癌症干细胞和上皮-间充质转化:概念和分子联系。
Cancer stem cells and epithelial-mesenchymal transition: concepts and molecular links.
机构信息
Whitehead Institute for Biomedical Research, Cambridge, MA 02142, USA.
出版信息
Semin Cancer Biol. 2012 Oct;22(5-6):396-403. doi: 10.1016/j.semcancer.2012.04.001. Epub 2012 Apr 23.
The epithelial-mesenchymal transition (EMT) confers mesenchymal properties on epithelial cells and has been closely associated with the acquisition of aggressive traits by carcinoma cells. EMT programs are orchestrated by a set of pleiotropically acting transcription factors (TFs). The actions of these EMT-TFs enable the early steps of metastasis: local invasion and subsequent dissemination of carcinoma cells to distant sites. However, in most malignancies, the subsequent outgrowth of micrometastatic deposits into macroscopic metastases has the greatest impact on clinical progression. Such metastatic "colonization" reflects the ability of disseminated tumor cells to adapt to a foreign tissue microenvironment. The outgrowth of a metastasis is also thought to be associated with self-renewal, the defining cellular trait of cancer stem cells (CSCs), also termed tumor-initiating cells. Importantly, molecular links between EMT-TFs and self-renewal have emerged, suggesting that EMT programs play critical roles both early and late in the metastatic cascade. The genetic and epigenetic mechanisms that regulate the activation of EMT-TFs and the traits they induce are areas under intensive investigation. Such studies may provide new opportunities for therapeutic intervention and help to overcome tumor heterogeneity and therapeutic resistance.
上皮-间充质转化(EMT)赋予上皮细胞间充质特性,并与癌细胞获得侵袭性特征密切相关。EMT 程序由一组多功能转录因子(TFs)协调。这些 EMT-TFs 的作用使转移的早期步骤成为可能:癌细胞的局部浸润和随后的播散到远处部位。然而,在大多数恶性肿瘤中,微转移灶的随后生长成为宏观转移对临床进展的影响最大。这种转移性“定植”反映了播散的肿瘤细胞适应外来组织微环境的能力。转移的生长也被认为与自我更新有关,自我更新是癌症干细胞(CSCs)的定义性细胞特征,也称为肿瘤起始细胞。重要的是,EMT-TFs 和自我更新之间的分子联系已经出现,这表明 EMT 程序在转移级联的早期和晚期都起着关键作用。调节 EMT-TFs 激活及其诱导特征的遗传和表观遗传机制是正在深入研究的领域。这些研究可能为治疗干预提供新的机会,并有助于克服肿瘤异质性和治疗耐药性。
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