Famta Paras, Shah Saurabh, Dey Biswajit, Kumar Kondasingh Charan, Bagasariya Deepkumar, Vambhurkar Ganesh, Pandey Giriraj, Sharma Anamika, Srinivasarao Dadi A, Kumar Rahul, Guru Santosh Kumar, Raghuvanshi Rajeev Singh, Srivastava Saurabh
Pharmaceutical Innovation and Translational Research Lab (PITRL), Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad, Telangana, 500037, India.
Department of Biological Sciences, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad, 500037, India.
Cancer Pathog Ther. 2024 Jan 12;3(1):30-47. doi: 10.1016/j.cpt.2024.01.001. eCollection 2025 Jan.
Breast cancer (BC) is the most prevalent cancer in women globally. Anti-cancer advancements have enabled the killing of BC cells through various therapies; however, cancer relapse is still a major limitation and decreases patient survival and quality of life. Epithelial-to-mesenchymal transition (EMT) is responsible for tumor relapse in several cancers. This highly regulated event causes phenotypic, genetic, and epigenetic changes in the tumor microenvironment (TME). This review summarizes the recent advancements regarding EMT using de-differentiation and partial EMT theories. We extensively review the mechanistic pathways, TME components, and various anti-cancer adjuvant and neo-adjuvant therapies responsible for triggering EMT in BC tumors. Information regarding essential clinical studies and trials is also discussed. Furthermore, we also highlight the recent strategies targeting various EMT pathways. This review provides a holistic picture of BC biology, molecular pathways, and recent advances in therapeutic strategies.
乳腺癌(BC)是全球女性中最常见的癌症。抗癌技术的进步使得通过各种疗法杀死BC细胞成为可能;然而,癌症复发仍然是一个主要限制因素,会降低患者的生存率和生活质量。上皮-间质转化(EMT)在几种癌症的肿瘤复发中起作用。这一高度调控的过程会导致肿瘤微环境(TME)发生表型、基因和表观遗传变化。本综述总结了利用去分化和部分EMT理论在EMT方面的最新进展。我们广泛回顾了导致BC肿瘤中EMT的机制途径、TME成分以及各种抗癌辅助和新辅助疗法。还讨论了重要临床研究和试验的相关信息。此外,我们还强调了针对各种EMT途径的最新策略。本综述全面介绍了BC生物学、分子途径以及治疗策略的最新进展。