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上皮-间质转化(EMT):癌症治疗中的原理及临床影响

Epithelial-mesenchymal transition (EMT): principles and clinical impact in cancer therapy.

作者信息

Franco-Chuaire María Liliana, Magda Carolina Sánchez-Corredor, Chuaire-Noack Lilian

机构信息

Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá DC, Colombia.

出版信息

Invest Clin. 2013 Jun;54(2):186-205.

Abstract

The epithelial-mesenchymal transition (EMT) is a biological phenomenon responsible for the formation of different tissues and organs during normal metazoan development. Because of the connection of the EMT with the pathogenesis of certain diseases, such as cancer, the attention of the scientific community has been directed towards the search for and identification of effective therapeutic targets. These targets include signal transduction in cancerous stem cells and the use of microRNAs, which would inhibit EMT-associated phenotypic changes and tumoral progression. In an attempt to compile relevant and current information, this work addresses concepts that define the EMT and the advances in this field. The wealth of knowledge gained from areas such as the loss of cell polarity and intracellular adhesion complexes, the signaling pathways implicated, microRNA participation in this process, and stemness acquisition in embryonic and cancerous cells, all of which allow for the visualization of promising perspectives, particularly, methods for targeting advanced malignancies, are presented herein.

摘要

上皮-间质转化(EMT)是一种生物学现象,负责后生动物正常发育过程中不同组织和器官的形成。由于EMT与某些疾病(如癌症)的发病机制相关,科学界的注意力已转向寻找和鉴定有效的治疗靶点。这些靶点包括癌干细胞中的信号转导以及使用微小RNA,这将抑制与EMT相关的表型变化和肿瘤进展。为了汇编相关的最新信息,本文探讨了定义EMT的概念以及该领域的进展。本文介绍了从细胞极性丧失和细胞内粘附复合物、相关信号通路、微小RNA参与此过程以及胚胎细胞和癌细胞干性获得等领域获得的丰富知识,所有这些都有助于展望前景光明的研究方向,特别是针对晚期恶性肿瘤的靶向治疗方法。

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