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Cancer Treatment / LEARNING CURVE


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and we have examined phenotypic and molecular commonalities among these cell lines, defining characteristics of cell surface antigen expression (Fosmire et al. 2004; Lamerato-Kozicki et al. 2006), tumor suppressor gene inactivation (Dickerson et al. 2005) and genome-wide gene expression profiles (Tamburini et al. 2010; Tamburini et al. 2009). Two important aspects arising from


this data were the observation that hem- angiosarcoma cells in isolation (cell cul- ture) have phenotypic properties sugges- tive of bone-marrow ontogeny, and spe- cifically of bone-marrow-derived (mesen- chymal?) stem cells (Lamerato-Kozicki et al. 2006). Alone, this data could not distinguish


if the tumors themselves arise from a cell in the bone marrow that migrates to a vascular plexus, or if they originate from a bona fide stem cell. The gene expres- sion profiling data offered some clues,


however, as the recurrent signature of these genes was associated with enrich- ment of angiogenic and pro-inflamma- tory genes, with no evidence of tissue specificity (Tamburini et al. 2010). More recent data shows that heman-


giosarcoma cells do not show site speci- ficity for growth, but intriguingly, they respond to microenvironment cues and adopt various functions as part of this response. These functions included not only the potential to form anatomically distinct structures or tumors, but also the potential to direct other cells in their environment to do so. Hemangiosar- coma cells also include subpopulations that retain traits associated with cancer stem cells, including self-renewal, che- moresistance and increased tumorigenic- ity in vivo. Each tumor may achieve these prop-


erties by independently disabling or enabling molecular networks associated


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