Abstract
Cancer stem cells (CSCs) are a small population of G0-arrested tumor cells. They contribute to the metastasis, recurrence, and heterogeneity of cancers. CSCs render conventional therapies, such as chemotherapy and radiation, to be inadequate in several cancer types. Aberrant signalling pathways in these CSCs, which lead to their self-renewal and proliferative capacity, have been an area of research for which cancer therapeutics are targeted against. These signalling pathways include Wnt, Notch, Hedgehog, NF-Kβ, JAK-STAT, TGF-β/Smad, and PI3K/Akt/mTOR. Majority of the therapeutics targeted against these pathways are under clinical trials. These include antibodies, small molecules, synthetic compounds, and phytomedicines. This chapter will provide an overview of the signalling pathways in CSCs, examples of cancers in which aberrant signalling occurs, and the potential therapies targeted against these pathways.
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Abbreviations
- β-TrCP:
-
β transducin repeat-containing protein
- ALDH:
-
Aldehyde dehygrogenase
- APC:
-
Adenomatous Polyposis Coli
- Bcl:
-
B cell lymphoma
- Bcl-xl:
-
B cell lymphoma-extra large
- CD:
-
Cluster of differentiation
- CK1-α:
-
Casein kinase 1-α
- DLL:
-
Delta-like ligand
- Dvl:
-
Disheveled
- Fc:
-
Fragment crystallizable
- Fzd:
-
Frizzled
- Gli:
-
Glioma-associated oncogene
- GSK-3β:
-
Glycogen synthase kinase-3β
- Hes1:
-
Hairy and enhancer of split-1
- Ig:
-
Immunoglobulin
- IGF-2:
-
Insulin-like growth factor 2
- IkB:
-
Nuclear factor of kappa light polypeptide gene enhancer in B cell inhibitor
- IL:
-
Interleukin
- JAG:
-
Jagged ligand
- MCF7:
-
Michigan Cancer Foundation-7
- Myc:
-
Master Regulator of Cell Cycle Entry and Proliferative Metabolism
- Oct4:
-
Octamer-binding transcription factor 4
- PHLPP:
-
Pleckstrin homology (PH) domain leucine-rich repeat protein phosphatase
- PP2A:
-
Protein phosphatase 2A
- PTEN:
-
Phosphatase and tensin homologue
- RANK:
-
Receptor Activator of Nuclear Factor-kappa B
- RNA:
-
Ribonucleic acid
- TNF:
-
Tumor necrosis factor
- Wnt:
-
Wingless and integration 1
References
Ahmadipour F, Noordin MI, Mohan S, Arya A, Paydar M, Looi CY et al (2015) Koenimbin, a natural dietary compound of Murraya koenigii (L) Spreng: inhibition of MCF7 breast cancer cells and targeting of derived MCF7 breast cancer stem cells (CD44(+)/CD24(−/low)): an in vitro study. Drug Des Devel Ther 9:1193–1208
An HJ, Choi EK, Kim JS, Hong SW, Moon JH, Shin JS et al (2014) INCB018424 induces apoptotic cell death through the suppression of pJAK1 in human colon cancer cells. Neoplasma 61(1):56–62
Array BioPharma (2017) Study of WNT974 in combination with LGX818 and Cetuximab in patients with BRAF-mutant metastatic colorectal cancer (mCRC) and Wnt pathway mutations. https://ClinicalTrials.gov/show/NCT02278133
Azmi AS, Khan HY, Muqbil I, Aboukameel A, Neggers JE, Daelemans D et al (2020) Preclinical assessment with clinical validation of Selinexor with gemcitabine and nab-paclitaxel for the treatment of pancreatic ductal adenocarcinoma. Clin Cancer Res 26(6):1338
Batlle E, Clevers H (2017) Cancer stem cells revisited. Nat Med 23(10):1124–1134
Boareto M, Jolly MK, Lu M, Onuchic JN, Clementi C, Ben-Jacob E (2015) Jagged–Delta asymmetry in Notch signaling can give rise to a Sender/Receiver hybrid phenotype. Proc Natl Acad Sci 112(5):E402
Bray SJ (2006) Notch signalling: a simple pathway becomes complex. Nat Rev Mol Cell Biol 7(9):678–689
