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Published on: August 28, 2018
Homeostatic Signaling by Cell-Cell Junctions and Its Dysregulation during Cancer Progression
Yang Yu1, Randolph C Elble2,3
1Department of Nature Medicine, Tianjin Medical University School of Pharmacy, Tianjin 300070, China. yuyang@tmu.edu.cn.
Abstract:
The transition of sessile epithelial cells to a migratory, mesenchymal phenotype is essential for metazoan development and tissue repair, but this program is exploited by tumor cells in order to escape the confines of the primary organ site, evade immunosurveillance, and resist chemo-radiation. In addition, epithelial-to-mesenchymal transition (EMT) confers stem-like properties that increase efficiency of colonization of distant organs. This review evaluates the role of cell-cell junctions in suppressing EMT and maintaining a quiescent epithelium. We discuss the conflicting data on junctional signaling in cancer and recent developments that resolve some of these conflicts. We focus on evidence from breast cancer, but include other organ sites where appropriate. Current and potential strategies for inhibition of EMT are discussed.
Insights
Epithelial-to-mesenchymal transition (EMT) drives cancer metastasis and therapy resistance. Cell-cell junctions suppress EMT, but their role in cancer is complex. This review explores junctional signaling to inhibit EMT in cancer therapy.
Area of Science:
- Cell Biology
- Cancer Biology
- Developmental Biology
Background:
- Epithelial-to-mesenchymal transition (EMT) is crucial for development and repair but is hijacked by cancer cells for metastasis and therapy resistance.
- EMT also confers stem-like properties, enhancing the colonization of distant organs.
- Cell-cell junctions normally maintain epithelial quiescence and suppress EMT.
Purpose of the Study:
- To review the role of cell-cell junctions in suppressing EMT.
- To discuss conflicting data on junctional signaling in cancer and recent resolutions.
- To explore strategies for inhibiting EMT.
Main Methods:
- Literature review focusing on cell-cell junctions and EMT.
- Analysis of data from breast cancer and other relevant organ sites.
- Evaluation of current and potential EMT inhibition strategies.
Main Results:
- Cell-cell junctions play a critical role in suppressing EMT and maintaining epithelial integrity.
- Junctional signaling in cancer presents complex and sometimes conflicting evidence.
- Recent developments are helping to resolve these conflicts regarding junctional roles.
Conclusions:
- Targeting cell-cell junctions offers potential therapeutic strategies to inhibit EMT.
- Understanding junctional signaling is key to overcoming EMT-driven metastasis and therapy resistance.
- Further research into resolving conflicting data can lead to novel anti-cancer treatments.
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