China-Japan Union Hospital of Jilin University, Changchun, Jilin 130000, PR China.
The Chinese University of Hong Kong, New Territories 999077, Hong Kong Special Administrative Region of China.
Biomed Pharmacother. 2024 Jun;175:116685. doi: 10.1016/j.biopha.2024.116685. Epub 2024 May 5.
Colorectal cancer (CRC), with its significant incidence and metastatic rates, profoundly affects human health. A common oncogenic event in CRC is the aberrant activation of the Wnt/β-catenin signalling pathway, which drives both the initiation and progression of the disease. Persistent Wnt/β-catenin signalling facilitates the epithelial-mesenchymal transition (EMT), which accelerates CRC invasion and metastasis. This review provides a summary of recent molecular studies on the role of the Wnt/β-catenin signalling axis in regulating EMT in CRC cells, which triggers metastatic pathogenesis. We present a comprehensive examination of the EMT process and its transcriptional controllers, with an emphasis on the crucial functions of β-catenin, EMT transcription factors (EMT-TFs). We also review recent evidences showing that hyperactive Wnt/β-catenin signalling triggers EMT and metastatic phenotypes in CRC via "Destruction complex" of β-catenin mechanisms. Potential therapeutic and challenges approache to suppress EMT and prevent CRC cells metastasis by targeting Wnt/β-catenin signalling are also discussed. These include direct β-catenin inhibitors and novel targets of the Wnt pathway, and finally highlight novel potential combinational treatment options based on the inhibition of the Wnt pathway.
结直肠癌(CRC)的发病率和转移率都很高,对人类健康有重大影响。CRC 中常见的致癌事件是 Wnt/β-连环蛋白信号通路的异常激活,该信号通路驱动疾病的发生和进展。持续的 Wnt/β-连环蛋白信号促进上皮-间充质转化(EMT),从而加速 CRC 的侵袭和转移。本综述总结了最近关于 Wnt/β-连环蛋白信号轴在调控 CRC 细胞 EMT 中触发转移发病机制的分子研究。我们对 EMT 过程及其转录控制器进行了全面检查,重点介绍了β-连环蛋白、EMT 转录因子(EMT-TFs)的关键功能。我们还回顾了最近的证据,表明过度活跃的 Wnt/β-连环蛋白信号通过β-连环蛋白机制的“破坏复合物”触发 CRC 中的 EMT 和转移表型。还讨论了通过靶向 Wnt/β-连环蛋白信号抑制 EMT 和预防 CRC 细胞转移的潜在治疗和挑战方法。这些方法包括直接β-连环蛋白抑制剂和 Wnt 通路的新靶点,并最终根据抑制 Wnt 通路强调了新的潜在联合治疗选择。