Brown JA, Yonekubo Y, Hanson N, Sastre-Perona A, Basin A, Rytlewski JA et al (2017) TGF-β-induced quiescence mediates chemoresistance of tumor-propagating cells in squamous cell carcinoma. Cell Stem Cell 21(5):650–64.e8
Chang L, Graham PH, Hao J, Ni J, Bucci J, Cozzi PJ et al (2013) Acquisition of epithelial-mesenchymal transition and cancer stem cell phenotypes is associated with activation of the PI3K/Akt/mTOR pathway in prostate cancer radioresistance. Cell Death Dis 4(10):e875
Chen WJ, Huang RS (2018) Low-folate stress reprograms cancer stem cell-like potentials and bioenergetics metabolism through activation of mTOR signaling pathway to promote in vitro invasion and in vivo tumorigenicity of lung cancers. J Nutr Biochem 53:28–38
Chen W, Dong J, Haiech J, Kilhoffer M-C, Zeniou M (2016) Cancer stem cell quiescence and plasticity as major challenges in cancer therapy. Stem Cells Int 2016:1740936
Chen L, Chan LS, Lung HL, Yip TTC, Ngan RKC, Wong JWC et al (2019) Crucifera sulforaphane (SFN) inhibits the growth of nasopharyngeal carcinoma through DNA methyltransferase 1 (DNMT1)/Wnt inhibitory factor 1 (WIF1) axis. Phytomedicine 63:153058
Chiorean EG, LoRusso P, Strother RM, Diamond JR, Younger A, Messersmith WA et al (2015) A phase I first-in-human study of enoticumab (REGN421), a fully human delta-like ligand 4 (Dll4) monoclonal antibody in patients with advanced solid tumors. Clin Cancer Res 21(12):2695
Clark R (2020) A study of vantictumab (OMP-18R5) in combination with nab-paclitaxel and gemcitabine in previously untreated stage IV pancreatic cancer United States: https://ClinicalTrials.gov/show/NCT02005315
Clement V, Sanchez P, de Tribolet N, Radovanovic I, Ruiz i Altaba A. (2007) HEDGEHOG-GLI1 signaling regulates human glioma growth, cancer stem cell self-renewal, and tumorigenicity. Curr Biol 17(2):165–172
Cook N, Basu B, Smith D-M, Gopinathan A, Evans J, Steward WP et al (2018) A phase I trial of the γ-secretase inhibitor MK-0752 in combination with gemcitabine in patients with pancreatic ductal adenocarcinoma. Br J Cancer 118(6):793–801
Cortes J (2016) Safety and efficacy study of PRI-724 in subjects with advanced myeloid malignancies United States. https://ClinicalTrials.gov/show/NCT01606579
Cortes JE, Faderl S, Pagel J, Jung CW, Yoon S-S, Koh Y et al (2015) Phase 1 study of CWP232291 in relapsed/refractory acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). J Clin Oncol 33(15_suppl):7044–7044
Cortes JE, Douglas Smith B, Wang ES, Merchant A, Oehler VG, Arellano M et al (2018) Glasdegib in combination with cytarabine and daunorubicin in patients with AML or high-risk MDS: phase 2 study results. Am J Hematol 93(11):1301–1310
Cortes JE, Heidel FH, Hellmann A, Fiedler W, Smith BD, Robak T et al (2019) Randomized comparison of low dose cytarabine with or without glasdegib in patients with newly diagnosed acute myeloid leukemia or high-risk myelodysplastic syndrome. Leukemia 33(2):379–389
De Jesus-Acosta A, Laheru D, Maitra A, Arcaroli J, Rudek MA, Dasari A et al (2014) A phase II study of the gamma secretase inhibitor RO4929097 in patients with previously treated metastatic pancreatic adenocarcinoma. Investig New Drugs 32(4):739–745
Deng S, Wong CKC, Lai HC, Wong AST (2017) Ginsenoside-Rb1 targets chemotherapy-resistant ovarian cancer stem cells via simultaneous inhibition of Wnt/β-catenin signaling and epithelial-to-mesenchymal transition. Oncotarget 8(16):25897–25914
