Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma

In epithelial neoplasms, such as laryngeal carcinoma, the survival indexes deteriorate abruptly when the tumor becomes metastatic. A molecular phenomenon that normally appears during embryogenesis, epithelial-to-mesenchymal transition (EMT), is reactivated at the initial stage of metastasis when tum...

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Main Authors: Anastasios Goulioumis, Kostis Gyftopoulos
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/9/2148
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author Anastasios Goulioumis
Kostis Gyftopoulos
author_facet Anastasios Goulioumis
Kostis Gyftopoulos
author_sort Anastasios Goulioumis
collection DOAJ
description In epithelial neoplasms, such as laryngeal carcinoma, the survival indexes deteriorate abruptly when the tumor becomes metastatic. A molecular phenomenon that normally appears during embryogenesis, epithelial-to-mesenchymal transition (EMT), is reactivated at the initial stage of metastasis when tumor cells invade the adjacent stroma. The hallmarks of this phenomenon are the abolishment of the epithelial and acquisition of mesenchymal traits by tumor cells which enhance their migratory capacity. EMT signaling is mediated by complex molecular pathways that regulate the expression of crucial molecules contributing to the tumor’s metastatic potential. Effectors of EMT include loss of adhesion, cytoskeleton remodeling, evasion of apoptosis and immune surveillance, upregulation of metalloproteinases, neovascularization, acquisition of stem-cell properties, and the activation of tumor stroma. However, the current approach to EMT involves a holistic model that incorporates the acquisition of potentials beyond mesenchymal transition. As EMT is inevitably associated with a reverse mesenchymal-to-epithelial transition (MET), a model of partial EMT is currently accepted, signifying the cell plasticity associated with invasion and metastasis. In this review, we identify the cumulative evidence which suggests that various aspects of EMT theory apply to laryngeal carcinoma, a tumor of significant morbidity and mortality, introducing novel molecular targets with prognostic and therapeutic potential.
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spelling doaj.art-2d7b3a47d3c74c5585d5b51029511e462023-11-23T15:09:56ZengMDPI AGBiomedicines2227-90592022-09-01109214810.3390/biomedicines10092148Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal CarcinomaAnastasios Goulioumis0Kostis Gyftopoulos1Department of Anatomy, University of Patras School of Medicine, 26504 Patras, GreeceDepartment of Anatomy, University of Patras School of Medicine, 26504 Patras, GreeceIn epithelial neoplasms, such as laryngeal carcinoma, the survival indexes deteriorate abruptly when the tumor becomes metastatic. A molecular phenomenon that normally appears during embryogenesis, epithelial-to-mesenchymal transition (EMT), is reactivated at the initial stage of metastasis when tumor cells invade the adjacent stroma. The hallmarks of this phenomenon are the abolishment of the epithelial and acquisition of mesenchymal traits by tumor cells which enhance their migratory capacity. EMT signaling is mediated by complex molecular pathways that regulate the expression of crucial molecules contributing to the tumor’s metastatic potential. Effectors of EMT include loss of adhesion, cytoskeleton remodeling, evasion of apoptosis and immune surveillance, upregulation of metalloproteinases, neovascularization, acquisition of stem-cell properties, and the activation of tumor stroma. However, the current approach to EMT involves a holistic model that incorporates the acquisition of potentials beyond mesenchymal transition. As EMT is inevitably associated with a reverse mesenchymal-to-epithelial transition (MET), a model of partial EMT is currently accepted, signifying the cell plasticity associated with invasion and metastasis. In this review, we identify the cumulative evidence which suggests that various aspects of EMT theory apply to laryngeal carcinoma, a tumor of significant morbidity and mortality, introducing novel molecular targets with prognostic and therapeutic potential.https://www.mdpi.com/2227-9059/10/9/2148epithelial to mesenchymal transition (EMT)laryngeal carcinomametastasis
spellingShingle Anastasios Goulioumis
Kostis Gyftopoulos
Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
Biomedicines
epithelial to mesenchymal transition (EMT)
laryngeal carcinoma
metastasis
title Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
title_full Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
title_fullStr Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
title_full_unstemmed Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
title_short Epithelial-to-Mesenchymal Transition in Metastasis: Focus on Laryngeal Carcinoma
title_sort epithelial to mesenchymal transition in metastasis focus on laryngeal carcinoma
topic epithelial to mesenchymal transition (EMT)
laryngeal carcinoma
metastasis
url https://www.mdpi.com/2227-9059/10/9/2148
work_keys_str_mv AT anastasiosgoulioumis epithelialtomesenchymaltransitioninmetastasisfocusonlaryngealcarcinoma
AT kostisgyftopoulos epithelialtomesenchymaltransitioninmetastasisfocusonlaryngealcarcinoma