Department of Anatomy, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Anatomy, Faculty of Medicine, Infectious Disease Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Med Oncol. 2022 Sep 7;39(12):193. doi: 10.1007/s12032-022-01801-0.
Epithelial-mesenchymal transition (EMT) as a trans-differentiation program and a key process in tumor progression is linked positively with increased expansion of cancer stem cells and cells with stem-like properties. This is mediated through modulation of critical tumorigenic events and is positively correlated with hypoxic conditions in tumor microenvironment. The presence of cells eliciting diverse phenotypical states inside tumor is representative of heterogeneity and higher tumor resistance to therapy. In this review, we aimed to discuss about the current understanding toward EMT, stemness, and heterogeneity in tumors of solid organs, their contribution to the key tumorigenic events along with major signaling pathway involved, and, finally, to suggest some strategies to target these critical events.
上皮-间充质转化 (EMT) 作为一种转分化程序,是肿瘤进展中的一个关键过程,与癌症干细胞和具有干细胞样特性的细胞的扩增呈正相关。这是通过调节关键的肿瘤发生事件来实现的,并与肿瘤微环境中的缺氧条件呈正相关。在肿瘤内部引起不同表型状态的细胞的存在代表了异质性和更高的肿瘤对治疗的抵抗力。在这篇综述中,我们旨在讨论实体器官肿瘤中的 EMT、干性和异质性的当前理解,它们对关键肿瘤发生事件的贡献以及涉及的主要信号通路,并最终提出一些针对这些关键事件的策略。