Abstract
Emerging evidences suggest that a small population of highly tumorigenic cancer stem-like cells (CSC) or tumor-initiating cells (TICs) is responsible for sustaining multiple types of tumor. Like normal stem cells, CSCs can self-renew and differentiate to other tumor cell types and give rise to non-tumorigenic daughter cells that constitute the tumor bulk. These cells are highly resistant to chemo- and radiotherapies causing drug resistance, tumor recurrence, and the formation of distant metastases. CSCs often overexpress drug efflux transporters, and consequently, CSCs can escape conventional chemotherapies. Therefore, CSCs offer an attractive target for therapeutic intervention. Nanocarrier-based therapeutics is being targeted to CSCs for elimination and prevention of recurrence and metastasis of tumors in addition to achieving prolonged blood circulation times, stability, and bioavailability over current therapies. In this chapter, we focus on the problems in delivering drugs to the CSCs, and current status of CSCs therapy including inhibition of drug efflux transporters, targeting tumor microenvironment and nanometric drug delivery approaches to prevent tumor recurrence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alonso MJ (2004) Nanomedicines for overcoming biological barriers. Biomed Pharmacother 58:168–172
Bagalkot V, Farokhzad OC, Langer R et al (2006) An aptamer-doxorubicin physical conjugate as a novel targeted drug-delivery platform. Angew Chem Int Ed 45:8149–8152
Bao S, Wu Q, McLendon RE et al (2006) Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Nature 444:756–760
Beck B, Blanpain C (2013) Unravelling cancer stem cell potential. Nat Rev Cancer 13:727–738
Beck B, Driessens G, Goossens S et al (2011) A vascular niche and a VEGF-Nrp1 loop regulate the initiation and stemness of skin tumors. Nature 478:399–403
Bertolini G, Roz L, Perego P et al (2009) Highly tumorigenic lung cancer CD133+ cells display stem-like features and are spared by cisplatin treatment. Proc Natl Acad Sci USA 106:16281–16286
Bhowmik A, Khan R, Ghosh MK (2015) Blood brain barrier: a challenge for effectual therapy of brain tumors. Biomed Res Int 2015:320941
Blanpain C, Mohrin M, Sotiropoulou PA et al (2011) DNA-damage response in tissue-specific and cancer stem cells. Cell Stem Cell 8:16–29
Borovski T, De Sousa EMF, Vermeulen L et al (2011) Cancer stem cell niche: the place to be. Cancer Res 71:634–639
Brescia P, Ortensi B, Fornasari L et al (2013) CD133 is essential for glioblastoma stem cell maintenance. Stem Cells 31:857–869
Bu Y, Cao D (2012) The origin of cancer stem cells. Front Biosci Sch Ed 4:819–830
Calabrese C, Poppleton H, Kocak M et al (2007) A perivascular niche for brain tumor stem cells. Cancer Cell 11:69–82
Chen ZG (2010) Small-molecule delivery by nanoparticles for anticancer therapy. Trends Mol Med 16:594–602
Chen K, Huang YH, Chen JL (2013) Understanding and targeting cancer stem cells: therapeutic implications and challenges. Acta Pharmacol Sin 34:732–740
Colak S, Zimberlin CD, Fessler E et al (2014) Decreased mitochondrial priming determines chemoresistance of colon cancer stem cells. Cell Death Differ 21:1170–1177
Davis ME, Chen ZG, Shin DM (2008) Nanoparticle therapeutics: an emerging treatment modality for cancer. Nat Rev Drug Discov 7:771–782
Dean M, Fojo T, Bates S (2005) Tumor stem cells and drug resistance. Nat Rev Cancer 5:275–284
Di Franco S, Todaro M, Dieli F et al (2014) Colorectal cancer defeating? Challenge accepted! Mol Aspects Med 39:61–81
Diehn M, Cho RW, Lobo NA et al (2009) Association of reactive oxygen species levels and radioresistance in cancer stem cells. Nature 458:780–783
Fletcher JI, Haber M, Henderson MJ et al (2010) ABC transporters in cancer: more than just drug efflux pumps. Nat Rev Cancer 10:147–156
Frank NY, Pendse SS, Lapchak PH et al (2003) Regulation of progenitor cell fusion by ABCB5 P-glycoprotein, a novel human ATP-binding cassette transporter. J Biol Chem 278:47156–47165
