Ever since descriptions of the various functional components of the hematopoietic stem cell niche, leukemia researchers have wondered whether leukemia stem cells (LSCs) require similar cell-extrinsic support for long-term maintenance of leukemia. LSCs differ from normal hematopoietic stem cells (HSCs) in that they have activation of key pathways regulating self-renewal, proliferation, and survival. Activation of these pathways is sufficient in many models for full leukemogenesis, suggesting that the LSC niche may be an attractive, but functionally redundant contributor to LSC survival.
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