EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells

Metastasis and tumor progression are the major cause of death in patients suffering from pancreatic ductal adenocarcinoma. Tumor growth and especially dissemination are typically associated with activation of an epithelial-to-mesenchymal transition (EMT) program. This phenotypic transition from an e...

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Main Authors: Eva Rodriguez-Aznar, Lisa Wiesmüller, Bruno Sainz, Patrick C. Hermann
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/8/1136
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author Eva Rodriguez-Aznar
Lisa Wiesmüller
Bruno Sainz
Patrick C. Hermann
author_facet Eva Rodriguez-Aznar
Lisa Wiesmüller
Bruno Sainz
Patrick C. Hermann
author_sort Eva Rodriguez-Aznar
collection DOAJ
description Metastasis and tumor progression are the major cause of death in patients suffering from pancreatic ductal adenocarcinoma. Tumor growth and especially dissemination are typically associated with activation of an epithelial-to-mesenchymal transition (EMT) program. This phenotypic transition from an epithelial to a mesenchymal state promotes migration and survival both during development and in cancer progression. When re-activated in pathological contexts such as cancer, this type of developmental process confers additional stemness properties to specific subsets of cells. Cancer stem cells (CSCs) are a subpopulation of cancer cells with stem-like features that are responsible for the propagation of the tumor as well as therapy resistance and cancer relapse, but also for circulating tumor cell release and metastasis. In support of this concept, EMT transcription factors generate cells with stem cell properties and mediate chemoresistance. However, their role in pancreatic ductal adenocarcinoma metastasis remains controversial. As such, a better characterization of CSC populations will be crucial in future development of therapies targeting these cells. In this review, we will discuss the latest updates on the mechanisms common to pancreas development and CSC-mediated tumor progression.
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spelling doaj.art-6ddece3daffc490ba4a4f85a370199f22023-09-02T08:19:22ZengMDPI AGCancers2072-66942019-08-01118113610.3390/cancers11081136cancers11081136EMT and Stemness—Key Players in Pancreatic Cancer Stem CellsEva Rodriguez-Aznar0Lisa Wiesmüller1Bruno Sainz2Patrick C. Hermann3Department of Internal Medicine I, Ulm University, 89081 Ulm, GermanyDivision of Gynecological Oncology, Department of Obstetrics and Gynecology of the University of Ulm, 89081 Ulm, GermanyDepartment of Biochemistry, Universidad Autonoma de Madrid (UAM), 28029 Madrid, SpainDepartment of Internal Medicine I, Ulm University, 89081 Ulm, GermanyMetastasis and tumor progression are the major cause of death in patients suffering from pancreatic ductal adenocarcinoma. Tumor growth and especially dissemination are typically associated with activation of an epithelial-to-mesenchymal transition (EMT) program. This phenotypic transition from an epithelial to a mesenchymal state promotes migration and survival both during development and in cancer progression. When re-activated in pathological contexts such as cancer, this type of developmental process confers additional stemness properties to specific subsets of cells. Cancer stem cells (CSCs) are a subpopulation of cancer cells with stem-like features that are responsible for the propagation of the tumor as well as therapy resistance and cancer relapse, but also for circulating tumor cell release and metastasis. In support of this concept, EMT transcription factors generate cells with stem cell properties and mediate chemoresistance. However, their role in pancreatic ductal adenocarcinoma metastasis remains controversial. As such, a better characterization of CSC populations will be crucial in future development of therapies targeting these cells. In this review, we will discuss the latest updates on the mechanisms common to pancreas development and CSC-mediated tumor progression.https://www.mdpi.com/2072-6694/11/8/1136cancer stem cellspancreatic cancermetastasisEMTstem cells
spellingShingle Eva Rodriguez-Aznar
Lisa Wiesmüller
Bruno Sainz
Patrick C. Hermann
EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
Cancers
cancer stem cells
pancreatic cancer
metastasis
EMT
stem cells
title EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
title_full EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
title_fullStr EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
title_full_unstemmed EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
title_short EMT and Stemness—Key Players in Pancreatic Cancer Stem Cells
title_sort emt and stemness key players in pancreatic cancer stem cells
topic cancer stem cells
pancreatic cancer
metastasis
EMT
stem cells
url https://www.mdpi.com/2072-6694/11/8/1136
work_keys_str_mv AT evarodriguezaznar emtandstemnesskeyplayersinpancreaticcancerstemcells
AT lisawiesmuller emtandstemnesskeyplayersinpancreaticcancerstemcells
AT brunosainz emtandstemnesskeyplayersinpancreaticcancerstemcells
AT patrickchermann emtandstemnesskeyplayersinpancreaticcancerstemcells