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Shedding light on the EpCAM: An overview
Seyed Muhammad Yahyazadeh Mashhadi1,2,3, Monireh Kazemimanesh1, Arash Arashkia1
1Department of Virology, Pasteur Institute of Iran, Tehran, Iran.
Insights
The epithelial cell adhesion molecule (EpCAM) is crucial for tissue structure and its dysfunction is linked to cancer and genetic disorders. EpCAM
Area of Science:
- Cell Biology
- Molecular Biology
- Oncology
Background:
- The epithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein found on most epithelial cells.
- EpCAM is vital for maintaining epithelial tissue integrity and cell-cell adhesion.
- Dysregulation of EpCAM is implicated in various diseases, including cancer and genetic disorders.
Purpose of the Study:
- To review the multifaceted roles of EpCAM in epithelial biology.
- To explore the implications of EpCAM mutations and overexpression in disease pathogenesis.
- To highlight EpCAM's potential as a biomarker in cancer diagnostics and therapeutics.
Main Methods:
- Literature review of studies on EpCAM function and expression.
- Analysis of genetic data related to EpCAM mutations.
- Examination of EpCAM's role in cancer stem cells and circulating tumor cells (CTCs).
Main Results:
- EpCAM regulates tight junctions and cellular interactions, influencing tissue homeostasis.
- EpCAM gene mutations are associated with congenital tufting enteropathy and Lynch syndrome.
- Overexpression of EpCAM in cancer stem cells and CTCs suggests diagnostic and therapeutic potential.
Conclusions:
- EpCAM is a key regulator of epithelial integrity with significant implications in disease.
- EpCAM's role in cancer progression and its presence on CTCs offer avenues for targeted therapies.
- Further research into EpCAM functions can advance understanding of epithelial disorders and cancer treatment.
Abstract:
The epithelial cell adhesion molecule (EpCAM) is a Type I transmembrane superficial glycoprotein antigen that is expressed on the surface of basolateral membrane of multiple epithelial cells with some exceptions such as epidermal keratinocytes, hepatocytes, thymic cortical epithelial cells, squamous stratified epithelial cells, and myoepithelial cells that do not express the molecule. The molecule plays a pivotal role in the structural integrity, adhesion of the epithelial tissues and their interaction with the underlying layers. EpCAM prevents claudin-7 and claudin-1 molecules from degradation, thereby, decreasing the number of tight junctions and cellular interconnections, and promoting the cells toward carcinogenic transformation. Moreover, the mutations in the EpCAM gene lead to congenital tufting enteropathy, severe intestinal epithelium homeostasis disorders, and Lynch and Lynch syndrome. Overexpression of EpCAM on stem cells of some cancers and the presence of this molecule on circulating tumor cells (CTCs) makes it a promising candidate for cancer diagnosis as well as tracing and isolation of CTCs.
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