Karmanos Cancer Institute, Wayne State University School of Medicine, Department of Pathology , Detroit, MI 48201 , USA.
Expert Opin Ther Targets. 2014 Jul;18(7):731-45. doi: 10.1517/14728222.2014.909807. Epub 2014 Apr 23.
The process of epithelial-to-mesenchymal transition (EMT) has long been advocated as a process during tumor progression and the acquisition of metastatic potential of human cancers. EMT has also been linked with resistance to cancer therapies.
Basic research has provided evidence connecting EMT to increased invasion, angiogenesis and metastasis of cancer cells. A number of signaling pathways such as notch, wnt, hedgehog and PI3K-AKT, and various other individual factors therein, have been intricately connected to the onset of EMT. Here, we provide latest updates on the evidences that further highlight an association between various signaling pathways and EMT, with a focus on therapeutic targets that may have the potential to reverse EMT.
Our understanding of EMT and its underlying causes is rapidly evolving and a number of putative targets have been identified. It is crucial, now than ever before, to design novel translational and clinical studies for the benefit of advanced stage cancer patients with metastatic disease.
上皮-间质转化(EMT)过程长期以来一直被认为是肿瘤进展过程中以及人类癌症获得转移潜能的过程。EMT 也与癌症治疗的耐药性有关。
基础研究为 EMT 与癌细胞侵袭、血管生成和转移的增加提供了证据。许多信号通路,如 notch、wnt、hedgehog 和 PI3K-AKT 以及其中的各种其他单个因素,都与 EMT 的发生密切相关。在这里,我们提供了最新的证据更新,进一步强调了各种信号通路与 EMT 之间的关联,重点介绍了可能具有逆转 EMT 潜力的治疗靶点。
我们对 EMT 及其潜在原因的理解正在迅速发展,已经确定了许多假定的靶点。现在比以往任何时候都更重要的是,为患有转移性疾病的晚期癌症患者设计新的转化和临床研究。