Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application

Polyploid giant cancer cells (PGCCs) represent a distinct subpopulation of tumor cells characterized by enlarged or multiple nuclei and aneuploidy. PGCCs are products of genomic instability, possessing cancer stem cell properties and exhibiting significant resistance to radiotherapy and chemotherapy...

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Main Authors: Peng Huang, Rong Wu, Zhimou Yang, Yuwei Li, Fei Fei, Yongjun Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1611920/full
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author Peng Huang
Rong Wu
Zhimou Yang
Yuwei Li
Fei Fei
Yongjun Yu
author_facet Peng Huang
Rong Wu
Zhimou Yang
Yuwei Li
Fei Fei
Yongjun Yu
author_sort Peng Huang
collection DOAJ
description Polyploid giant cancer cells (PGCCs) represent a distinct subpopulation of tumor cells characterized by enlarged or multiple nuclei and aneuploidy. PGCCs are products of genomic instability, possessing cancer stem cell properties and exhibiting significant resistance to radiotherapy and chemotherapy. They can generate highly invasive daughter cells through asymmetric division, exhibiting epithelial-mesenchymal transition characteristics, and facilitating tumor recurrence and metastasis. In vivo, PGCCs with daughter cells in tumor tissue can migrate and infiltrate into the forefront stroma to form tumor budding, which are closely related to solid tumor recurrence, metastasis, and drug resistance. Studies have shown that inhibiting sphingolipid enzyme acid ceramidase or regulating autophagy can reduce the production of PGCCs with daughter cells. Under appropriate induction conditions, PGCCs with daughter cells can be induced to differentiate into benign tissues such as adipocytes, chondrocytes, and osteocytes, inhibiting their malignant proliferation and invasive destruction. This study reviewed the recent research developments regarding PGCCs, mainly explored the endogenous mechanisms of PGCCs formation and their malignant phenotype, as well as the process of tumor budding formation in vivo and potential therapeutic strategies targeting PGCCs. The main novelty of this study lies in exploring the translation of PGCCs basic research into the clinical pathological prognostic role of tumor budding, which can reveal the potential mechanism of PGCCs/tumor budding formation at the molecular level, providing theoretical basis for prognosis assessment, monitoring of recurrence and metastasis risks, as well as improving drug resistance and targeted therapy in cancer patients.
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spelling doaj-art-0b7c5dae9e1349d1b4e08e4085fad97f2025-07-16T04:12:04ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-07-011510.3389/fonc.2025.16119201611920Polyploid giant cancer cells and tumor budding: translation from basic research to clinical applicationPeng Huang0Rong Wu1Zhimou Yang2Yuwei Li3Fei Fei4Yongjun Yu5Nankai University School of Medicine, Nankai University, Tianjin, ChinaDepartment of Scientific and Technology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, ChinaKey Laboratory of Bioactive Materials, Ministry of Education, State Key Laboratory of Medicinal Chemical Biology, College of Life Sciences, Nankai University, Tianjin, ChinaDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, ChinaDepartment of Oncology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, ChinaDepartment of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, ChinaPolyploid giant cancer cells (PGCCs) represent a distinct subpopulation of tumor cells characterized by enlarged or multiple nuclei and aneuploidy. PGCCs are products of genomic instability, possessing cancer stem cell properties and exhibiting significant resistance to radiotherapy and chemotherapy. They can generate highly invasive daughter cells through asymmetric division, exhibiting epithelial-mesenchymal transition characteristics, and facilitating tumor recurrence and metastasis. In vivo, PGCCs with daughter cells in tumor tissue can migrate and infiltrate into the forefront stroma to form tumor budding, which are closely related to solid tumor recurrence, metastasis, and drug resistance. Studies have shown that inhibiting sphingolipid enzyme acid ceramidase or regulating autophagy can reduce the production of PGCCs with daughter cells. Under appropriate induction conditions, PGCCs with daughter cells can be induced to differentiate into benign tissues such as adipocytes, chondrocytes, and osteocytes, inhibiting their malignant proliferation and invasive destruction. This study reviewed the recent research developments regarding PGCCs, mainly explored the endogenous mechanisms of PGCCs formation and their malignant phenotype, as well as the process of tumor budding formation in vivo and potential therapeutic strategies targeting PGCCs. The main novelty of this study lies in exploring the translation of PGCCs basic research into the clinical pathological prognostic role of tumor budding, which can reveal the potential mechanism of PGCCs/tumor budding formation at the molecular level, providing theoretical basis for prognosis assessment, monitoring of recurrence and metastasis risks, as well as improving drug resistance and targeted therapy in cancer patients.https://www.frontiersin.org/articles/10.3389/fonc.2025.1611920/fulltumor buddingmetastasisdrug resistancetherapeutic strategiespolyploid giant cancer cells (PGCCs)
spellingShingle Peng Huang
Rong Wu
Zhimou Yang
Yuwei Li
Fei Fei
Yongjun Yu
Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
Frontiers in Oncology
tumor budding
metastasis
drug resistance
therapeutic strategies
polyploid giant cancer cells (PGCCs)
title Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
title_full Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
title_fullStr Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
title_full_unstemmed Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
title_short Polyploid giant cancer cells and tumor budding: translation from basic research to clinical application
title_sort polyploid giant cancer cells and tumor budding translation from basic research to clinical application
topic tumor budding
metastasis
drug resistance
therapeutic strategies
polyploid giant cancer cells (PGCCs)
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1611920/full
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AT yuweili polyploidgiantcancercellsandtumorbuddingtranslationfrombasicresearchtoclinicalapplication
AT feifei polyploidgiantcancercellsandtumorbuddingtranslationfrombasicresearchtoclinicalapplication
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