation of the pluripotent stem cells which then differentiate by Waddington's epigenetic landscape to create a new life. Multiple authors over the past 150 years have proposed that tumors arises from development gone awry at a point within Waddington's landscape. Recent discoveries showing that differentiated somatic cells can be reprogrammed into induced pluripotent stem cells, and that somatic cell nuclear transfer can be used to successfully clone animals, have fundamentally reshaped our understanding of tumor development and origin. Differentiated somatic cells are plastic and can be induced to dedifferentiate into pluripotent stem cells. Here, I review the evidence that suggests somatic cells may have a previously overlooked endogenous embryonic program that can be activated to dedifferentiate somatic cells into stem cells of various potencies for tumor initiation. Polyploid giant cancer cells (PGCCs) have long been observed in cancer and were thought originally to be nondividing. Contrary to this belief, recent findings show that stress-induced PGCCs divide by endoreplication, which may recapitulate the pattern of cleavage-like division in blastomeres and lead to dedifferentiation of somatic cells by a programmed process known as "the giant cell cycle", which comprise four distinct but overlapping phases: initiation, self-renewal, termination and stability. Depending on the intensity and type of stress, different levels of dedifferentiation result in the formation of tumors of different grades of malignancy. Based on these results, I propose a unified dualistic model to demonstrate the origin of human tumors. The tenet of this model includes four points, as follows. 1. Tumors originate from a stem cell at a specific developmental hierarchy, which can be achieved by dualistic origin: dedifferentiation of the zygote formed by two haploid gametes (sexual reproduction) via the blastomere during normal development, or transformation from damaged or aged mature somatic cells via a blastomere-like embryonic program (asexual reproduction). 2. Initiation of the tumor begins with a stem cell that has uncoupled the differentiation from the proliferation program which results in stem cell maturation arrest. 3. The developmental hierarchy at which stem cells arrest determines the degree of malignancy: the more primitive the level at which stem cells arrest, the greater the likelihood of the tumor being malignant. 4. Environmental factors and intrinsic genetic or epigenetic alterations represent the risk factors or stressors that facilitate stem cell arrest and somatic cell dedifferentiation. However, they, per se, are not the driving force of tumorigenesis. Thus, the birth of a tumor can be viewed as a triad that originates from a stem cell via dedifferentiation through a blastomere or blastomere-like program, which then differentiates along Waddington's landscape, and arrests at a developmental hierarchy. Blocking the PGCC-mediated dedifferentiation process and inducing their differentiation may represent a novel alternative approach to eliminate the tumor occurrence and therapeutic resistance.
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Epithelial cell dedifferentiation is a critical cell state transition during tumorigenesis and confers tumor cells high proliferation capacity and progenitor-like fate through multidimensional reprogramming.
“Epithelial cell dedifferentiation is recognized as a critical cell state transition during tumorigenesis and confer tumor cells on high proliferation capacity and progenitor-like fate through multidimensional reprogramming1–3.”
From Proteostatic reactivation of the developmental transcription factor TBX3 drives BRAF/MAPK-mediated tumorigenesis (2024) · cites this paper as [1]
In “The giant cell cycle as a novel mechanism for somatic cell dedifferentiation (or reprogramming)” (page unavailable), the paper proposes that somatic-cell dedifferentiation during tumor initiation can produce embryonic-like cancer stem cells. It does not establish the claim specifically for epithelial cells or say that dedifferentiation confers high proliferation capacity; its mechanism is presented as a proposal rather than a recognized general transition. (LLM, conf=0.86)
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Cites
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Aging, Cellular Senescence, and Cancer
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“The dualistic model also provides a rational explanation for the long-known paradox that senescence is associated with stemness and also an explanation for the senescent-associated secretory phenotype [134, 192].”
BackgroundMachine Learning Identifies Stemness Features Associated with Oncogenic Dedifferentiation
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Self-citationEpigenomic alterations define lethal CIMP-positive ependymomas of infancy
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“As uterine implantation serves as the filter to selectively eliminate the highly genomically abnormal embryo from further development, the tumors in this group largely show immature tissue resembling that from primitive organs without identifiable mutations [18,19,176,177].”
InfluentialEpigenetic restriction of extraembryonic lineages mirrors the somatic transition to cancer
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The Polyploid State Plays a Tumor-Suppressive Role in the Liver
Zhang, S., Zhou, K., Luo, X., Li, L., Tu, H.-C., Sehgal, A., Nguyen, L. H., Zhang, Y., Gopal, P., Tarlow, B. D., et al. (2018) · Developmental Cell · doi:10.1016/j.devcel.2018.01.010 · Cited by 180 · cited 1× · see citing works
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Zhang, Z., Wu, Y., Fu, J., Yu, X., Su, Y., Jia, S., Cheng, H., Shen, Y., He, X., Ren, K., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48173-9 · Cited by 14 · see citing works
- Authors
- Liu, J.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Liu, Jinsong
- ORCID
- Liu, Jinsong
- Venue
- Seminars in Cancer Biology
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 53
- Pages
- 1-16
- ISSN
- 1044-579X (ISSN-L)
- PMC
- PMC6553492
- OpenAlex
- W2883768270
- Cited by
- 148
- References
- 8
- Citations by year
- 2026: 12 · 2025: 16 · 2024: 10 · 2023: 23 · 2022: 15 · 2021: 34 · 2020: 21 · 2019: 15 · 2018: 2
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Seminars in Cancer Biology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- Funders
- University of Texas MD Anderson Cancer Center’s Ovarian Cancer SPORE
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Developmental Biology and Gene Regulation
- Keywords
- tumor origin, polyploid giant cancer cells, endoreplication, dedifferentiation, somatic cell reprogramming, induced pluripotent stem cells, somatic cell nuclear transfer, blastomere cleavage, embryonic development, tumor grade, cancer stem cells
- MeSH terms
- Blastomeres, Cell Transformation, Neoplastic, Gene Expression Regulation, Humans, Neoplasms, Polyploidy, Neoplastic Stem Cells, Giant Cells, Cell Dedifferentiation, Cellular Reprogramming
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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