Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis

Epithelial-mesenchymal transition (EMT) is a cellular biological process involved in migration of primary cancer cells to secondary sites facilitating metastasis. Besides, EMT also confers properties such as stemness, drug resistance and immune evasion which can aid a successful colonization at the...

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Main Authors: Kritika Saxena, Mohit Kumar Jolly, Kuppusamy Balamurugan
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523320303375
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author Kritika Saxena
Mohit Kumar Jolly
Kuppusamy Balamurugan
author_facet Kritika Saxena
Mohit Kumar Jolly
Kuppusamy Balamurugan
author_sort Kritika Saxena
collection DOAJ
description Epithelial-mesenchymal transition (EMT) is a cellular biological process involved in migration of primary cancer cells to secondary sites facilitating metastasis. Besides, EMT also confers properties such as stemness, drug resistance and immune evasion which can aid a successful colonization at the distant site. EMT is not a binary process; recent evidence suggests that cells in partial EMT or hybrid E/M phenotype(s) can have enhanced stemness and drug resistance as compared to those undergoing a complete EMT. Moreover, partial EMT enables collective migration of cells as clusters of circulating tumor cells or emboli, further endorsing that cells in hybrid E/M phenotypes may be the ‘fittest’ for metastasis. Here, we review mechanisms and implications of hybrid E/M phenotypes, including their reported association with hypoxia. Hypoxia-driven activation of HIF-1α can drive EMT. In addition, cyclic hypoxia, as compared to acute or chronic hypoxia, shows the highest levels of active HIF-1α and can augment cancer aggressiveness to a greater extent, including enriching for a partial EMT phenotype. We also discuss how metastasis is influenced by hypoxia, partial EMT and collective cell migration, and call for a better understanding of interconnections among these mechanisms. We discuss the known regulators of hypoxia, hybrid EMT and collective cell migration and highlight the gaps which needs to be filled for connecting these three axes which will increase our understanding of dynamics of metastasis and help control it more effectively.
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spelling doaj.art-1e05588b99a44d52aadb9a059b9bff6f2022-12-21T22:45:00ZengElsevierTranslational Oncology1936-52332020-11-011311100845Hypoxia, partial EMT and collective migration: Emerging culprits in metastasisKritika Saxena0Mohit Kumar Jolly1Kuppusamy Balamurugan2Centre for BioSystems Science and Engineering, Indian Institute of Science, Bangalore 560012, IndiaCentre for BioSystems Science and Engineering, Indian Institute of Science, Bangalore 560012, India; Corresponding authors.Laboratory of Cell and Developmental Signaling, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USA; Corresponding authors.Epithelial-mesenchymal transition (EMT) is a cellular biological process involved in migration of primary cancer cells to secondary sites facilitating metastasis. Besides, EMT also confers properties such as stemness, drug resistance and immune evasion which can aid a successful colonization at the distant site. EMT is not a binary process; recent evidence suggests that cells in partial EMT or hybrid E/M phenotype(s) can have enhanced stemness and drug resistance as compared to those undergoing a complete EMT. Moreover, partial EMT enables collective migration of cells as clusters of circulating tumor cells or emboli, further endorsing that cells in hybrid E/M phenotypes may be the ‘fittest’ for metastasis. Here, we review mechanisms and implications of hybrid E/M phenotypes, including their reported association with hypoxia. Hypoxia-driven activation of HIF-1α can drive EMT. In addition, cyclic hypoxia, as compared to acute or chronic hypoxia, shows the highest levels of active HIF-1α and can augment cancer aggressiveness to a greater extent, including enriching for a partial EMT phenotype. We also discuss how metastasis is influenced by hypoxia, partial EMT and collective cell migration, and call for a better understanding of interconnections among these mechanisms. We discuss the known regulators of hypoxia, hybrid EMT and collective cell migration and highlight the gaps which needs to be filled for connecting these three axes which will increase our understanding of dynamics of metastasis and help control it more effectively.http://www.sciencedirect.com/science/article/pii/S1936523320303375HIF-1αpartial EMTCollective migrationInflammatory breast cancerMetastasis
spellingShingle Kritika Saxena
Mohit Kumar Jolly
Kuppusamy Balamurugan
Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
Translational Oncology
HIF-1α
partial EMT
Collective migration
Inflammatory breast cancer
Metastasis
title Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
title_full Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
title_fullStr Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
title_full_unstemmed Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
title_short Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis
title_sort hypoxia partial emt and collective migration emerging culprits in metastasis
topic HIF-1α
partial EMT
Collective migration
Inflammatory breast cancer
Metastasis
url http://www.sciencedirect.com/science/article/pii/S1936523320303375
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AT kuppusamybalamurugan hypoxiapartialemtandcollectivemigrationemergingculpritsinmetastasis