Frank NY, Margaryan A, Huang Y et al (2005) ABCB5-mediated doxorubicin transport and chemoresistance in human malignant melanoma. Cancer Res 65:4320–4333
Ganesh S, Iyer AK, Morrissey DV et al (2013) Hyaluronic acid based self assembling nanosystems for CD44 target mediated siRNA delivery to solid tumors. Biomaterials 34:3489–3502
Hamblin GD, Carneiro KMM, Fakhoury JF et al (2012) Rolling circle amplification-templated DNA nanotubes show increased stability and cell penetration ability. J Am Chem Soc 134:2888–2891
Hanahan D, Weinberg RA (2011) Hallmarks of cancer: the next generation. Cell 144:646–674
Hanahan D, Coussens LM (2012) Accessories to the crime: functions of cells recruited to the tumor microenvironment. Cancer Cell 21:309–322
Haraguchi N, Ishii H, Mimori K et al (2010) CD13 is a therapeutic target in human liver cancer stem cells. J Clin Invest 120:3326–3339
Hendricks BK, Cohen-Gadol AA, Miller JC (2015) Novel delivery methods bypassing the blood–brain and blood-tumor barriers. Neurosurg Focus 38:E10
Hogge DE, Feuring-Buske M, Gerhard B et al (2004) The efficacy of diphtheria-growth factor fusion proteins is enhanced by co-administration of cytosine arabinoside in an immunodeficient mouse model of human acute myeloid leukemia. Leuk Res 28:1221–1226
Holohan C, Van Schaeybroeck S, Longley DB et al (2013) Cancer drug resistance: an evolving paradigm. Nat Rev Cancer 13:714–726
Hu Y, Fu L (2012) Targeting cancer stem cells: a new therapy to cure cancer patients. Am J Cancer Res 2:340–356
Hu T, Liu S, Breiter DR et al (2008) Octamer 4 small interfering RNA results in cancer stem cell-like cell apoptosis. Cancer Res 68:6533–6540
Huang YF, Shangguan D, Liu H, Phillips JA, Zhang X, Chen Y et al (2009) Molecular assembly of an aptamer-drug conjugate for targeted drug delivery to tumor cells. ChemBioChem 10:862–868
Hubbell JA, Chilkoti A (2012) Nanomaterials for drug delivery. Science 337:303–305
Ischenko I, Seeliger H, Schaffer M et al (2008) Cancer stem cells: how can we target them? Curr Med Chem 15:3171–3184
Jain RK (1994) Barriers to drug delivery in solid tumors. Sci Am 271:58–65
Jain RK, Stylianopoulos T (2010) Delivering nanomedicine to solid tumors. Nat Rev Clin Oncol 7:653–664
Jin L, Hope KJ, Zhai Q et al (2006) Targeting of CD44 eradicates human acute myeloid leukemic stem cells. Nat Med 12:1167–1174
Johnstone RW, Ruefli AA, Lowe SW (2002) Apoptosis: a link between cancer genetics and chemotherapy. Cell 108:153–164
Jordan CT, Upchurch D, Szilvassy SJ et al (2000) The interleukin-3 receptor alpha chain is a unique marker for human acute myelogenous leukemia stem cells. Leukemia 14:1777–1784
Juillerat-Jeanneret L (2008) The targeted delivery of cancer drugs across the blood–brain barrier: chemical modifications of drugs or drug-nanoparticles? Drug Discov Today 13:1099–1106
Kaluzova M, Bouras A, Machaidze R et al (2015) Targeted therapy of glioblastoma stem-like cells and tumor non-stem cells using cetuximab conjugated iron-oxide nanoparticles. Oncotarget 6:8788–8806
Ke XY, Ng VWL, Gao SJ et al (2014) Co-delivery of thioridazine and doxorubicin using polymeric micelles for targeting both cancer cells and cancer stem cells. Biomaterials 35:1096–1108
Keefe AD, Pai S, Ellington A (2010) Aptamers as therapeutics. Nat Rev Drug Discov 9:537–550
Kim SS, Garg H, Joshi A et al (2009) Strategies for targeted nonviral delivery of siRNAs in vivo. Trends Mol Med 15:491–500
Kim SS, Rait A, Rubab F et al (2014a) The clinical potential of targeted nanomedicine: delivering to cancer stem-like cells. Mol Ther 22:278–291
Kim SS, Rait A, Kim E et al (2014b) A nanoparticle carrying the p53gene targets tumors including cancer stem cells, sensitizes glioblastomato chemotherapy and improves survival. ACS Nano 8:5494–5514
Kim S-S, Harford JB, Pirollo KF et al (2015a) Effective treatment of glioblastoma requires crossing the blood–brain barrier and targeting tumors including cancer stem cells: the promise of nanomedicine. Biochem Biophys Res Commun 468:485–489