Diaz-Padilla I, Hirte H, Oza AM, Clarke BA, Cohen B, Reedjik M et al (2013) A phase Ib combination study of RO4929097, a gamma-secretase inhibitor, and temsirolimus in patients with advanced solid tumors. Investig New Drugs 31(5):1182–1191
Diaz-Padilla I, Wilson MK, Clarke BA, Hirte HW, Welch SA, Mackay HJ et al (2015) A phase II study of single-agent RO4929097, a gamma-secretase inhibitor of notch signaling, in patients with recurrent platinum-resistant epithelial ovarian cancer: a study of the Princess Margaret, Chicago and California phase II consortia. Gynecol Oncol 137(2):216–222
Dolatabadi S, Jonasson E, Lindén M, Fereydouni B, Bäcksten K, Nilsson M et al (2019) JAK-STAT signalling controls cancer stem cell properties including chemotherapy resistance in myxoid liposarcoma. Int J Cancer 145(2):435–449
Dotan E, Cardin DB, Lenz H-J, Messersmith W, Neil B, Cohen SJ et al (2020) Phase Ib study of Wnt inhibitor Ipafricept with gemcitabine and nab-paclitaxel in patients with previously untreated stage IV pancreatic cancer. Clin Cancer Res 26(20):5348
Dréno B, Kunstfeld R, Hauschild A, Fosko S, Zloty D, Labeille B et al (2017) Two intermittent vismodegib dosing regimens in patients with multiple basal-cell carcinomas (MIKIE): a randomised, regimen-controlled, double-blind, phase 2 trial. Lancet Oncol 18(3):404–412
Dubrovska A, Kim S, Salamone RJ, Walker JR, Maira S-M, García-Echeverría C et al (2009) The role of PTEN/Akt/PI3K signaling in the maintenance and viability of prostate cancer stem-like cell populations. Proc Natl Acad Sci U S A 106(1):268–273
Faivre S, Santoro A, Gane E, Kelley R, Hourmand I, Assenat E et al (2016) A phase 2 study of galunisertib, a novel transforming growth factor-beta (TGF-β) receptor I kinase inhibitor, in patients with advanced hepatocellular carcinoma (HCC) and low serum alpha fetoprotein (AFP). J Clin Oncol 34:4070
Fitzgerald TL, Lertpiriyapong K, Cocco L, Martelli AM, Libra M, Candido S et al (2015) Roles of EGFR and KRAS and their downstream signaling pathways in pancreatic cancer and pancreatic cancer stem cells. Adv Biol Regul 59:65–81
Garcia-Heredia JM, Lucena-Cacace A, Verdugo-Sivianes EM, Pérez M, Carnero A (2017) The cargo protein MAP17 (PDZK1IP1) regulates the cancer stem cell Pool activating the notch pathway by abducting NUMB. Clin Cancer Res 23(14):3871
Giancotti FG (2013) Mechanisms governing metastatic dormancy and reactivation. Cell 155(4):750–764
Gonzalez-Torres C, Gaytan-Cervantes J, Vazquez-Santillan K, Mandujano-Tinoco EA, Ceballos-Cancino G, Garcia-Venzor A et al (2017) NF-κB participates in the stem cell phenotype of ovarian cancer cells. Arch Med Res 48(4):343–351
Gupta PK, Saraff M, Gahtori R, Negi N, Tripathi SK, Kumar J et al (2021) Phytomedicines targeting cancer stem cells: therapeutic opportunities and prospects for pharmaceutical development. Pharmaceuticals 14(7):676
Harrison H, Farnie G, Howell SJ, Rock RE, Stylianou S, Brennan KR et al (2010) Regulation of breast cancer stem cell activity by signaling through the Notch4 receptor. Cancer Res 70(2):709–718
Hayden MS, Ghosh S (2008) Shared principles in NF-kappaB signaling. Cell 132(3):344–362
Heng WS, Cheah SC (2020) Chelerythrine chloride downregulates β-catenin and inhibits stem cell properties of non-small cell Lung carcinoma. Molecules 25(1)
Hoesel B, Schmid JA (2013) The complexity of NF-κB signaling in inflammation and cancer. Mol Cancer 12:86
Huynh DL, Koh H, Chandimali N, Zhang JJ, Kim N, Kang TY et al (2019) BRM270 inhibits the proliferation of CD44 positive pancreatic ductal adenocarcinoma cells via downregulation of Sonic Hedgehog signaling. Evid Based Complement Alternat Med 2019:8620469
