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EpCAM: structure and function in health and disease
Ulrike Schnell1, Vincenzo Cirulli, Ben N G Giepmans
1Dept. of Cell Biology, University of Groningen, Groningen, The Netherlands.
Abstract:
Injection of tumor cells in mice more than 30 years ago resulted in the discovery of an epithelial antigen, later defined as a cell adhesion molecule (EpCAM). Although EpCAM has since evoked significant interest as a target in cancer therapy, mechanistic insights on the functions of this glycoprotein have been emerging only very recently. This may have been caused by the multitude of functions attributed to the glycoprotein, its localization at different subcellular sites and complex posttranslational modifications. Here, we review how EpCAM modifies cell-cell contact adhesion strength and tissue plasticity, and how it regulates cell proliferation and differentiation. Major knowledge derived from human diseases will be highlighted: Mutant EpCAM that is absent from the cell surface leads to fatal intestinal abnormalities (congenital tufting enteropathy). EpCAM-mediated cell proliferation in cancer may result from signaling (i) via regulated intramembrane proteolysis and/or (ii) the localization and association with binding partners in specialized membrane microdomains. New insight in EpCAM signaling will help to develop optimized cancer therapies and open new avenues in the field of regenerative medicine.
Insights
Epithelial cell adhesion molecule (EpCAM) is crucial for cell adhesion and tissue plasticity. Recent insights into EpCAM signaling reveal its role in cancer proliferation and potential for regenerative medicine therapies.
Area of Science:
- Biochemistry
- Cell Biology
- Oncology
Background:
- Epithelial cell adhesion molecule (EpCAM) was discovered over 30 years ago.
- EpCAM is a cell adhesion molecule with significant interest as a cancer therapy target.
- Recent mechanistic insights into EpCAM functions are emerging due to its complex nature.
Purpose of the Study:
- To review the functions of EpCAM in cell-cell adhesion, tissue plasticity, proliferation, and differentiation.
- To highlight knowledge derived from human diseases related to EpCAM.
- To discuss EpCAM signaling pathways in cancer and their therapeutic implications.
Main Methods:
- Literature review of EpCAM functions and disease associations.
- Analysis of EpCAM's role in cell adhesion strength and tissue plasticity.
- Investigation of EpCAM-mediated signaling in cancer proliferation.
Main Results:
- EpCAM modifies cell-cell contact adhesion strength and tissue plasticity.
- Mutant EpCAM absence from the cell surface causes congenital tufting enteropathy.
- EpCAM-mediated cancer cell proliferation involves signaling via regulated intramembrane proteolysis and/or specialized membrane microdomain associations.
Conclusions:
- Understanding EpCAM signaling is key to developing optimized cancer therapies.
- New insights into EpCAM offer potential avenues in regenerative medicine.
- EpCAM's diverse functions and complex regulation are critical for its biological roles.
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