Kim SS, Rait A, Kim E et al (2015b) A tumor-targeting p53 nanodelivery system limits chemoresistance to temozolomide prolonging survival in a mouse model of glioblastoma multiforme. Nanomedicine 11:301–311
Kioi M, Vogel H, Schultz G et al (2010) Inhibition of vasculogenesis, but not angiogenesis, prevents the recurrence of glioblastoma after irradiation in mice. J Clin Invest 120:694–705
Kise K, Kinugasa-Katayama Y, Takakura N (2015) Tumor microenvironment for cancer stem cells. Adv Drug Deliv Rev 99:197–205
Kolonko EM, Kiessling LL (2008) A polymeric domain that promotes cellular internalization. J Am Chem Soc 130:5626–5627
Lang J, Lan X, Liu Y et al (2015) Targeting cancer stem cells with an(131)I-labeled anti-AC133 monoclonal antibody in human colorectal cancer xenografts. Nucl Med Biol 42:505–512
Li Y, He H, Jia X et al (2012) A dual-targeting nanocarriers based on poly(amidoamine) dendrimers conjugated with transferring and tamoxifen for treating brain gliomas. Biomaterials 33:3899–3908
Liu C, Zhao G, Liu J et al (2009) Novel biodegradable lipid nano complex for siRNA delivery significantly improving the chemosensitivity of human colon cancer stem cells to paclitaxel. J Control Release 140:277–283
Liu C, Kelnar K, Liu B et al (2011) The microRNA miR-34a inhibits prostate cancer stem cells and metastasis by directly repressing CD44. Nat Med 17:211–215
Liu YP, Yang CJ, Huang MS et al (2013a) Cisplatin selects for multidrug-resistant CD133+ cells in lung adenocarcinoma by activating Notch signaling. Cancer Res 73:406–416
Liu Q, Li RT, Qian HQ et al (2013b) Targeted delivery of miR-200c/DOC to inhibit cancer stem cells and cancer cells by the gelatinases stimuli nanoparticles. Biomaterials 34:7191–7203
Livney YD, Assaraf YG (2013) Rationally designed nanovehicles to overcome cancer chemoresistance. Adv Drug Deliv Rev 65:1716–1730
Ma S, Tang KH, Chan YP et al (2010) miR-130b Promotes CD133(+) liver tumor-initiating cell growth and self-renewal via tumor protein 53-induced nuclear protein 1. Cell Stem Cell 7:694–707
Ma X, Holt D, Kundu N et al (2013) A prostaglandin E (PGE) receptor EP4 antagonist protects natural killer cells from PGE(2)-mediated immunosup- pression and inhibits breast cancer metastasis. Oncoimmunol 2:e22647
Mammen M, Choi SK, Whitesides GM (1998) Polyvalent interactions in biological systems: implications for design and use of multivalent ligands and inhibitors. Angew Chem Int Ed 37:2754–2794
Mannino M, Chalmers AJ (2011) Radioresistance of glioma stem cells: intrinsic characteristic or property of the ‘microenvironment-stem cell unit’? Mol Oncol 5:374–386
Markman JL, Rekechenetskiy A, Holler E et al (2013) Nanomedicine therapeutic approaches to overcome cancer drug resistance. Adv Drug Deliv Rev 65:1866–1879
Matsumura Y, Maeda H (1986) A new concept for macromolecular therapeutics in cancer chemotherapy: mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs. Cancer Res 46:6387–6392
Medema JP (2013) Cancer stem cells: the challenges ahead. Nat Cell Biol 15:338–344
Minderman H, O’loughlin KL, Pendyala L et al (2004) VX-710 (biricodar) increases drug retention and enhances chemosensitivity in resistant cells overexpressing P-glycoprotein, multidrug resistance protein, and breast cancer resistance protein. Clin Cancer Res 10:1826–1834
Mohyeldin A, Garzon-Muvdi T, Quinones-Hinojosa A (2010) Oxygen in stem cell biology: a critical component of the stem cell niche. Cell Stem Cell 7:150–161
Motz GT, Santoro SP, Wang LP et al (2014) Tumor endothelium FasL establishes a selective immune barrier promoting tolerance in tumors. Nat Med 20:607–615
Muthiah M, Park IK, Cho CS (2013) Nanoparticle-mediated delivery of therapeutic genes: focus on miRNA therapeutics. Expert Opin Drug Deliv 10:1259–1273
