Figure 1.
Two stages involved in cancer stem cell activation. Cancer requires the generation of an actively dividing or “activated” stem cell. This cell may be an actively dividing stem
cell, a stem cell stimulated to divide by tissue damage or inflammation, or from an a differentiated (mature) cell acquiring
the property of self-renewal. Mutations inactivating tumor suppressor genes (negative regulators of growth) or activating
oncogenes (positive regulators) convert the activated stem cell into a cancer stem cell. Further mutations are required for
tumor progression and metastasis.