University of Lucknow, Department of Biochemistry and Biotechnology , Lucknow - 226007 , India
Expert Opin Ther Targets. 2015 Feb;19(2):285-97. doi: 10.1517/14728222.2014.975794. Epub 2015 Jan 7.
Epithelial-to-mesenchymal transition (EMT) is a pathological phenomenon of cancer that confers tumor cells with increased cell motility, invasive and metastatic abilities with the acquisition of 'cancer stem-like cell' (CSC) phenotype. EMT endows tumor cells with intrinsic/acquired resistant phenotype at achievable doses of anticancer drugs and leads to tumor recurrence and progression. Besides the complex network of signaling pathways, microRNAs (miRNAs) are being evolved as a new player in the induction and regulation of EMT.
In this review article, the author has searched the PubMed and Google Scholar electronic databases for original research and review articles to gather current information on the association of EMT-induced CSCs with therapeutic resistance, tumor growth and metastasis, which are believed to be regulated by certain miRNAs.
This review outlines not only the perspective on selective targeting of EMT-induced CSCs through altered expression of novel miRNAs and/or the use of conventional drugs that affect the levels of critical miRNAs but also the strategies on overcoming the drug resistance by interfering with EMT and modulating its associated pathways in CSCs that can be considered as potential therapeutic approaches toward eradicating the tumor recurrence and metastasis.
上皮-间质转化(EMT)是癌症的一种病理现象,它赋予肿瘤细胞更高的细胞迁移性、侵袭性和转移性,并获得“癌症干细胞样细胞”(CSC)表型。EMT 使肿瘤细胞在可达到的抗癌药物剂量下具有内在/获得性耐药表型,导致肿瘤复发和进展。除了复杂的信号通路网络外,microRNAs(miRNAs)也作为 EMT 诱导和调节的新参与者出现。
在这篇综述文章中,作者在 PubMed 和 Google Scholar 电子数据库中搜索了原始研究和综述文章,以收集有关 EMT 诱导的 CSCs 与治疗耐药性、肿瘤生长和转移之间关联的最新信息,这些关联被认为是由某些 miRNAs 调节的。
这篇综述不仅概述了通过改变新型 miRNAs 的表达或使用影响关键 miRNAs 水平的常规药物来选择性靶向 EMT 诱导的 CSCs 的观点,还概述了通过干扰 EMT 及其在 CSCs 中的相关途径来克服耐药性的策略,这可以被认为是消除肿瘤复发和转移的潜在治疗方法。