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Epithelial–mesenchymal plasticity in carcinoma metastasis

Jeff H. Tsai, +1 more
- 15 Oct 2013 - 
- Vol. 27, Iss: 20, pp 2192-2206
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TLDR
The functional requirement of EMT and/or MET during the individual steps of tumor metastasis is reviewed and the potential of targeting this program when treating metastatic diseases is discussed.
Abstract
Tumor metastasis is a multistep process by which tumor cells disseminate from their primary site and form secondary tumors at a distant site. Metastasis occurs through a series of steps: local invasion, intravasation, transport, extravasation, and colonization. A developmental program termed epithelial-mesenchymal transition (EMT) has been shown to play a critical role in promoting metastasis in epithelium-derived carcinoma. Recent experimental and clinical studies have improved our knowledge of this dynamic program and implicated EMT and its reverse program, mesenchymal-epithelial transition (MET), in the metastatic process. Here, we review the functional requirement of EMT and/or MET during the individual steps of tumor metastasis and discuss the potential of targeting this program when treating metastatic diseases.

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The low affinity neurotrophin receptor CD271 regulates phenotype switching in melanoma

TL;DR: In vivo models of human melanoma are used and it is shown that CD271 is a key regulator of phenotype switching and metastasis formation, and plays a dual role in this process by decreasing proliferation, while simultaneously promoting invasiveness.
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Tumour progression and metastasis

TL;DR: The strategies that develop tumour cells during tumour progression and the way in which the microenvironment influences the formation of metastasis are reviewed and it is suggested that the metastatic niche can be an ideal target for new treatments that make controlling metastasis possible.
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The biological and clinical importance of epithelial–mesenchymal transition in circulating tumor cells

TL;DR: The biological and clinical importance of EMT and/or MET in CTCs during the individual steps of tumor metastasis are focused on, summarizing the recent findings of the regulatory roles played in the generation, survival, and recolonization of C TCs and discussing the EMT-targeting strategies developed for tumor diagnosis as well as their potential for management of metastatic malignant diseases.
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TL;DR: Processes similar to the EMTs associated with embryo implantation, embryogenesis, and organ development are appropriated and subverted by chronically inflamed tissues and neoplasias and the identification of the signaling pathways that lead to activation of EMT programs during these disease processes is providing new insights into the plasticity of cellular phenotypes.
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