Medulloblastoma cancer stem cells: molecular signatures and therapeutic targets

J Clin Pathol. 2020 May;73(5):243-249. doi: 10.1136/jclinpath-2019-206246. Epub 2020 Feb 7.

Abstract

Medulloblastoma (MB) is the most common malignant primary intracranial neoplasm diagnosed in childhood. Although numerous efforts have been made during the past few years to exploit novel targeted therapies for this aggressive neoplasm, there still exist substantial hitches hindering successful management of MB. Lately, progress in cancer biology has shown evidence that a subpopulation of cells within the tumour, namely cancer stem cells (CSCs), are thought to be responsible for the resistance to most chemotherapeutic agents and radiation therapy, accounting for cancer recurrence. Hence, it is crucial to identify the molecular signatures and genetic aberrations that characterise those CSCs and develop therapies that specifically target them. In this review, we aim to give an overview of the main genetic and molecular cues that depict MB-CSCs and provide a synopsis of the novel therapeutic approaches that specifically target this population of cells to attain enhanced antitumorous effects and therefore overcome resistance to therapy.

Keywords: brain tumours; genetics; molecular oncology; molecular pathology.

Publication types

  • Systematic Review

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • Biomarkers, Tumor* / genetics
  • Biomarkers, Tumor* / metabolism
  • Cerebellar Neoplasms* / drug therapy
  • Cerebellar Neoplasms* / genetics
  • Cerebellar Neoplasms* / metabolism
  • Drug Resistance, Neoplasm / physiology*
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Medulloblastoma* / drug therapy
  • Medulloblastoma* / genetics
  • Medulloblastoma* / metabolism
  • Neoplastic Stem Cells / drug effects
  • Neoplastic Stem Cells / physiology*

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor