Linking EMT programmes to normal and neoplastic epithelial stem cells

Epithelial stem cells serve critical physiological functions in the generation, maintenance and repair of diverse tissues through their ability to self-renew and spawn more specialized, differentiated cell types. In an analogous fashion, cancer stem cells have been proposed to fuel the growth, progr...

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Veröffentlicht in:Nature reviews. Cancer 2021-05, Vol.21 (5), p.325-338
Hauptverfasser: Lambert, Arthur W., Weinberg, Robert A.
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description Epithelial stem cells serve critical physiological functions in the generation, maintenance and repair of diverse tissues through their ability to self-renew and spawn more specialized, differentiated cell types. In an analogous fashion, cancer stem cells have been proposed to fuel the growth, progression and recurrence of many carcinomas. Activation of an epithelial–mesenchymal transition (EMT), a latent cell-biological programme involved in development and wound healing, has been linked to the formation of both normal and neoplastic stem cells, but the mechanistic basis underlying this connection remains unclear. In this Perspective, we outline the instances where aspects of an EMT have been implicated in normal and neoplastic epithelial stem cells and consider the involvement of this programme during tissue regeneration and repair. We also discuss emerging concepts and evidence related to the heterogeneous and plastic cell states generated by EMT programmes and how these bear on our understanding of cancer stem cell biology and cancer metastasis. A more comprehensive accounting of the still-elusive links between EMT programmes and the stem cell state will surely advance our understanding of both normal stem cell biology and cancer pathogenesis. This Perspective outlines the connections of epithelial–mesenchymal transition programmes to the stem cell state in both normal and cancer stem cells and discusses emerging concepts related to the heterogeneous and plastic cell states generated by an epithelial–mesenchymal transition that influence our understanding of cancer stem cell biology and cancer metastasis.
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source MEDLINE; SpringerLink Journals; Nature Journals Online
subjects 631/532
631/532/71
631/67/71
Animals
Biology
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Carcinogenesis
Carcinoma
Cell Differentiation
Cell transformation
Epithelial Cells - pathology
Epithelial-Mesenchymal Transition
Health aspects
Humans
Mesenchyme
Metastases
Metastasis
Neoplasms - pathology
Neoplasms - therapy
Neoplastic Stem Cells - pathology
Perspective
Physiological aspects
Stem cell research
Stem cells
Wound healing
title Linking EMT programmes to normal and neoplastic epithelial stem cells
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