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Updated: Oct 12, 2025

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Reversing an Oncogenic Epithelial-to-Mesenchymal Transition Program in Breast Cancer Reveals Actionable Immune
Michelle M Williams1, Sabrina A Hafeez1, Jessica L Christenson1
1Department of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Abstract:
Approval of checkpoint inhibitors for treatment of metastatic triple negative breast cancer (mTNBC) has opened the door for the use of immunotherapies against this disease. However, not all patients with mTNBC respond to current immunotherapy approaches such as checkpoint inhibitors. Recent evidence demonstrates that TNBC metastases are more immune suppressed than primary tumors, suggesting that combination or additional immunotherapy strategies may be required to activate an anti-tumor immune attack at metastatic sites. To identify other immune suppressive mechanisms utilized by mTNBC, our group and others manipulated oncogenic epithelial-to-mesenchymal transition (EMT) programs in TNBC models to reveal differences between this breast cancer subtype and its more epithelial counterpart. This review will discuss how EMT modulation revealed several mechanisms, including tumor cell metabolism, cytokine milieu and secretion of additional immune modulators, by which mTNBC cells may suppress both the innate and adaptive anti-tumor immune responses. Many of these pathways/proteins are under preclinical or clinical investigation as therapeutic targets in mTNBC and other advanced cancers to enhance their response to chemotherapy and/or checkpoint inhibitors.
Insights
Metastatic triple-negative breast cancer (mTNBC) metastases are immune suppressed, necessitating new immunotherapy strategies beyond checkpoint inhibitors. Targeting epithelial-to-mesenchymal transition (EMT) reveals immune-suppressing mechanisms in mTNBC.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Checkpoint inhibitors offer immunotherapy for metastatic triple-negative breast cancer (mTNBC).
- Not all mTNBC patients respond to current immunotherapies.
- TNBC metastases exhibit greater immune suppression than primary tumors, indicating a need for combination or novel immunotherapy strategies.
Purpose of the Study:
- To identify immune-suppressive mechanisms in mTNBC.
- To investigate the role of oncogenic epithelial-to-mesenchymal transition (EMT) in mTNBC immune evasion.
- To explore potential therapeutic targets for enhancing anti-tumor immunity in mTNBC.
Main Methods:
- Review of studies manipulating EMT programs in TNBC models.
- Analysis of differences between mTNBC and epithelial breast cancer subtypes.
- Examination of tumor cell metabolism, cytokine milieu, and immune modulator secretion.
Main Results:
- EMT modulation revealed mechanisms by which mTNBC cells suppress innate and adaptive anti-tumor immunity.
- Identified pathways include tumor cell metabolism and cytokine secretion.
- mTNBC utilizes additional immune modulators to evade immune responses.
Conclusions:
- EMT plays a critical role in mTNBC immune suppression.
- Targeting EMT-associated pathways may enhance immunotherapy efficacy in mTNBC.
- Several identified pathways are under investigation as therapeutic targets for mTNBC and other advanced cancers.
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