Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression

The classification of tumors into subtypes, characterized by phenotypes determined by specific differentiation pathways, aids diagnosis and directs therapy towards targeted approaches. However, with the advent and explosion of next-generation sequencing, cancer phenotypes are turning out to be far m...

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Main Authors: Monica Fedele, Laura Cerchia, Sabrina Battista
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/13/4/350
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author Monica Fedele
Laura Cerchia
Sabrina Battista
author_facet Monica Fedele
Laura Cerchia
Sabrina Battista
author_sort Monica Fedele
collection DOAJ
description The classification of tumors into subtypes, characterized by phenotypes determined by specific differentiation pathways, aids diagnosis and directs therapy towards targeted approaches. However, with the advent and explosion of next-generation sequencing, cancer phenotypes are turning out to be far more heterogenous than initially thought, and the classification is continually being updated to include more subtypes. Tumors are indeed highly dynamic, and they can evolve and undergo various changes in their characteristics during disease progression. The picture becomes even more complex when the tumor responds to a therapy. In all these cases, cancer cells acquire the ability to transdifferentiate, changing subtype, and adapt to changing microenvironments. These modifications affect the tumor’s growth rate, invasiveness, response to treatment, and overall clinical behavior. Studying tumor subtype transitions is crucial for understanding tumor evolution, predicting disease outcomes, and developing personalized treatment strategies. We discuss this emerging hallmark of cancer and the molecular mechanisms involved at the crossroads between tumor cells and their microenvironment, focusing on four different human cancers in which tissue plasticity causes a subtype switch: breast cancer, prostate cancer, glioblastoma, and pancreatic adenocarcinoma.
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spelling doaj.art-e81a1b0427c14dc1a7e5ae9df8a6e07a2024-02-23T15:11:58ZengMDPI AGCells2073-44092024-02-0113435010.3390/cells13040350Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor ProgressionMonica Fedele0Laura Cerchia1Sabrina Battista2Institute of Experimental Endocrinology and Oncology “G. Salvatore” (IEOS), National Research Council—CNR, 80131 Naples, ItalyInstitute of Experimental Endocrinology and Oncology “G. Salvatore” (IEOS), National Research Council—CNR, 80131 Naples, ItalyInstitute of Experimental Endocrinology and Oncology “G. Salvatore” (IEOS), National Research Council—CNR, 80131 Naples, ItalyThe classification of tumors into subtypes, characterized by phenotypes determined by specific differentiation pathways, aids diagnosis and directs therapy towards targeted approaches. However, with the advent and explosion of next-generation sequencing, cancer phenotypes are turning out to be far more heterogenous than initially thought, and the classification is continually being updated to include more subtypes. Tumors are indeed highly dynamic, and they can evolve and undergo various changes in their characteristics during disease progression. The picture becomes even more complex when the tumor responds to a therapy. In all these cases, cancer cells acquire the ability to transdifferentiate, changing subtype, and adapt to changing microenvironments. These modifications affect the tumor’s growth rate, invasiveness, response to treatment, and overall clinical behavior. Studying tumor subtype transitions is crucial for understanding tumor evolution, predicting disease outcomes, and developing personalized treatment strategies. We discuss this emerging hallmark of cancer and the molecular mechanisms involved at the crossroads between tumor cells and their microenvironment, focusing on four different human cancers in which tissue plasticity causes a subtype switch: breast cancer, prostate cancer, glioblastoma, and pancreatic adenocarcinoma.https://www.mdpi.com/2073-4409/13/4/350luminal to basal-like transitionneuroendocrine differentiationproneural to mesenchymal transitiontissue transdifferentiationbreast cancerprostate cancer
spellingShingle Monica Fedele
Laura Cerchia
Sabrina Battista
Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
Cells
luminal to basal-like transition
neuroendocrine differentiation
proneural to mesenchymal transition
tissue transdifferentiation
breast cancer
prostate cancer
title Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
title_full Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
title_fullStr Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
title_full_unstemmed Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
title_short Subtype Transdifferentiation in Human Cancer: The Power of Tissue Plasticity in Tumor Progression
title_sort subtype transdifferentiation in human cancer the power of tissue plasticity in tumor progression
topic luminal to basal-like transition
neuroendocrine differentiation
proneural to mesenchymal transition
tissue transdifferentiation
breast cancer
prostate cancer
url https://www.mdpi.com/2073-4409/13/4/350
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