Narita Y (2013) Drug review: safety and efficacy of bevacizumab for glioblastoma and other brain tumors. Jpn J Clin Oncol 43:587–595
Naujokat C (2014) Monoclonal antibodies against human cancer stem cells. Immunotherapy 6:290–308
Nobili S, Landini I, Giglioni B et al (2006) Pharmacological strategies for overcoming multidrug resistance. Curr Drug Targets 7:861–879
O’Flaherty JD, Barr M, Fennell D et al (2012) The cancer stem-cell hypothesis: its emerging role in lung cancer biology and its relevance for future therapy. J Thorac Oncol 7:1880–1890
O’Hare T, Corbin AS, Druker BJ (2006) Targeted CML therapy: controlling drug resistance, seeking cure. Curr Opin Genet Dev 16:92–99
Pai SI, Lin YY, Macaes B et al (2006) Prospects of RNA interference therapy for cancer. Gene Ther 13:464–477
Patil Y, Sadhukha T, Ma L et al (2009) Nanoparticle mediated simultaneous and targeted delivery of paclitaxel and tariquidar overcomes tumor drug resistance. J Control Release 136:21–29
Peer D, Karp JM, Hong S et al (2007) Nanocarriers as an emerging platform for cancer therapy. Nat Nanotechnol 2:751–760
Plaks V, Kong N, Werb Z (2015) The cancer stem cell niche: how essential is the niche in regulating stemness of tumor cells? Cell Stem Cell 16:225–238
Rabindran SK, Ross DD, Doyle LA (2000) Fumitremorgin C reverses multidrug resistance in cells transfected with the breast cancer resistance protein. Cancer Res 60:47–50
Rao W, Wang H, Han J et al (2015) Chitosan decorated doxorubicin-encapsulated nanoparticle targets and eliminates tumor reinitiating cancer stem-like cells. ACS Nano 9:5725–5740
Ray P, White RR (2010) Aptamers for targeted drug delivery. Pharmaceuticals 3:1761–1778
Rountree CB, Ding W, He L et al (2009) Expansion of CD133-expressing liver cancer stem cells in liver-specific phosphatase and tensin homolog deleted on chromosome 10-deleted mice. Stem Cells 27:290–299
Scatena R, Bottoni P, Pontoglio A et al (2011) Cancer stem cells: the development of new cancer therapeutics. Expert Opin Biol Ther 11:875–892
Sehedic D, Cikankowitz A, Hindre F et al (2015) Nanomedicine to overcome radioresistance in glioblastomastem-like cells and surviving clones. Trends Pharmacol Sci 36:236–252
Shi S, Han L, Gong T et al (2013) Systemic delivery of microRNA-34a for cancer stem cell therapy. Angew Chem Int Ed 52:3901–3905
Shukla S, Meeran SM (2014) Epigenetics of cancer stem cells: pathways and therapeutics. Biochim Biophys Acta 1840:3494–3502
Sun T, Zhang YS, Pang B (2014a) Engineered nanoparticles for drug delivery in cancer therapy. Angew Chem Int Ed 53:12320–12364
Sun TM, Wang YC, Wang F et al (2014b) Cancer stem cell therapy using doxorubicin conjugated to gold nanoparticles via hydrazone bonds. Biomaterials 35:836–845
Sun R, Liu Y, Li SY et al (2015) Co-delivery of all-trans-retinoic acid and doxorubicin for cancer therapy with synergistic inhibition of cancer stem cells. Biomaterials 37:405–414
Swaminathan SK, Roger E, Toti U et al (2013) CD133-targeted paclitaxel delivery inhibits local tumor recurrence in a mouse model of breast cancer. J Control Release 171:280–287
Tsimberidou AM, Giles FJ, Estey E et al (2006) The role of gemtuzumab ozogamicin in acute leukaemia therapy. Br J Haematol 132:398–409
Vik-Mo EO, Nyakas M, Mikkelsen BV et al (2013) Therapeutic vaccination against autologous cancer stem cells with mRNA transfected dendritic cells in patients with glioblastoma. Cancer Immunol Immunother 62:1499–1509
Vinogradov S, Wei X (2012) Cancer stem cells and drug resistance: the potential of nanomedicine. Nanomedicine (Lond) 7:597–615
Voron T, Colussi O, Marcheteau E et al (2015) VEGF-A modulates expression of inhibitory checkpoints on CD8+ T cells in tumors. J Exp Med 212:139–148
Wang K, Liu L, Zhang T et al (2011) Oxaliplatin-incorporated micelles eliminate both cancer stem-like and bulk cell populations in colorectal cancer. Int J Nanomed 6:3207–3218
Wang K, Zhang T, Liu L et al (2012a) Novel micelle formulation of curcumin for enhancing antitumor activity and inhibiting colorectal cancer stem cells. Int J Nanomed 7:4487–4497
