癌症进展中混合上皮-间充质转化的新兴概念。

Emerging Concepts of Hybrid Epithelial-to-Mesenchymal Transition in Cancer Progression.

机构信息

Department of Receptor Biology and Tumour Metastasis, Chittaranjan National Cancer Institute, Kolkata 700 026, India.

Lake Erie College of Osteopathic Medicine, Bradenton, FL 34211, USA.

出版信息

Biomolecules. 2020 Nov 16;10(11):1561. doi: 10.3390/biom10111561.

Abstract

Epithelial mesenchymal transition (EMT) is a complex process through which epithelial (E) cells lose their adherens junctions, transform into mesenchymal (M) cells and attain motility, leading to metastasis at distant organs. Nowadays, the concept of EMT has shifted from a binary phase of interconversion of pure E to M cells and vice versa to a spectrum of E/M transition states preferably coined as hybrid/partial/intermediate EMT. Hybrid EMT, being a plastic transient state, harbours cells which co-express both E and M markers and exhibit high tumourigenic properties, leading to stemness, metastasis, and therapy resistance. Several preclinical and clinical studies provided the evidence of co-existence of E/M phenotypes. Regulators including transcription factors, epigenetic regulators and phenotypic stability factors (PSFs) help in maintaining the hybrid state. Computational and bioinformatics approaches may be excellent for identifying new factors or combinations of regulatory elements that govern the different EMT transition states. Therapeutic intervention against hybrid E/M cells, though few, may evolve as a rational strategy against metastasis and drug resistance. This review has attempted to present the recent advancements on the concept and regulation of the process of hybrid EMT which generates hybrid E/M phenotypes, evidence of intermediate EMT in both preclinical and clinical setup, impact of partial EMT on promoting tumourigenesis, and future strategies which might be adapted to tackle this phenomenon.

摘要

上皮间质转化(EMT)是一个复杂的过程,在此过程中上皮(E)细胞失去黏附连接,转分化为间质(M)细胞并获得运动能力,导致远处器官转移。如今,EMT 的概念已从 E 向 M 细胞的纯转化的二元阶段转变为 EMT 转变的连续谱,最好称为混合/部分/中间 EMT。混合 EMT 是一种可塑性瞬态状态,其中存在同时表达 E 和 M 标志物的细胞,并表现出高致瘤性,导致干性、转移和治疗耐药性。一些临床前和临床研究提供了 E/M 表型共存的证据。包括转录因子、表观遗传调节剂和表型稳定因子(PSFs)在内的调节剂有助于维持混合状态。计算和生物信息学方法可能非常适合识别新的因素或调控元件组合,这些因素或调控元件可调控不同的 EMT 转变状态。针对混合 E/M 细胞的治疗干预措施虽然很少,但可能会成为对抗转移和耐药性的合理策略。本综述试图介绍混合 EMT 过程的概念和调控的最新进展,该过程产生混合 E/M 表型,在临床前和临床环境中均有中间 EMT 的证据,部分 EMT 对促进肿瘤发生的影响,以及可能适用于解决这种现象的未来策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b9/7697085/640e15638e56/biomolecules-10-01561-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索