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. Author manuscript; available in PMC: 2023 Jun 1.
Published in final edited form as: Semin Cancer Biol. 2021 Apr 30;81:193–205. doi: 10.1016/j.semcancer.2021.04.018

Figure 2.

Figure 2.

Independent life cycle of tumors and tumor grade. The cycle of tumor progression may be involved in four key stages due to the genetic and epigenetic alterations: (1) Somatic cells are transformed and exhibit the traits of growth out of control, representing the benign stage; (2) Activation of somatic cell-ES/PGC-like cell conversion (including somatic cell-ES cell-like cell conversion and somatic cell-PGC-like cell conversion), which endows tumor with the capabilities of tumor initiation and metastasis, representing the entrance of malignant stage; (3) Activation of PGC-like cells undergo further development along with germ cell maturation to generate oocyte-like cells; (4) Parthenogenetic activation of oocyte-like cells generates to blastomere-like cells which can endow tumor with powerful abilities, such as asexual life cycle, pluripotency, immortality and therapeutic resistance, representing the terminal stages. Thus, the oocyte-like and preimplantation-like states allow for tumors to resist to therapy.