Abstract
The hierarchical model of the origin of cancer from stem cells posits that cancer cells arise from undifferentiated (in the case of germinal tumors) or tissue-determined stem cells during the process of tissue renewal due to a block in the ability of the cells of the lineage to differentiate. The state of differentiation of the cancer depends on the level of maturation at which the arrest occurs. If arrest occurs early in the maturation process the tumors will be poorly differentiated; if later, they will be more differentiated. Examples presented in this review are included for each of the major mechanisms by which cancers arise: field theory (teratocarcinoma); chemical exposure (hepatocellular carcinoma, epithelial (skin) cancer); mutations (leukemia, colon cancer); and epigenetic change (gastric cancer). In each of these examples there is a block in maturation whereby the tissue stem cell produces cancerous progeny that express a phenotype that allows for continued proliferation and inhibition of differentiation. Differentiation therapy is based on the concept of removing the block to maturation arrest.
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Sell, S., Biava, P.M. (2013). Cancer Is a Problem of Developmental Biology: Maturation Arrest and the Hierarchical Model of the Origin of Cancer from Stem Cells. In: Sell, S. (eds) Stem Cells Handbook. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-7696-2_31
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