Newswise  Scientists at Mount Sinai School of Medicine have    discovered a subpopulation of cells that display cancer stem    cell properties and resistance to chemotherapy, and participate    in tumor progression. This breakthrough could lead to the    development of new tests for early cancer diagnosis, prognostic    tests, and innovative therapeutic strategies, as reported in    Cancer Cell.  
    Resistance to chemotherapy is a frequent and devastating    phenomenon that occurs in cancer patients during certain    treatments. Unfortunately, tumors that initially respond to    chemotherapy eventually become resistant to it, contributing to    tumor progression and death. The study reveals that these new    cancer stem cells, which have not been differentiated into    more specific cell types, are capable of multiplying despite    being exposed to chemotherapy, while differentiated cells die.  
    Led by Carlos Cordon-Cardo, MD, PhD, Chair of Pathology, and    Josep Domingo-Domenech, MD, PhD, Assistant Professor of    Pathology at Mount Sinai, the research team generated cellular    models of drug resistance by treating prostate tumor cell lines    with increasing doses of the common chemotherapy drugs,    including docetaxel. They identified a cell population    expressing markers of embryonic development. In addition, these    cells displayed cancer stem cell functions, including the    capacity to initiate tumor cell growth. Next, the team    evaluated human tissue samples of prostate cancer and found    that patients with more aggressive or metastatic tumors had    more of these cancer stem cells.  
    This is the first time these so-called cancer stem cells of    prostate have been identified as the basis for drug resistance    and tumor progression, indicating that they are cancers    Achilles Heel, said Dr. Cordon-Cardo. These findings are    the culmination of more than six years of innovative research,    which has led to the successful unveiling of cancer    characteristics that are critical to understanding how the    disease works and progresses.  
    The study also defines a new therapeutic strategy for patients    with prostate cancer, consisting of a combination of standard    chemotherapy and two pharmacological agents that inhibit key    signaling pathways associated with embryonic development and    cell differentiation. Results showed that chemotherapy    eliminated differentiated tumor cells, whereas the signaling    pathway inhibitors selectively depleted the cancer stem cell    population. Some of these inhibitors are already in clinical    trials, and some are FDA-approved.  
    By targeting these newly identified cancer stem cells, we    are attacking the foundation of tumor growth, rather than    treating the symptoms of it, said Dr. Domingo-Domenech. The    novel discovery of this cell population could lead to the    development of new tests for early cancer diagnosis, prognostic    tests, and innovative therapeutic strategies.  
    Ongoing studies suggest that this new cell type exist in other    tumor types such as breast cancer, colon cancer, bladder cancer    and lung cancer. Dr. Cordon-Cardos team is studying these    disease areas to determine the presence and impact of these    cancer cells.  
    About The Mount Sinai Medical Center    The Mount Sinai Medical Center encompasses both The Mount Sinai    Hospital and Mount Sinai School of Medicine. Established in    1968, Mount Sinai School of Medicine is one of the leading    medical schools in the United States. The Medical School is    noted for innovation in education, biomedical research,    clinical care delivery, and local and global community service.    It has more than 3,400 faculty in 32 departments and 14    research institutes, and ranks among the top 20 medical schools    both in National Institutes of Health (NIH) funding and by US    News and World Report.  
    The Mount Sinai Hospital, founded in 1852, is a 1,171-bed    tertiary- and quaternary-care teaching facility and one of the    nations oldest, largest and most-respected voluntary    hospitals. In 2011, US News and World Report ranked The Mount    Sinai Hospital 16th on its elite Honor Roll of the nations top    hospitals based on reputation, safety, and other patient-care    factors. Mount Sinai is one of 12 integrated academic medical    centers whose medical school ranks among the top 20 in NIH    funding and US News and World Report and whose hospital is on    the US News and World Report Honor Roll. Nearly 60,000 people    were treated at Mount Sinai as inpatients last year, and    approximately 560,000 outpatient visits took place.    For more information, visit http://www.mountsinai.org/.  
    Find Mount Sinai on:    Facebook: http://www.facebook.com/mountsinainyc    Twitter: @mountsinainyc    YouTube: http://www.youtube.com/mountsinainy  
Read more here:
Researchers Reveal a Chemotherapy-Resistant Cancer Stem Cell as the "Achilles' Heel" of Cancer