targeting cancer stem cells

If anyone comes across anything about how to target cancer stem cells post it here.

Knowing conventional treatment does not kill cancer stem cells it would be helpful to find evidence of what works instead.

http://www.nature.com/onc/journal/v33/n36/full/onc2013411a.html

'distinct functional and molecular properties of CSCs may constitute therapeutic vulnerabilities that can be exploited for the development of novel combination strategies (Table 1). These CSC properties include self-renewal, lack of differentiation, quiescence, a distinct epigenetic state, deregulation of apoptotic/survival pathways, metabolism and interactions with the microenvironment'

under metabolism:
'a series of studies has demonstrated that the metabolic drug metformin exhibits anti-CSC activity and improves the efficacy of chemotherapy. In an initial study, metformin reduced the CSC fraction in four genetically distinct breast cancer cell lines and potently suppressed relapse after doxorubicin therapy in vivo.118 Further studies extended these results to patient-derived breast cancer cells and revealed that metformin could also improve the efficacy of paclitaxel and carboplatin in vivo.119 Interestingly, the anti-CSC activity of metformin in breast cancer is specifically attributable to the inhibition of an inflammatory transformation signature.'

It makes no sense that metformin is not administered to everyone already?

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