Brain tumors may arise from and contain cancer
stem cells (CSCs) capable of self-renewal, proliferation, and differentiation
that recapitulate the parent tumor. There is compelling evidence that some human
brain tumors (e.g.glioblastoma) are heterogenous tissue composed from
tumor cells and small portion of cancer stem cells – tumor-initiating cells,
which have a high tumorigenic potential and a low proliferation rate. By
definition, stem cells have an indefinite lifetime and reproduce over long
periods of time making them likely to accumulate mutations that could lead to
genetic instability. Glioma cancer stem cells are phenotypically similar to the
normal stem cells, they express CD133 gene and other genes characteristic of
neural stem cells (e.g. nestin) and posses the self-renewal potential. Cancer
stem cells derived from glioblastoma are capable recapitulate original
polyclonal tumors when xenografted to nude mice. They are chemoresistant and
radioresistant and therefore responsible for tumor progression and recurrence
after conventional glioblastoma therapy. Cancer stem cells contribute to glioma
radioresistance by an increase of DNA repair capacity through preferential
activation of the DNA damage response checkpoints.