Ji C, Yang L, Yi W, Xiang D, Wang Y, Zhou Z et al (2018) Capillary morphogenesis gene 2 maintains gastric cancer stem-like cell phenotype by activating a Wnt/β-catenin pathway. Oncogene 37(29):3953–3966
Jiang F, Mu J, Wang X, Ye X, Si L, Ning S et al (2014) The repressive effect of miR-148a on TGF beta-SMADs signal pathway is involved in the glabridin-induced inhibition of the cancer stem cells-like properties in hepatocellular carcinoma cells. PLoS One 9(5):e96698
Jiang C, Long J, Liu B, Xu M, Wang W, Xie X et al (2017) miR-500a-3p promotes cancer stem cells properties via STAT3 pathway in human hepatocellular carcinoma. J Exp Clin Cancer Res 36(1):99
Justilien V, Walsh MP, Ali SA, Thompson EA, Murray NR, Fields AP (2014) The PRKCI and SOX2 oncogenes are coamplified and cooperate to activate Hedgehog signaling in lung squamous cell carcinoma. Cancer Cell 25(2):139–151
Kim H, Yu Y, Choi S, Lee H, Yu J, Lee J-H et al (2019) Evodiamine eliminates colon cancer stem cells via suppressing notch and Wnt signaling. Molecules (Basel, Switzerland) 24(24):4520
Kim B-G, Malek E, Choi SH, Ignatz-Hoover JJ, Driscoll JJ (2021) Novel therapies emerging in oncology to target the TGF-β pathway. J Hematol Oncol 14(1):55
Kovall RA (2008) More complicated than it looks: assembly of notch pathway transcription complexes. Oncogene 27(38):5099–5109
Kummar S, O'Sullivan Coyne G, Do KT, Turkbey B, Meltzer PS, Polley E et al (2017) Clinical activity of the γ-secretase inhibitor PF-03084014 in adults with desmoid tumors (aggressive fibromatosis). J Clin Oncol 35(14):1561–1569
Le PN, McDermott JD, Jimeno A (2015) Targeting the Wnt pathway in human cancers: therapeutic targeting with a focus on OMP-54F28. Pharmacol Ther 146:1–11
Lear JT, Migden MR, Lewis KD, Chang ALS, Guminski A, Gutzmer R et al (2018) Long-term efficacy and safety of sonidegib in patients with locally advanced and metastatic basal cell carcinoma: 30-month analysis of the randomized phase 2 BOLT study. J Eur Acad Dermatol Venereol 32(3):372–381
Lecarpentier Y, Schussler O, Hébert J-L, Vallée A (2019) Multiple targets of the canonical WNT/β-catenin signaling in cancers. Front Oncol 9(1248)
Lee SH, Hong HS, Liu ZX, Kim RH, Kang MK, Park N-H et al (2012) TNFα enhances cancer stem cell-like phenotype via notch-Hes1 activation in oral squamous cell carcinoma cells. Biochem Biophys Res Commun 424(1):58–64
Lee K-W, Park YS, Ahn JB, Lee JK, Ryu J, Oh B et al (2020) 332 novel TGF-β signatures in metastatic colorectal cancer patients treated with vactosertib in combination with pembrolizumab. J Immunother Cancer 8(Suppl 3):A203
Leonard WJ, O'Shea JJ (1998) Jaks and STATs: biological implications. Annu Rev Immunol 16:293–322
Li SH, Fu J, Watkins DN, Srivastava RK, Shankar S (2013) Sulforaphane regulates self-renewal of pancreatic cancer stem cells through the modulation of Sonic hedgehog-GLI pathway. Mol Cell Biochem 373(1–2):217–227
Li C, Du Y, Yang Z, He L, Wang Y, Hao L et al (2016) GALNT1-mediated glycosylation and activation of sonic hedgehog signaling maintains the self-renewal and tumor-initiating capacity of bladder cancer stem cells. Cancer Res 76(5):1273–1283
Liao Y, Hung M-C (2010) Physiological regulation of Akt activity and stability. Am J Transl Res 2(1):19–42
Lim ST, Jeon YW, Gwak H, Kim SY, Suh YJ (2018) Synergistic anticancer effects of ruxolitinib and calcitriol in estrogen receptor-positive, human epidermal growth factor receptor 2-positive breast cancer cells. Mol Med Rep 17(4):5581–5588
