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Updated: May 1, 2026

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
Epithelial-to-mesenchymal transition activates PERK-eIF2α and sensitizes cells to endoplasmic reticulum stress
Yu-Xiong Feng1, Ethan S Sokol2, Catherine A Del Vecchio3
1Whitehead Institute for Biomedical Research; Department of Biology, Massachusetts Institute of Technology, Cambridge, Massachusetts.
Unlabelled:
Epithelial-to-mesenchymal transition (EMT) promotes both tumor progression and drug resistance, yet few vulnerabilities of this state have been identified. Using selective small molecules as cellular probes, we show that induction of EMT greatly sensitizes cells to agents that perturb endoplasmic reticulum (ER) function. This sensitivity to ER perturbations is caused by the synthesis and secretion of large quantities of extracellular matrix (ECM) proteins by EMT cells. Consistent with their increased secretory output, EMT cells display a branched ER morphology and constitutively activate the PERK-eIF2α axis of the unfolded protein response (UPR). Protein kinase RNA-like ER kinase (PERK) activation is also required for EMT cells to invade and metastasize. In human tumor tissues, EMT gene expression correlates strongly with both ECM and PERK-eIF2α genes, but not with other branches of the UPR. Taken together, our findings identify a novel vulnerability of EMT cells, and demonstrate that the PERK branch of the UPR is required for their malignancy.
Significance:
EMT drives tumor metastasis and drug resistance, highlighting the need for therapies that target this malignant subpopulation. Our findings identify a previously unrecognized vulnerability of cancer cells that have undergone an EMT: sensitivity to ER stress. We also find that PERK-eIF2α signaling, which is required to maintain ER homeostasis, is also indispensable for EMT cells to invade and metastasize.
Insights
Epithelial-to-mesenchymal transition (EMT) drives cancer malignancy. EMT cells become vulnerable to endoplasmic reticulum (ER) stress, with the PERK-eIF2α pathway essential for their invasion and metastasis.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Epithelial-to-mesenchymal transition (EMT) is a process that enhances tumor progression and drug resistance.
- Few vulnerabilities of EMT-induced cancer cells have been identified.
- Understanding these vulnerabilities is crucial for developing targeted therapies.
Purpose of the Study:
- To identify novel vulnerabilities of cancer cells that have undergone EMT.
- To investigate the role of endoplasmic reticulum (ER) stress response in EMT-associated malignancy.
- To explore the therapeutic potential of targeting ER stress in EMT.
Main Methods:
- Utilized small molecules as probes to induce and study EMT.
- Assessed cellular sensitivity to agents perturbing ER function.
- Analyzed ER morphology, unfolded protein response (UPR) activation, and gene expression in EMT cells.
- Correlated EMT gene expression with ECM and PERK-eIF2α pathway genes in human tumor tissues.
Main Results:
- Induction of EMT sensitizes cancer cells to ER stress-inducing agents.
- EMT cells exhibit increased synthesis and secretion of extracellular matrix (ECM) proteins, leading to ER stress.
- EMT cells display a branched ER morphology and constitutively activate the PERK-eIF2α axis of the UPR.
- PERK-eIF2α pathway activation is essential for EMT cell invasion and metastasis.
- In human tumors, EMT gene expression correlates with ECM and PERK-eIF2α genes.
Conclusions:
- EMT confers a vulnerability to ER stress in cancer cells.
- The PERK-eIF2α pathway is critical for maintaining ER homeostasis and is indispensable for EMT cell invasion and metastasis.
- Targeting the PERK-eIF2α pathway represents a potential therapeutic strategy against EMT-driven cancers.
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