Heterogeneity is ubiquitous in stem cells (SC), cancer cells (CS), and cancer
stem cells (CSC). SC and CSC heterogeneity is manifested as diverse
sub-populations with self-renewing and unique regeneration capacity. Moreover,
the CSC progeny possesses multiple plasticity and cancerous characteristics.
Many studies have demonstrated that cancer heterogeneity is one of the greatest
obstacle for therapy. This leads to the incomplete anti-cancer therapies and
transitory efficacy. Furthermore, numerous micro-metastasis leads to the wide
spread of the tumor cells across the body which is the beginning of metastasis.
The epigenetic processes (DNA methylation or histone remodification etc.) can
provide a source for certain heterogeneity. In this study, we develop a
mathematical model to quantify the heterogeneity of SC, CSC and cancer taking
both genetic and epigenetic effects into consideration. We uncovered the roles
and physical mechanisms of heterogeneity from the three aspects (SC, CSC and
cancer). In the adiabatic regime (relatively fast regulatory binding and
effective coupling among genes), seven native states (SC, CSC, Cancer,
Premalignant, Normal, Lesion and Hyperplasia) emerge. In non-adiabatic regime
(relatively slow regulatory binding and effective weak coupling among genes),
multiple meta-stable SC, CS, CSC and differentiated states emerged which can
explain the origin of heterogeneity. In other words, the slow regulatory
binding mimicking the epigenetics can give rise to heterogeneity. Elucidating
the origin of heterogeneity and dynamical interrelationship between
intra-tumoral cells has clear clinical significance in helping to understand
the cellular basis of treatment response, therapeutic resistance, and tumor
relapse.Comment: 7 pages, 2 figure