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Table 1 The dysregulated TFs or signaling pathway of CSCs in distinct cancers

From: Transcriptional regulation of cancer stem cell: regulatory factors elucidation and cancer treatment strategies

Cancer types

Disregulated TFs or pathways in CSCs

The measures taken to target TFs or pathways

Effects generated on CSCs and tumors

Head and neck squamous cell carcinoma (HNSCC)

OCT4, NANOG, FOXM1

directly knock down OCT4; inhibit DDX3 (human DEAD box RNA helicase) to achieve demethylation of m6A RNA in FOXM1 and NANOG

decrease radiation induced DDR and inhibit radio-sensitivity of HNSCC cell lines [30]; impair the resistance to cisplatin [99]

Breast cancer

SOX2, Wnt/β-Catenin, Hippo

use small-molecule inhibitor of neddylation MLN4924 to down-regulate SOX2; knock down YAP

suppress the formation of tumor sphere and increase sensitivity to tamoxifen [35]; reduce the expression of many Wnt target genes and hinder the initiation and growth of CSCs [77]

Hepatocellular carcinoma (HCC)

NANOG, KLF4, Wnt/β-Catenin, PPARα

knock down ABI2 to inhibit the transcription of NANOG and KLF4; use 4-phenylbutyric acid (4-PBA) to upregulate PPARα by activating β‐catenin

inhibit self-renewal and tumorigenicity of CSCs, growth and migration of HCC [38]; initiate CSCs to promote tumorigenesis [92]

Clear cell renal cell cancer

MYC

block estrogen receptor (ERβ) to target C-MYC mRNA through non-coding RNA

reduce CSC population and inhibit CSC phenotype [100]

Non-small cell lung adenocarcinoma (NSCLC)

OCT4, NANOG, Wnt/β-Catenin, STAT3, Hippo, FGF/FGFR

knock down OCT4 or NANOG or β-Catenin; apply heat shock protein (HSP) 90 inhibitors to degrade STAT3 protein; knock down YAP

decrease β-Catenin expression and the target gene CyclinD1, make cells sensitive to anticancer drugs and eliminate EMT process [79]; inhibit STAT3 mediated activation of Wnt signaling, disrupt the vitality and migration of NSCLC cells [84]; up-regulate FGFR1 transcription, inhibit self-renewal and eliminate CSC characteristics [97]

Glioblastoma (GBM)

SOX2, Notch, FGF/FGFR

knock down SOX2 or NOTCH, knock down FGFR or apply FGFR antibodies

obstruct the distribution and invasive phenotype of CSCs [80]; inhibit the expression of SOX2 and reduce tumorigenesis [96]

Prostate cancer

SOX2, NANOG, JAK/STAT, Notch, AKT

knock down IFIT5 (as interferon induced gene and downstream effector of the JAK-STAT signaling pathway) to target SOX2 and NANOG; directly knock down NOTCH1 or AKT

reduce the initiating ability of tumors and decrease prostasphere formation [83]; inhibit radiation resistance of tumor cells [87]

Esophageal squamous cell carcinoma (ESCC)

MYC, NF-κB, AKT, FGF/FGFR

activate NF-κB signaling with extracellular vesicles containing FMR1-AS1 to promote C-MYC expression; knock down AKT or FGFR2

mediate the transformation and migration of CSCs [89]; induce EMT and enrich CSC population [98]

Ovarian cancer

AKT, NF-κB, PPARα

use mono(2-ethylhexyl) phthalate (MEHP) to activate the PI3K/AKT/NF-κB pathway

promote cancer cell metastasis and induce EMT (inhibition of PPARα reverses this effect) [90]

Colorectal cancer (CRC)

SOX2, FOXM1, NANOG, PPARδ, FGF/FGFR

target RBM17 (a member of the spliceosome complex) to regulate selective splicing of FOXM1 and promote SOX2 transcription; use PPARδ agonists to induce NANOG expression; add FGFR inhibitors

enhance the stemness of CSCs and sphere formation [101]; induce CSC amplification and accelerate liver metastasis in vivo [93]; suppress self-renewal and long-term organoid [95]