IMR Press / FBL / Volume 26 / Issue 2 / DOI: 10.2741/4893

Frontiers in Bioscience-Landmark (FBL) is published by IMR Press from Volume 26 Issue 5 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with Frontiers in Bioscience.

Review
EMT imparts cancer stemness and plasticity: new perspectives and therapeutic potential
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1 Stem Cell Biology Group, Waghmare Lab, Cancer Research Institute, Advanced Centre for Treatment Research and Education in Cancer (ACTREC), Tata Memorial Centre, Kharghar, Navi Mumbai 410210, Maharashtra, India
2 Homi Bhabha National Institute, Training School Complex, Anushakti Nagar, Mumbai 400085, India
Send correspondence to: Sanjeev K Waghmare, Stem Cell Biology Group, Waghmare Lab, Cancer Research Institute, Advanced Centre for Treatment Research and Education in Cancer (ACTREC), Tata Memorial Centre, Kharghar, Navi Mumbai 410210, Maharashtra, India, Tel: 91-22-2740-5122, Fax: 91-22-2740-5085, E-mail: swaghmare@actrec.gov.in
Front. Biosci. (Landmark Ed) 2021, 26(2), 238–265; https://doi.org/10.2741/4893
Published: 1 October 2020
(This article belongs to the Special Issue Elucidation of exosomes role in metastasis)
Abstract

Epithelial-to-mesenchymal transition (EMT) is a fundamental cellular phenomenon that plays an intrinsic role in development, tissue repair, and cancer progression. EMT is tightly regulated by transcription factors that alter gene expression to promote epithelial to mesenchymal phenotype. EMT is also regulated by a diverse array of cytokines and growth factors whose activities are deregulated during malignancy. EMT enables tumor cells to exist in various intermediate states along the epithelial-mesenchymal phenotypic axis that transit from cancer stem cells (CSCs) to circulating tumor cells (CTCs). Recent studies have revealed the importance of CSCs in tumor promotion, invasion and metastasis. The relapsed tumors encompass CSCs which are resistant to radiotherapy and chemotherapy. In this review, we have summarized our current understanding of the molecular mechanisms that regulate EMT induced CSC phenotype. We have highlighted studies implicating the function of TGF-β, Wnt, and Notch regulated non-coding RNAs in driving EMT promoting CSC self-renewal. Finally, we discuss how the EMT and CSCs cause drug resistance with the hope to overcome such resistance as a possible approach for cancer treatment.

Keywords
Cancer
Cancer stem cells
Epithelial to mesenchymal transition
Metastasis
Signaling
miRNA
Review
Figures
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