Recent progress on targeting leukemia stem cells

Drug Discov Today. 2021 Aug;26(8):1904-1913. doi: 10.1016/j.drudis.2021.05.009. Epub 2021 May 23.

Abstract

Leukemia is a type of malignant clonal disease of hematopoietic stem cells (HSCs). A small population of leukemic stem cells (LSCs) are responsible for the initiation, drug resistance, and relapse of leukemia. LSCs have the ability to form tumors after xenotransplantation in immunodeficient mice and appear to be common in most human leukemias. Therefore, the eradication of LSCs is an approach with the potential to improve survival or even to cure leukemia. Using recent research in the field of LSCs, we summarize the targeted therapy approaches for the removal of LSCs through surface markers including immune checkpoint molecules, pathways influencing LSC survival, or the survival microenvironment of LSCs. In addition, we introduce the survival microenvironment and survival regulation of LSCs.

Keywords: LSC eradication; Leukemia; Leukemia stem cells (LSCs); Survival microenvironment; Targeted therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cell Survival
  • Hematopoietic Stem Cells / cytology
  • Humans
  • Leukemia / pathology
  • Leukemia / therapy*
  • Mice
  • Molecular Targeted Therapy*
  • Neoplastic Stem Cells / cytology*
  • Tumor Microenvironment