Clinical and Translational Discovery,
Journal Year:
2024,
Volume and Issue:
4(1)
Published: Jan. 28, 2024
Abstract
The
epithelial–mesenchymal
transition
(EMT)
represents
a
pivotal
frontier
in
oncology,
playing
central
role
the
metastatic
cascade
of
cancer—a
leading
global
health
challenge.
This
comprehensive
review
delves
into
complexities
EMT,
process
where
cancer
cells
gain
exceptional
mobility,
facilitating
their
invasion
distant
organs
and
establishment
secondary
malignancies.
We
thoroughly
examine
myriad
factors
influencing
encompassing
transcription
factors,
signalling
pathways,
metabolic
alterations,
microRNAs,
long
non‐coding
RNAs,
epigenetic
changes,
exosomal
interactions
intricate
dynamics
tumour
microenvironment.
Particularly,
emphasises
advanced
stages
crucial
for
development
highly
aggressive
phenotypes.
During
this
phase,
penetrate
vascular
barrier
exploit
bloodstream
to
propagate
life‐threatening
metastases
through
mesenchymal–epithelial
transition.
also
explore
EMT's
significant
fostering
dormancy,
senescence,
emergence
stem
formidable
challenge
therapeutic
resistance.
Our
transcends
mere
inventory
EMT‐inducing
elements;
it
critically
assesses
current
state
EMT‐focused
clinical
trials,
revealing
both
hurdles
breakthroughs.
Highlighting
potential
EMT
research,
we
project
its
transformative
impact
on
future
therapy.
exploration
is
aimed
at
paving
way
towards
an
era
effectively
managing
relentless
disease,
positioning
forefront
innovative
research
strategies.
Cancers,
Journal Year:
2021,
Volume and Issue:
13(19), P. 4985 - 4985
Published: Oct. 5, 2021
Epithelial-mesenchymal
transition
(EMT)
is
a
reversible
plethora
of
molecular
events
where
epithelial
cells
gain
the
phenotype
mesenchymal
to
invade
surrounding
tissues.
EMT
physiological
event
during
embryogenesis
(type
I)
but
also
happens
fibrosis
II)
and
cancer
metastasis
III).
It
multifaceted
phenomenon
governed
by
activation
genes
associated
with
cell
migration,
extracellular
matrix
degradation,
DNA
repair,
angiogenesis.
The
employ
acquire
ability
migrate,
resist
therapeutic
agents
escape
immunity.
One
key
biomarkers
vimentin,
type
III
intermediate
filament
that
normally
expressed
in
upregulated
metastasis.
This
review
highlights
pivotal
role
vimentin
explains
its
as
downstream
well
an
upstream
regulator
this
highly
complex
process.
areas
require
further
research
exploring
EMT.
As
cytoskeletal
protein,
filaments
support
mechanical
integrity
migratory
machinery,
generation
directional
force,
focal
adhesion
modulation
attachment.
viscoelastic
scaffold,
it
gives
stress-bearing
flexible
organelles.
However,
modulates
for
inducers
such
Snail,
Slug,
Twist
ZEB1/2,
epigenetic
factors.
In
addition,
suppresses
cellular
differentiation
upregulates
their
pluripotent
potential
inducing
self-renewability,
thus
increasing
stemness
stem
cells,
facilitating
tumour
spread
making
them
more
resistant
treatments.
Several
missense
frameshift
mutations
reported
human
cancers
may
contribute
towards
metastatic
spread.
Therefore,
we
propose
should
be
target
using
technologies
will
curb
growth
reduced
mortality
morbidity.
Experimental & Molecular Medicine,
Journal Year:
2022,
Volume and Issue:
54(10), P. 1670 - 1694
Published: Oct. 12, 2022
Abstract
Since
the
initial
clinical
approval
in
late
1990s
and
remarkable
anticancer
effects
for
certain
types
of
cancer,
molecular
targeted
therapy
utilizing
small
molecule
agents
or
therapeutic
monoclonal
antibodies
acting
as
signal
transduction
inhibitors
has
served
a
fundamental
backbone
precision
medicine
cancer
treatment.
These
approaches
are
now
used
clinically
first-line
various
human
cancers.
Compared
to
conventional
chemotherapy,
have
efficient
with
fewer
side
effects.
However,
emergence
drug
resistance
is
major
drawback
therapy,
several
strategies
been
attempted
improve
efficacy
by
overcoming
such
resistance.
Herein,
we
summarize
current
knowledge
regarding
agents,
including
classification,
brief
biology
target
kinases,
mechanisms
action,
examples
perspectives
future
development.
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(23), P. 12828 - 12828
Published: Nov. 27, 2021
Aberrant
activation
of
the
epidermal
growth
factor
receptor
(EGFR/ERBB1)
by
erythroblastic
leukemia
viral
oncogene
homolog
(ERBB)
ligands
contributes
to
various
tumor
malignancies,
including
lung
cancer
and
colorectal
(CRC).
Epiregulin
(EREG)
is
one
EGFR
low
expressed
in
most
normal
tissues.
Elevated
EREG
cancers
mainly
activates
signaling
pathways
promotes
progression.
