Clinical significance of epithelial‐mesenchymal transition

Abstract The concept of epithelial‐mesenchymal transition (EMT), a process where cells change their epithelial towards a mesenchymal phenotype, has gained overwhelming attention especially in the cancer research community. Thousands of scientific reports investigated changes in gene, mRNA and protei...

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Main Authors: Konrad Steinestel, Stefan Eder, Andres Jan Schrader, Julie Steinestel
Format: Article
Language:English
Published: Wiley 2014-12-01
Series:Clinical and Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/2001-1326-3-17
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author Konrad Steinestel
Stefan Eder
Andres Jan Schrader
Julie Steinestel
author_facet Konrad Steinestel
Stefan Eder
Andres Jan Schrader
Julie Steinestel
author_sort Konrad Steinestel
collection DOAJ
description Abstract The concept of epithelial‐mesenchymal transition (EMT), a process where cells change their epithelial towards a mesenchymal phenotype, has gained overwhelming attention especially in the cancer research community. Thousands of scientific reports investigated changes in gene, mRNA and protein expression compatible with EMT and their possible correlation with tumor invasion, metastatic spread or patient prognosis; however, up to now, a proof of clinical significance of the concept is still missing. This review, with a main focus on the role of EMT in tumors, will summarize the basic molecular events underlying EMT including the signaling pathways capable of its induction as well as changes in EMT‐associated protein expression and will very briefly touch the role of microRNAs in EMT. We then outline protein markers that are used most frequently for the assessment of EMT in research and diagnostic evaluation of tumor specimens and depict the link between EMT, a cancer stem cell (CSC) phenotype and resistance to conventional antineoplastic therapies. Furthermore, we evaluate a possible correlation between EMT marker expression and patient prognosis as well as current therapeutic concepts targeting the EMT process to slow down or prevent metastatic spread of malignant tumors.
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spelling doaj.art-4ede96f1d9714857ae7c743e61cfeaf32022-12-21T19:20:38ZengWileyClinical and Translational Medicine2001-13262014-12-0131n/an/a10.1186/2001-1326-3-17Clinical significance of epithelial‐mesenchymal transitionKonrad Steinestel0Stefan Eder1Andres Jan Schrader2Julie Steinestel3Bundeswehr Institute of RadiobiologyNeuherbergstrasse 1180937MunichGermanyBundeswehr Institute of RadiobiologyNeuherbergstrasse 1180937MunichGermanyDepartment of UrologyUlm University Medical CenterPrittwitzstrasse 4389075UlmGermanyDepartment of UrologyUlm University Medical CenterPrittwitzstrasse 4389075UlmGermanyAbstract The concept of epithelial‐mesenchymal transition (EMT), a process where cells change their epithelial towards a mesenchymal phenotype, has gained overwhelming attention especially in the cancer research community. Thousands of scientific reports investigated changes in gene, mRNA and protein expression compatible with EMT and their possible correlation with tumor invasion, metastatic spread or patient prognosis; however, up to now, a proof of clinical significance of the concept is still missing. This review, with a main focus on the role of EMT in tumors, will summarize the basic molecular events underlying EMT including the signaling pathways capable of its induction as well as changes in EMT‐associated protein expression and will very briefly touch the role of microRNAs in EMT. We then outline protein markers that are used most frequently for the assessment of EMT in research and diagnostic evaluation of tumor specimens and depict the link between EMT, a cancer stem cell (CSC) phenotype and resistance to conventional antineoplastic therapies. Furthermore, we evaluate a possible correlation between EMT marker expression and patient prognosis as well as current therapeutic concepts targeting the EMT process to slow down or prevent metastatic spread of malignant tumors.https://doi.org/10.1186/2001-1326-3-17Epithelial‐mesenchymal transitionInvasionMetastasisPrognosisTherapy
spellingShingle Konrad Steinestel
Stefan Eder
Andres Jan Schrader
Julie Steinestel
Clinical significance of epithelial‐mesenchymal transition
Clinical and Translational Medicine
Epithelial‐mesenchymal transition
Invasion
Metastasis
Prognosis
Therapy
title Clinical significance of epithelial‐mesenchymal transition
title_full Clinical significance of epithelial‐mesenchymal transition
title_fullStr Clinical significance of epithelial‐mesenchymal transition
title_full_unstemmed Clinical significance of epithelial‐mesenchymal transition
title_short Clinical significance of epithelial‐mesenchymal transition
title_sort clinical significance of epithelial mesenchymal transition
topic Epithelial‐mesenchymal transition
Invasion
Metastasis
Prognosis
Therapy
url https://doi.org/10.1186/2001-1326-3-17
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