LoConte NK, Razak ARA, Ivy P, Tevaarwerk A, Leverence R, Kolesar J et al (2015) A multicenter phase 1 study of γ -secretase inhibitor RO4929097 in combination with capecitabine in refractory solid tumors. Investig New Drugs 33(1):169–176
Logan CY, Nusse R (2004) The Wnt signaling pathway in development and disease. Annu Rev Cell Dev Biol 20:781–810
Lu J, Song G, Tang Q, Yin J, Zou C, Zhao Z et al (2017) MiR-26a inhibits stem cell-like phenotype and tumor growth of osteosarcoma by targeting Jagged1. Oncogene 36(2):231–241
Luistro L, He W, Smith M, Packman K, Vilenchik M, Carvajal D et al (2009) Preclinical profile of a potent gamma-secretase inhibitor targeting notch signaling with in vivo efficacy and pharmacodynamic properties. Cancer Res 69(19):7672–7680
Martinez-Font E, Pérez-Capó M, Ramos R, Felipe I, Garcías C, Luna P et al (2020) Impact of Wnt/β-catenin inhibition on cell proliferation through CDC25A downregulation in soft tissue sarcomas. Cancers (Basel) 12(9):2556
McWilliams RR (2017) Safety and efficacy study of PRI-724 plus gemcitabine in subjects with advanced or metastatic pancreatic adenocarcinoma United States. https://ClinicalTrials.gov/show/NCT01764477
Melisi D, Garcia-Carbonero R, Macarulla T, Pezet D, Deplanque G, Fuchs M et al (2018) Galunisertib plus gemcitabine vs. gemcitabine for first-line treatment of patients with unresectable pancreatic cancer. Br J Cancer 119(10):1208–1214
Memmi EM, Sanarico AG, Giacobbe A, Peschiaroli A, Frezza V, Cicalese A et al (2015) p63 sustains self-renewal of mammary cancer stem cells through regulation of Sonic Hedgehog signaling. Proc Natl Acad Sci 112(11):3499
Merchant AA, Matsui W (2010) Targeting Hedgehog — a cancer stem cell pathway. Clin Cancer Res 16(12):3130
Mero BioPharma (2020a) A study of Vantictumab (OMP-18R5) in combination with paclitaxel in locally recurrent or metastatic breast cancer United States. https://ClinicalTrials.gov/show/NCT01973309
Mero BioPharma (2020b) A study of Vantictumab (OMP-18R5) in combination with docetaxel in patients with previously treated NSCLC United States. https://ClinicalTrials.gov/show/NCT01957007
Messersmith WA, Shapiro GI, Cleary JM, Jimeno A, Dasari A, Huang B et al (2015) A phase I, dose-finding study in patients with advanced solid malignancies of the oral γ-secretase inhibitor PF-03084014. Clin Cancer Res 21(1):60–67
Miao Z-F, Xu H, Xu H-M, Wang Z-N, Zhao T-T, Song Y-X et al (2017) DLL4 overexpression increases gastric cancer stem/progenitor cell self-renewal ability and correlates with poor clinical outcome via Notch-1 signaling pathway activation. Cancer Med 6(1):245–257
Min C-K, Yoon S-S, Kim JS, Manasanch E (2019) Clinical study of CWP232291 in relapsed or refractory myeloma patients Texas, United States; Seoul. https://ClinicalTrials.gov/show/NCT02426723
Minami Y, Minami H, Miyamoto T, Yoshimoto G, Kobayashi Y, Munakata W et al (2017) Phase I study of glasdegib (PF-04449913), an oral smoothened inhibitor, in Japanese patients with select hematologic malignancies. Cancer Sci 108(8):1628–1633
Moore KN, Gunderson CC, Sabbatini P, McMeekin DS, Mantia-Smaldone G, Burger RA et al (2019) A phase 1b dose escalation study of ipafricept (OMP54F28) in combination with paclitaxel and carboplatin in patients with recurrent platinum-sensitive ovarian cancer. Gynecol Oncol 154(2):294–301
Nusse R, Clevers H (2017) Wnt/β-catenin signaling, disease, and emerging therapeutic modalities. Cell 169(6):985–999