Notably,
a
higher
expression
level
CRC
with
wild-type
Kirsten
rat
sarcoma
(KRAS)
related
better
efficacy
therapeutic
treatment.
By
contrast,
resistance
anti-EGFR
therapy
was
driven
expression,
aberrant
genetic
mutation
signal
pathway
alterations.
Additionally,
overexpression
non-small
cell
(NSCLC)
anticipated
be
target
for
EGFR-tyrosine
kinase
inhibitor
(EGFR-TKI).
However,
recent
findings
indicate
that
derived
from
macrophages
NSCLC
EGFR-TKI
The
emerging
events
EREG-mediated
promotion
signals
are
generated
autocrine
paracrine
loops
arise
epithelial
cells,
fibroblasts,
microenvironment
(TME).
TME
crucial
element
development
types
drug
resistance.
regulation
EREG/EGFR
depends
on
distinct
oncogenic
driver
mutations
contexts
allows
specific
pharmacological
targeting
alone
or
combinational
treatment
tailored
therapy.
Novel
strategies
EREG/EGFR,
tumor-associated
macrophages,
alternative
oncoproteins
under
undergoing
clinical
trials.
In
this
review,
we
summarize
outcomes
interaction
ligand
TME.
may
potential
combined
other
targets
combat
cancers.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: March 11, 2023
Abstract
Despite
the
success
of
targeted
therapies
in
cancer
treatment,
therapy-induced
resistance
remains
a
major
obstacle
to
complete
cure.
Tumor
cells
evade
treatments
and
relapse
via
phenotypic
switching
driven
by
intrinsic
or
induced
cell
plasticity.
Several
reversible
mechanisms
have
been
proposed
circumvent
tumor
plasticity,
including
epigenetic
modifications,
regulation
transcription
factors,
activation
suppression
key
signaling
pathways,
as
well
modification
environment.
Epithelial-to-mesenchymal
transition,
stem
formation
also
serve
roads
towards
Corresponding
treatment
strategies
recently
developed
that
either
target
plasticity-related
employ
combination
treatments.
In
this
review,
we
delineate
plasticity
its
manipulation
evasion
from
therapy.
We
discuss
non-genetic
drug-induced
various
types
tumors
provide
insights
into
contribution
acquired
drug
resistance.
New
therapeutic
such
inhibition
reversal
are
presented.
multitude
clinical
trials
ongoing
worldwide
with
intention
improving
outcomes.
These
advances
direction
for
developing
novel
therapy
regimens
Cancers,
Journal Year:
2022,
Volume and Issue:
14(4), P. 976 - 976
Published: Feb. 15, 2022
Emerging
evidence
suggests
that
a
small
subpopulation
of
cancer
stem
cells
(CSCs)
is
responsible
for
initiation,
progression,
and
metastasis
cascade
in
tumors.
CSCs
share
characteristics
with
normal
cells,
i.e.,
self-renewal
differentiation
potential,
suggesting
they
can
drive
progression.
Consequently,
targeting
to
prevent
tumor
growth
or
regrowth
might
offer
chance
lead
the
fight
against
cancer.
create
their
niche,
specific
area
within
tissue
unique
microenvironment
sustains
vital
functions.
Interactions
between
niches
play
critical
role
regulating
CSCs'
tumorigenesis.
Differences
observed
frequency
CSCs,
due
phenotypic
plasticity
many
remain
challenge
therapeutics,
since
modulate
transcriptional
activities
into
more
stem-like
state
protect
themselves
from
destruction.
This
represents
an
essential
step
future
therapeutic
approaches.
Regarding
self-renewal,
are
modulated
by
same
molecular
pathways
found
such
as
Wnt/β-catenin
signaling,
Notch
Hedgehog
signaling.
Another
key
characteristic
resistance
standard
chemotherapy
radiotherapy
treatments,
capacity
rest
quiescent
state.
review
will
analyze
primary
mechanisms
involved
CSC
tumorigenesis,
particular
attention
roles
progression
benign
malignant
diseases;
examine
perspectives
on
identification
new
markers
better
control
well
dissecting
process.
Cancer Research,
Journal Year:
2022,
Volume and Issue:
82(14), P. 2503 - 2514
Published: May 18, 2022
One
of
the
current
stumbling
blocks
in
our
fight
against
cancer
is
development
acquired
resistance
to
therapy,
which
attributable
approximately
90%
cancer-related
deaths.
Undercutting
this
process
during
treatment
could
significantly
improve
management.
In
many
cases,
drug
mediated
by
a
drug-tolerant
persister
(DTP)
cell
subpopulation
present
tumors,
often
referred
as
cells.
This
review
provides
summary
currently
known
subpopulations
and
approaches
target
them.
A
specific
DTP
with
elevated
levels
aldehyde
dehydrogenase
(ALDH)
activity
has
stem
cell-like
characteristics
high
level
plasticity,
enabling
them
switch
rapidly
between
low
ALDH
activity.
Further
studies
are
required
fully
elucidate
functions
ALDH-high
cells,
how
they
withstand
concentrations
that
kill
other
adapt
under
cellular
stress
eventually
lead
more
aggressive,
recurrent,
drug-resistant
cancer.
