Abstract
There is a rising interest in the field of oncology in order to understand if cancer stem cells can play a key role also in the pathogenesis of head and neck tumors. It is likely that cancer stem cells are a minor population of tumor cells that possess the stem cell property of self-renewal. In addition, dysregulation of stem cell self-renewal is a likely requirement for the development of cancer. This new model for cancer will have significant ramifications for the way we will study and treat tumors. The authors are proposing a discussion of this topic, which, in their opinion, need to be further investigated in the ENT field.
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References
Al-Hajj M, Becker MW, Wicha M, Weissman I, Clarke MF (2004) Therapeutic implications of cancer stem cells. Curr Opin Genet Dev 14:43–47
Braakhuis BJ, Leemans CR, Brakenhoff RH (2005) Expanding fields of genetically altered cells in head and neck squamous carcinogenesis. Semin Cancer Biol 15:113–120
Brennan JA, Mao L, Hruban RH, Boyle JO, Eby YJ, Koch WM et al (1995) Molecular assessment of histopathological staging in squamouscell carcinoma of the head and neck. N Engl J Med 332:429–435
Costea DE, Tsinkalovsky O, Vintermyr OK, Johannessen AC, Mackenzie IC (2006) Cancer stem cells—new and potentially important targets for the therapy of oral squamous cell carcinoma. Oral Dis 12:443–454
Chan EF, Gat U, McNiff JM, Fuchs E (1999) A common human skin tumour is caused by activating mutations in beta-catenin. Nat Genet 21(4):410–413
Forastiere A, Koch W, Trotti A, Sidransky D (2001) Medical progress–head and neck cancer. N Engl J Med 345:1890–1900
Gollin SM (2001) Chromosomal alterations in squamous cell carcinomas of the head and neck: window to the biology of disease. Head Neck 23:238–253
Hahn WC, Weinberg RA (2002) Mechanisms of disease: rules for making human tumor cells. N Engl J Med 347:1593–1603
Hirata Y (1999) Progression of cancer. Med Hypotheses 52(6):51–13
Hittelman WN (2001) Genetic instability in epithelial tissues at risk for cancer. Ann N Y Acad Sci 952:1–12
Hittelman WN, Kim HJ, Lee JS, Shin DM, Lippman SM, Kim J et al (1996) Detection of chromosome instability of tissue fields at risk: in situ hybridization. J Cell Biochem 25:57–62
Jordan CT (2004) Cancer stem cell biology: from leukaemia to solid tumours. Curr Opin Cell Biol 16:708–712
Korinek V, Barker N, Moerer P, van Donselaar E, Huls G, Peters PJ, Clevers H (1998) Depletion of epithelial stem-cell compartments in the small intestine of mice lacking tcf-4. Nat Genet 19(4):379–383
Lee JT, Herlyn M (2007) Old disease, new culprit: tumor stem cells in cancer. J Cell Physiol 213(3):603–609
Leemans CR, Tiwari R, Nauta JJ, van der Waal I, Snow GB (1994) Recurrence at the primary site in head and neck cancer and the significance of neck lymph node metastases as a prognostic factor. Cancer 73:187–190
Lessard J, Sauvageau G (2003) Bmi-1 determines the proliferative capacity of normal and leukaemic stem cells. Nature 423(6937):255–260
Mackenzie IC (2004) Growth of malignant oral epithelial stem cells after seeding into organotypical cultures of normal mucosa. J Oral Pathol Med 33:71–78
Moolgavkar SH, Luebeck EG (2003) Multistage carcinogenesis and the incidence of human cancer. Genes Chromosomes Cancer 38:302–306
Owens DM, Watt FM (2003) Contribution of stem cells and differentiated cells to epidermal tumours. Nat Rev Cancer 3:444–451
Partridge M, Pateromichelakis S, Phillips E, Emilion GG, A’Hern RP, Langdon JD (2000) A case–control study confirms that microsatellite assay can identify patients at risk of developing oral squamous cell carcinoma within a field of cancerization. Cancer Res 60:3893–3898
Pardal R, Molofsky AV, He S, Morrison SJ (2005) Stem cell self-renewal and cancer stem cells proliferation are regulated by common networks that balance the activation of proto-oncogenes and tumor suppressors. Cold Spring Harb Symp Quant Biol 70:177–185
Perez-Losada J, Balmain A (2003) Stem-cell hierarchy in skin cancer. Nat Rev Cancer 3:434–443
Polakis P (2000) Wnt signaling and cancer. Genes Dev 14(15):1837–1851
Rajagopalan H, Nowak MA, Vogelstein B, Lengauer C (2003) The significance of unstable chromosomes in colorectal cancer. Nat Rev Cancer 3:695–701
Reya T, Duncan AW, Ailles L, Domen J, Scherer DC, Willert K, Hintz L, Nusse R, Weissman IL (2003) A role for wnt signalling in self-renewal of haematopoietic stem cells. Nature 423(6938):409–414
Slaughter DP, Southwick HW, Smejkal W (1953) “Field cancerization” in oral stratified squamous epithelium. Cancer 6:963–968
Tabor MP, Brakenhoff RH, Van Houten VMM, Kummer JA, Snel MHJ, Snijders PJF et al (2001) Persistence of genetically altered fields in head and neck cancer patients: biological and clinical implications. Clin Cancer Res 7:1523–1532
Tsai RYL (2004) A molecular view of stem cell and cancer cell self-renewal. Int J Biochem Cell Biol 36:684–694
Van Houten VMM, Tabor MP, Van Den Brekel MWM, Kummer JA, Denkers F, Dijkstra J et al (2002) Mutated p53 as a molecular marker for the diagnosis of head and neck cancer. J Pathol 198:476–486
Watkins DN, Berman DM, Burkholder SG, Wang B, Beachy PA, Baylin SB (2003) Hedgehog signalling within airway epithelial progenitors and in small-cell lung cancer. Nature 422(6929):313–317
Zhu AJ, Watt FM (1999) Beta-catenin signalling modulates proliferative potential of human epidermal keratinocytes independently of intercellular adhesion. Development 126(10):2285–2298
Acknowledgment
The oncological project of the ENT Clinic and of the Molecular Biology Section at the University of Ferrara is also supported by a grant for scientific research from the CARIFE Foundation and by a grant for scientific research from the University of Ferrara.
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Bianchini and Ciorba have equally contributed to the paper.
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Bianchini, C., Ciorba, A., Pelucchi, S. et al. Head and neck cancer: the possible role of stem cells. Eur Arch Otorhinolaryngol 265, 17–20 (2008). https://doi.org/10.1007/s00405-007-0478-7
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DOI: https://doi.org/10.1007/s00405-007-0478-7