Pak S, Park S, Kim Y, Park JH, Park CH, Lee KJ et al (2019) The small molecule WNT/β-catenin inhibitor CWP232291 blocks the growth of castration-resistant prostate cancer by activating the endoplasmic reticulum stress pathway. J Exp Clin Cancer Res 38(1):342
Pan S, Wu X, Jiang J, Gao W, Wan Y, Cheng D et al (2010) Discovery of NVP-LDE225, a potent and selective smoothened antagonist. ACS Med Chem Lett 1(3):130–134
Pan T, Xu J, Zhu Y (2017) Self-renewal molecular mechanisms of colorectal cancer stem cells. Int J Mol Med 39(1):9–20
Papayannidis C, DeAngelo DJ, Stock W, Huang B, Shaik MN, Cesari R et al (2015) A phase 1 study of the novel gamma-secretase inhibitor PF-03084014 in patients with T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma. Blood Cancer J 5(9):e350
Parker TW, Neufeld KL (2020) APC controls Wnt-induced β-catenin destruction complex recruitment in human colonocytes. Sci Rep 10(1):2957
Perkins ND, Gilmore TD (2006) Good cop, bad cop: the different faces of NF-κB. Cell Death Diff 13(5):759–772
Po A, Silvano M, Miele E, Capalbo C, Eramo A, Salvati V et al (2017) Noncanonical GLI1 signaling promotes stemness features and in vivo growth in lung adenocarcinoma. Oncogene 36(32):4641–4652
Prativadibhayankara VS, Li W (2021) A study to evaluate the safety and tolerability of ETC-1922159 as a single agent and in combination with pembrolizumab in advanced solid tumours. https://ClinicalTrials.gov/show/NCT02521844. PubChem. https://pubchem.ncbi.nlm.nih.gov/. Access on November 2022
Qi F, Wei L, Shen A, Chen Y, Lin J, Chu J et al (2016) Pien Tze Huang inhibits the proliferation, and induces the apoptosis and differentiation of colorectal cancer stem cells via suppression of the Notch1 pathway. Oncol Rep 35(1):511–517
Qiang L, Wu T, Zhang HW, Lu N, Hu R, Wang YJ et al (2012) HIF-1α is critical for hypoxia-mediated maintenance of glioblastoma stem cells by activating notch signaling pathway. Cell Death Differ 19(2):284–294
Qureshy Z, Johnson DE, Grandis JR (2020) Targeting the JAK/STAT pathway in solid tumors. J Cancer Metastasis Treatment 6:27
Ranganathan P, Weaver KL, Capobianco AJ (2011) Notch signalling in solid tumours: a little bit of everything but not all the time. Nat Rev Cancer 11(5):338–351
Relias V, McBride A, Newman MJ, Paul S, Saneeymehri S, Stanislaus G et al (2021) Glasdegib plus low-dose cytarabine for acute myeloid leukemia: practical considerations from advanced practitioners and pharmacists. J Oncol Pharm Pract 27(3):658–672
Reya T, Morrison SJ, Clarke MF, Weissman IL (2001) Stem cells, cancer, and cancer stem cells. Nature 414(6859):105–111
Richter S, Bedard PL, Chen EX, Clarke BA, Tran B, Hotte SJ et al (2014) A phase I study of the oral gamma secretase inhibitor R04929097 in combination with gemcitabine in patients with advanced solid tumors (PHL-078/CTEP 8575). Investig New Drugs 32(2):243–249
Sahebjam S, Bedard PL, Castonguay V, Chen Z, Reedijk M, Liu G et al (2013) A phase I study of the combination of ro4929097 and cediranib in patients with advanced solid tumours (PJC-004/NCI 8503). Br J Cancer 109(4):943–949
Sahlgren C, Gustafsson MV, Jin S, Poellinger L, Lendahl U (2008) Notch signaling mediates hypoxia-induced tumor cell migration and invasion. Proc Natl Acad Sci U S A 105(17):6392–6397
Sato C, Zhao G, Ilagan MXG (2012) An overview of notch signaling in adult tissue renewal and maintenance. Curr Alzheimer Res 9(2):227–240
Sekulic A, Migden MR, Oro AE, Dirix L, Lewis KD, Hainsworth JD et al (2012) Efficacy and safety of vismodegib in advanced basal-cell carcinoma. N Engl J Med 366(23):2171–2179