Wang L, Su W, Liu Z et al (2012b) CD44 antibody targeted liposomal nanoparticles for molecular imaging and therapy of hepatocellular carcinoma. Biomaterials 33:5107–5114
Wang Z, Wang N, Li W et al (2014a) Caveolin-1 mediates chemoresistance in breast cancer stem cells via beta-catenin/ABCG2 signaling pathway. Carcinogenesis 35:2346–2356
Wang X, Huang X, Yang Z et al (2014b) Targeted delivery of tumor suppressor microRNA-1 by transferrin-conjugated lipopolyplex nanoparticles to patient-derived glioblastoma stemcells. Curr Pharm Biotechnol 15:839–846
Wei X, Senanayake TH, Warren G et al (2013) Hyaluronic acid-based nanogel-drug conjugates with enhanced anticancer activity designed for the targeting of CD44-positive and drug-resistant tumors. Bioconjug Chem 24:658–668
Wen PY, Kesari S (2008) Malignant gliomas in adults. N Engl J Med 359:492–507
Woehlecke H, Osada H, Herrmann A et al (2003) Reversal of breast cancer resistance protein-mediated drug resistance by tryprostatin A. Int J Cancer 107:721–728
Xia P (2014) Surface markers of cancer stem cells in solid tumors. Curr Stem Cell Res Ther 9:102–111
Xu CF, Liu Y, Shen S et al (2015) Targeting glucose uptake with siRNA-based nanomedicine for cancer therapy. Biomaterials 51:1–11
Yang YP, Chien Y, Chiou GY et al (2012) Inhibition of cancer stem cell-like properties and reduced chemoradioresistance of glioblastoma using microRNA145 with cationic polyurethane-short branch PEI. Biomaterials 33:1462–1476
Yao HJ, Zhang YG, Sun L et al (2014) The effect of hyaluronic acid functionalized carbon nanotubes loaded with salinomycin on gastric cancer stem cells. Biomaterials 35:9208–9223
Ye J, Wu D, Wu P et al (2014) The cancer stem cell niche: cross talk between cancer stem cells and their microenvironment. Tumor Biol 35:3945–3951
Yuan F, Dellian M, Fukumura D et al (1995) Vascular permeability in a human tumor xenograft: molecular size dependence and cut off size. Cancer Res 55:3752–3756
Zhang Y, Zhang H, Wang X et al (2012) The eradication of breast cancer and cancer stem cells using octreotide modified paclitaxel active targeting micelles and salinomycin passive targeting micelles. Biomaterials 33:679–691
Zhang G, Wang Z, Luo W et al (2013a) Expression of potential cancer stem cell marker ABCG2 is associated with malignant behaviors of hepatocellular carcinoma. Gastroenterol Res Pract 2013:782581
Zhang Z, Ali MM, Eckert MA et al (2013b) A polyvalent aptamer system for targeted drug delivery. Biomaterials 34:9728–9735
Zhao W, Ali MM, Brook MA et al (2008) Rolling circle amplification: applications in nanotechnology and biodetection with functional nucleic acids. Angew Chem Int Ed 47:6330–6337
Zhao W, Cui CH, Bose S et al (2012) Bioinspired multivalent DNA network for capture and release of cells. Proc Natl Acad Sci USA 109:19626–19631
Zhou BB, Zhang H, Damelin M et al (2009) Tumor-initiating cells: challenges and opportunities for anticancer drug discovery. Nat Rev Drug Discov 8:806–823
Zhou Y, Yang J, Rhim JS et al (2013) HPMA copolymer-based combination therapy toxic to both prostate cancer stem/progenitor cells and differentiated cells induces durable anti-tumor effects. J Control Release 172:946–953
Zhu G, Zheng J, Song E et al (2013) Self-assembled, aptamer-tethered DNA nanotrains for targeted transport of molecular drugs in cancer theranostics. Proc Natl Acad Sci USA 110:7998–8003
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Pal, M., Maiti, S. (2017). Nano-therapeutic Approaches for Targeting Cancer Stem Cells. In: Jana, S., Jana, S. (eds) Particulate Technology for Delivery of Therapeutics. Springer, Singapore. https://doi.org/10.1007/978-981-10-3647-7_4
Download citation
DOI: https://doi.org/10.1007/978-981-10-3647-7_4
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-3646-0
Online ISBN: 978-981-10-3647-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)