Furthermore,
addresses
processes
used
enable
progression,
isoforms
important
these
processes,
interactions
DTPs
tumor
microenvironment,
therapeutically
modulate
order
effectively
manage
Molecular Biology Reports,
Journal Year:
2024,
Volume and Issue:
51(1)
Published: Jan. 22, 2024
Abstract
This
comprehensive
review
delves
into
cancer’s
complexity,
focusing
on
adhesion,
metastasis,
and
inhibition.
It
explores
the
pivotal
role
of
these
factors
in
disease
progression
therapeutic
strategies.
covers
cancer
cell
migration,
invasion,
colonization
distant
organs,
emphasizing
significance
adhesion
intricate
metastasis
process.
Inhibition
approaches
targeting
molecules,
such
as
integrins
cadherins,
are
discussed.
Overall,
this
contributes
significantly
to
advancing
research
developing
targeted
therapies,
holding
promise
for
improving
patient
outcomes
worldwide.
Exploring
different
inhibition
strategies
revealed
promising
targets
alleviate
cells.
The
effectiveness
integrin-blocking
antibodies,
small
molecule
inhibitors
Focal
kinase
(FAK)
Transforming
Growth
Factor
β
(TGF-β)
pathway,
combination
therapies
underscores
their
potential
disrupt
focal
adhesions
control
epithelial-mesenchymal
transition
processes.
identification
FAK,
Src,
β-catenin
SMAD4
offers
valuable
starting
points
further
development
therapies.
complex
interrelationships
between
metastatic
signaling
networks
will
be
relevant
new
treatment
approaches.
Expert Opinion on Drug Delivery,
Journal Year:
2024,
Volume and Issue:
21(3), P. 495 - 511
Published: Feb. 24, 2024
Breast
cancer
is
a
global
health
concern
that
demands
attention.
In
our
contribution
to
addressing
this
disease,
study
focuses
on
investigating
wireless
micro-device
for
intratumoral
drug
delivery,
utilizing
electrochemical
actuation.
Microdevices
have
emerged
as
promising
approach
in
field
due
their
ability
enable
controlled
injections
various
applications.
Signal Transduction and Targeted Therapy,
Journal Year:
2025,
Volume and Issue:
10(1)
Published: Jan. 14, 2025
Abstract
Cancers
of
the
digestive
system
are
major
contributors
to
global
cancer-associated
morbidity
and
mortality,
accounting
for
35%
annual
cases
cancer
deaths.
The
etiologies,
molecular
features,
therapeutic
management
these
entities
highly
heterogeneous
complex.
Over
last
decade,
genomic
functional
studies
have
provided
unprecedented
insights
into
biology
cancers,
identifying
genetic
drivers
tumor
progression
key
interaction
points
cells
with
immune
system.
This
knowledge
is
continuously
translated
novel
treatment
concepts
targets,
which
dynamically
reshaping
landscape
tumors.
In
this
review,
we
provide
a
concise
overview
etiology
pathology
six
most
common
cancers
system,
including
esophageal,
gastric,
biliary
tract,
pancreatic,
hepatocellular,
colorectal
cancers.
We
comprehensively
describe
current
stage-dependent
pharmacological
malignancies,
chemo-,
targeted,
immunotherapy.
For
each
entity,
an
recent
advancements
research
progress.
Finally,
how
heterogeneity
evasion
deepen
our
understanding
therapy
resistance
outlook
on
innovative
strategies
that
will
shape
future
CAR-T
cell
therapy,
antibody-drug
conjugates
targeted
therapies.
Cancers,
Journal Year:
2020,
Volume and Issue:
12(12), P. 3716 - 3716
Published: Dec. 11, 2020
Tumor
heterogeneity
is
considered
the
major
cause
of
treatment
failure
in
current
cancer
therapies.
This
feature
solid
tumors
not
only
result
clonal
outgrowth
cells
with
genetic
mutations,
but
also
epigenetic
alterations
induced
by
physical
and
chemical
signals
from
tumor
microenvironment
(TME).
Besides
fibroblasts,
endothelial
immune
cells,
mesenchymal
stroma/stem-like
(MSCs)
tumor-associated
macrophages
(TAMs)
intimately
crosstalk
can
exhibit
both
anti-
pro-tumorigenic
effects.
MSCs
alter
cellular
phenotypes
to
increase
cell
plasticity,
eventually
resulting
generation
stem
(CSCs).
The
shift
between
different
phenotypic
states
(phenotype
switching)
CSCs
controlled
via
programs,
such
as
epithelial-mesenchymal
transdifferentiation
or
retrodifferentiation,
triggered
TME,
like
hypoxia,
spatial
stromal
cell-derived
chemokines.
Finally,
we
highlight
role
spontaneous
fusion
various
types
cells.
i.e.,
shaping
CSC
plasticity.
A
better
understanding
plasticity
phenotype
shifting
a
prerequisite
for
exploiting
this
phenomenon
reduce
heterogeneity,
thereby
improving
chance
therapy
success.