Smith DC, Eisenberg PD, Manikhas G, Chugh R, Gubens MA, Stagg RJ et al (2014) A phase I dose escalation and expansion study of the anticancer stem cell agent demcizumab (anti-DLL4) in patients with previously treated solid tumors. Clin Cancer Res 20(24):6295–6303
Steinbuck MP, Winandy S (2018) A review of notch processing with new insights into ligand-independent notch signaling in T-cells. Front Immunol 9:1230
Strosberg JR, Yeatman T, Weber J, Coppola D, Schell MJ, Han G et al (2012) A phase II study of RO4929097 in metastatic colorectal cancer. Eur J Cancer 48(7):997–1003
Suman S, Das TP, Damodaran C (2013) Silencing NOTCH signaling causes growth arrest in both breast cancer stem cells and breast cancer cells. Br J Cancer 109(10):2587–2596
Sun S-C (2011) Non-canonical NF-κB signaling pathway. Cell Res 21(1):71–85
Tiberi L, Bonnefont J, van den Ameele J, Le Bon SD, Herpoel A, Bilheu A et al (2014) A BCL6/BCOR/SIRT1 complex triggers neurogenesis and suppresses medulloblastoma by repressing Sonic Hedgehog signaling. Cancer Cell 26(6):797–812
Tolcher AW, Messersmith WA, Mikulski SM, Papadopoulos KP, Kwak EL, Gibbon DG et al (2012) Phase I study of RO4929097, a gamma secretase inhibitor of notch signaling, in patients with refractory metastatic or locally advanced solid tumors. J Clin Oncol 30(19):2348–2353
van der Zee M, Sacchetti A, Cansoy M, Joosten R, Teeuwssen M, Heijmans-Antonissen C et al (2015) IL6/JAK1/STAT3 signaling blockade in endometrial cancer affects the ALDHhi/CD126+ stem-like component and reduces tumor burden. Cancer Res 75(17):3608–3622
Vanhaesebroeck B, Perry MWD, Brown JR, André F (2021) PI3K inhibitors are finally coming of age. Nat Rev Drug Discov 20(10):741–769
Vazquez-Santillan K, Melendez-Zajgla J, Jimenez-Hernandez LE, Gaytan-Cervantes J, Muñoz-Galindo L, Piña-Sanchez P et al (2016) NF-kappaΒ-inducing kinase regulates stem cell phenotype in breast cancer. Sci Rep 6:37340
Wang D, Fu L, Sun H, Guo L, DuBois RN (2015) Prostaglandin E2 promotes colorectal cancer stem cell expansion and metastasis in mice. Gastroenterology 149(7):1884–95.e4
Wang D, Kong X, Li Y, Qian W, Ma J, Wang D et al (2017) Curcumin inhibits bladder cancer stem cells by suppressing Sonic Hedgehog pathway. Biochem Biophys Res Commun 493(1):521–527
Wen Z, Feng S, Wei L, Wang Z, Hong D, Wang Q (2015) Evodiamine, a novel inhibitor of the Wnt pathway, inhibits the self-renewal of gastric cancer stem cells. Int J Mol Med 36(6):1657–1663
Wen J, Lee J, Malhotra A, Nahta R, Arnold AR, Buss MC et al (2016) WIP1 modulates responsiveness to Sonic Hedgehog signaling in neuronal precursor cells and medulloblastoma. Oncogene 35(42):5552–5564
Wu J, Zhu P, Lu T, Du Y, Wang Y, He L et al (2019) The long non-coding RNA LncHDAC2 drives the self-renewal of liver cancer stem cells via activation of hedgehog signaling. J Hepatol 70(5):918–929
Xia W, Lo CM, Poon RYC, Cheung TT, Chan ACY, Chen L et al (2017) Smad inhibitor induces CSC differentiation for effective chemosensitization in cyclin D1- and TGF-β/Smad-regulated liver cancer stem cell-like cells. Oncotarget 8(24):38811–38824
Xiao G, Harhaj EW, Sun SC (2001) NF-kappaB-inducing kinase regulates the processing of NF-kappaB2 p100. Mol Cell 7(2):401–409
Xie M, Zhang L, He CS, Xu F, Liu JL, Hu ZH et al (2012) Activation of Notch-1 enhances epithelial-mesenchymal transition in gefitinib-acquired resistant lung cancer cells. J Cell Biochem 113(5):1501–1513
