Epithelial-mesenchymal transition in colorectal cancer metastasis and progression: molecular mechanisms and therapeutic strategies.

IF 6.1 2区 生物学 Q1 CELL BIOLOGY
Fangfang Nie, Xue Sun, Jizhuo Sun, Jingdong Zhang, Yuanhe Wang
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引用次数: 0

Abstract

Colorectal cancer (CRC) continues to be a major contributor to cancer-associated death, with metastatic disease posing substantial therapeutic challenges. The epithelial-mesenchymal transition (EMT) orchestrates the transformation of polarized epithelial cells into motile mesenchymal phenotypes, characterized by enhanced migratory capacity and invasive properties. EMT is central to CRC metastasis and progression, particularly concerning its contribution to invasion, internal infiltration, and colonization. Beyond metastasis, EMT facilitates cancer cells' adaptation to diverse microenvironments, gain of stem cell-like characteristics, metabolic reprogramming, and evasion of therapeutic interventions. EMT signatures are emerging as potential prognostic biomarkers, offering valuable insights for real-time disease surveillance and personalized therapeutic strategies. Targeting EMT presents a promising therapeutic avenue to improve drug sensitivity and counteract resistance in CRC. This review systematically examines the molecular mechanisms regulating EMT in CRC, including key transcription factors; post-translational and epigenetic modifications; non-coding RNAs; and pivotal signaling pathways. Additionally, we evaluate the clinical implications of EMT in CRC progression and metastasis and critically assess emerging therapeutic strategies targeting EMT. This study lays the groundwork for developing more efficient interventions to mitigate metastasis and enhance treatment outcomes and patient survival by elucidating the intricate molecular networks that govern EMT and its contributions to CRC pathology.

结直肠癌转移和进展中的上皮-间质转化:分子机制和治疗策略。
结直肠癌(CRC)仍然是癌症相关死亡的主要原因,转移性疾病带来了巨大的治疗挑战。上皮-间充质转化(EMT)协调极化上皮细胞向运动间充质表型的转化,其特征是迁移能力增强和侵袭性增强。EMT是结直肠癌转移和进展的核心,特别是在其入侵、内部浸润和定植方面的作用。除了转移,EMT还促进癌细胞适应不同的微环境,获得干细胞样特征,代谢重编程和逃避治疗干预。EMT特征正在成为潜在的预后生物标志物,为实时疾病监测和个性化治疗策略提供有价值的见解。靶向EMT为改善结直肠癌的药物敏感性和抵抗耐药性提供了一条有希望的治疗途径。本文系统探讨了CRC中EMT的分子调控机制,包括关键转录因子;翻译后修饰和表观遗传修饰;非编码rna;和关键信号通路。此外,我们评估了EMT在结直肠癌进展和转移中的临床意义,并批判性地评估了针对EMT的新兴治疗策略。本研究通过阐明控制EMT及其对结直肠癌病理的影响的复杂分子网络,为开发更有效的干预措施以减轻转移、提高治疗效果和患者生存率奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cell Death Discovery
Cell Death Discovery Biochemistry, Genetics and Molecular Biology-Cell Biology
CiteScore
8.30
自引率
1.40%
发文量
468
审稿时长
9 weeks
期刊介绍: Cell Death Discovery is a multidisciplinary, international, online-only, open access journal, dedicated to publishing research at the intersection of medicine with biochemistry, pharmacology, immunology, cell biology and cell death, provided it is scientifically sound. The unrestricted access to research findings in Cell Death Discovery will foster a dynamic and highly productive dialogue between basic scientists and clinicians, as well as researchers in industry with a focus on cancer, neurobiology and inflammation research. As an official journal of the Cell Death Differentiation Association (ADMC), Cell Death Discovery will build upon the success of Cell Death & Differentiation and Cell Death & Disease in publishing important peer-reviewed original research, timely reviews and editorial commentary. Cell Death Discovery is committed to increasing the reproducibility of research. To this end, in conjunction with its sister journals Cell Death & Differentiation and Cell Death & Disease, Cell Death Discovery provides a unique forum for scientists as well as clinicians and members of the pharmaceutical and biotechnical industry. It is committed to the rapid publication of high quality original papers that relate to these subjects, together with topical, usually solicited, reviews, editorial correspondence and occasional commentaries on controversial and scientifically informative issues.
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