Xu Y, Zhu F, Xu S, Liu L (2015) Anti-tumor effect of the extract from qingyihuaji formula on pancreatic cancer by down-regulating Notch-4 and Jagged-1. J Tradit Chin Med 35(1):77–83
Yan B, Liu L, Zhao Y, Xiu LJ, Sun DZ, Liu X et al (2014) Xiaotan Sanjie decoction attenuates tumor angiogenesis by manipulating Notch-1-regulated proliferation of gastric cancer stem-like cells. World J Gastroenterol 20(36):13105–13118
Yang Y, Shi J, Tolomelli G, Xu H, Xia J, Wang H et al (2013) RARα2 expression confers myeloma stem cell features. Blood 122(8):1437–1447
Yang C, Zhang Y, Zhang Y, Zhang Z, Peng J, Li Z et al (2015) Downregulation of cancer stem cell properties via mTOR signaling pathway inhibition by rapamycin in nasopharyngeal carcinoma. Int J Oncol 47(3):909–917
Yang J, Fang Z, Wu J, Yin X, Fang Y, Zhao F et al (2016) Construction and application of a lung cancer stem cell model: antitumor drug screening and molecular mechanism of the inhibitory effects of sanguinarine. Tumour Biol 37(10):13871–13883
Yang Y, Hao E, Pan X, Tan D, Du Z, Xie J et al (2019) Gomisin M2 from Baizuan suppresses breast cancer stem cell proliferation in a zebrafish xenograft model. Aging (Albany NY) 11(19):8347–8361
Yang L, Shi P, Zhao G, Xu J, Peng W, Zhang J et al (2020) Targeting cancer stem cell pathways for cancer therapy. Signal Transduction Targeted Therapy 5(1)
Yao CJ, Han TY, Shih PH, Yi TY, Lai IC, Chang KH et al (2014) Elimination of cancer stem-like side population in human glioblastoma cells accompanied with stemness gene suppression by Korean herbal recipe MSC500. Integr Cancer Ther 13(6):541–554
Yoon C, Park DJ, Schmidt B, Thomas NJ, Lee H-J, Kim TS et al (2014) CD44 expression denotes a subpopulation of gastric cancer cells in which hedgehog signaling promotes chemotherapy resistance. Clin Cancer Res 20(15):3974–3988
Yu D, Shin HS, Lee YS, Lee YC (2014) miR-106b modulates cancer stem cell characteristics through TGF-β/Smad signaling in CD44-positive gastric cancer cells. Lab Investig 94(12):1370–1381
Zhan T, Rindtorff N, Boutros M (2017) Wnt signaling in cancer. Oncogene 36(11):1461–1473
Zhang F, Sun H, Zhang S, Yang X, Zhang G, Su T (2017a) Overexpression of PER3 inhibits self-renewal capability and chemoresistance of colorectal cancer stem-like cells via inhibition of notch and β-catenin signaling. Oncol Res 25(5):709–719
Zhang K, Guo Y, Wang X, Zhao H, Ji Z, Cheng C et al (2017b) WNT/β-catenin directs self-renewal symmetric cell division of hTERThigh prostate cancer stem cells. Cancer Res 77(9):2534
Zhang Q, Li X-T, Chen Y, Chen J-Q, Zhu J-Y, Meng Y et al (2018) Wnt/β-catenin signaling mediates the suppressive effects of diallyl trisulfide on colorectal cancer stem cells. Cancer Chemother Pharmacol 81(6):969–977
Zhao Z, Song Z, Liao Z, Liu Z, Sun H, Lei B et al (2016) PKM2 promotes stemness of breast cancer cell by through Wnt/β-catenin pathway. Tumor Biol 37(3):4223–4234
Zhou J, Wulfkuhle J, Zhang H, Gu P, Yang Y, Deng J et al (2007) Activation of the PTEN/mTOR/STAT3 pathway in breast cancer stem-like cells is required for viability and maintenance. Proc Natl Acad Sci U S A 104(41):16158–16163
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Punnasseril, J.M.J., Gopalan, V., Islam, F. (2023). Therapeutics Targeting Cancer Stem Cell Signalling Pathways. In: Islam, F., Lam, A.K. (eds) Cancer Stem Cells: Basic Concept and Therapeutic Implications. Springer, Singapore. https://doi.org/10.1007/978-981-99-3185-9_11
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