Loss of E-Cadherin Expression and Epithelial Mesenchymal Transition (EMT) As Key Steps in Tumor Progression
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Journal of Cancer Prevention & Current Research Review Article Open Access Loss of E-cadherin expression and epithelial mesenchymal transition (EMT) as key steps in tumor progression Abstract Volume 7 Issue 3 - 2017 The development of a regulatory program referred to as Epithelial Mesenchymal Transition (EMT) has been implicated as a means by which transformed epithelial cells may acquire Mariano N Carrizo the ability to invade, resist apoptosis, and disseminate.1‒3 It would appear that the EMT Medical Oncologist, Regional Medical Leader LATAM, Argentina inducing factors involved would have the ability to orchestrate most of the steps in the Correspondence: Mariano Carrizo. Rawson 3150, B1610BAL cascade of invasion and metastasis. It is still necessary to know that invasive carcinomatous 4 Ricardo Rojas, Tigre, Buenos Aires, Argentina, cells acquire their capacity to do so through the activation of parts of the EMT program. In Email tumor types where they have been identified, cancer precursor cells have shown resistance to current therapies and are associated with recurrence of the disease. Thus, by forcing these Received: January 19, 2017 | Published: February 15, 2017 cells back into their epithelial state, they could be made more receptive to current therapies. Keywords: epithelial mesenchymal transition, EMT, E-cadherin, cancer, invasion, metastasis Objectives invasion cascade until colonization, at which point the cell could undergo a reverse process called Mesenchymal Epithelium Transition Systematic bibliographic review of mechanisms involved in EMT, (MET), this plasticity being important for the formation of new tumor considering individual relevance of each in the process of tumor colonies acquiring characteristics similar to the cells of the primary progression in relation in the ability to invade, resist apoptosis and tumor, which did not go through the EMT process.6,8,9 disseminate. The concept of EMT may be simplistic in light of all the Introduction processes involved, but it is a first approximation since the process of metastasis can be separated into two important parts, first the physical In 2000 the underlying mechanisms of invasion and tumor dissemination of cells from the primary tumor to distant tissues metastasis were an enigma; it was clear that carcinomas arising and According to the adaptation of those cells to a foreign tissue from epithelial tissues progressed to higher histological grades of microenvironment to generate successful colonization. Understanding malignancy, reflected in local invasion and the ability to metastasize. programs that allow for dissemination and colonization represents a Tumor cells typically develop alterations in their form as well as their major challenge for ongoing and future research. adhesion to other cells and to the extracellular matrix.4 One of the most primitive divergences in early cellular phenotypes in organisms is the Discussion distinction between epithelial and mesenchymal cells. Epithelial cells maintain cell-cell adhesion essential for the integrity of organisms, Cell adhesion: E-cadherin while the mesenchymal phenotype cell provides support and structure Most malignant human tumors are of epithelial origin, being the to the epithelial cell primarily through the production of extracellular main characteristic of the epithelia: high cell adhesion, extracellular matrix, and unlike the confined and immobile epithelial cell, These matrix in the form of basement membrane, cellular polarity and are highly mobile and invasive.5 The best characterized alteration capacity of regeneration.5 Tumors of epithelial origin develop from involves the loss of E-Cadherin by the cells of the carcinomas, key benign precursor lesions to invasive carcinomas and then metastasize, element for the cell-cell molecular adhesion. Research on the ability and in certain epithelial tumors the activation of the EMT program is to invade and metastize has accelerated dramatically in recent years crucial for dissemination.6 The most important event of this program and critical regulatory genes have been identified.1,6,7 is the loss of E-Cadherin which was showed as a prerequisite for The Epithelial Mesenchymal Transition (EMT) as a regulated invasion, E-Cadherin being encoded by the CDH1 gene and having a developmental program has become one of the most involved dual epithelial function on the one hand the molecular adhesion Cell processes as a means by which transformed epithelial cells acquire and on the other as a negative regulator of the Wnt signaling cascade, the ability to invade, resist apoptosis, and disseminate. During in particular of its central mediator β Catenin.8,10 this process, epithelial cells repress cell-cell adhesion structures, reorganize their skeletal structure, become isolated and become Physiology of E-cadherin mobile.1 This multifaceted process may be activated transiently The milestone of epithelial cell layers is the expression of or stably and to varying degrees by carcinomatous cells during the E-Cadherin located on the lateral basement membrane at the adherent invasion and metastasis process. junctions defining apico-basal polarity, connecting neighboring A set of transcriptional factors involved, including Snail, Slug, epithelial cells by homotropic calcium-dependent interactions Twist, and Zeb 1/2 are able to orchestrate most of the steps in the at their extracellular ends, whereas the intracytoplasmic region Interacts with other components mainly ϫαμμα-catenin/placoglobin Submit Manuscript | http://medcraveonline.com J Cancer Prev Curr Res. 2017;7(3):68‒72. 68 ©2017 Carrizo. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestrited use, distribution, and build upon your work non-commercially. Loss of E-cadherin expression and epithelial mesenchymal transition (EMT) as key steps in tumor Copyright: 69 progression ©2017 Carrizo and β-Catenin, thus mediating the mechanical stability of the joints. histology of sporadic cancer, in addition somatic mutations were The alteration of the components of the adhesion bonds, mainly also identified In ovarian and endometrial carcinoma as well as in E-cadherin and β-catenin, have been shown to play an important role gastric cancer, and germinal mutations in patients with predisposition in the induction of the EMT process, which makes us wonder how to gastric diffuse cancer. Another way to lose E-cadherin expression E-cadherin and β-catenin contribute to the maintenance of epithelial is by hypermethylation of the CpG islands of the CDH1 promoter. differentiation.1,4,6,7,11 However, the most frequent mechanism seems to be the transcriptional inhibition of E-cadherin where the silencing of the expression of the Most of the knowledge about E-Cadherin/β-catenin function CDH1 gene by specific transcriptional factors, through the interaction comes from murine models where it is observed that E-Cadherin with the E-boxes located in the proximal promoter of the gene have expression is dynamically regulated during embryogenesis, is been identified, everything Described above represent the first step for transiently lost in cells in migration but is expressed when Cell begins local invasion and dissemination.3,11,13‒15 to differentiate into epithelial tissues. The physiological importance in organ development and tissue morphogenesis is now clear, knowing Mechanisms responsible for the inactivation of that in embryonic development E-Cadherin is a key player during E-cadherin during tumor progression compaction of the morula and is determinant for cellular epithelial differentiation, this is not just a Mediator of cell adhesion but also Mutation of the CDH1/E-cadherin gene contributes to regulate diverse processes like proliferation, migration, Inactivating somatic mutations of the CDH1 / E-Cadherin gene apoptosis or maintenance of the epithelial polarity, so it must emit cause the loss of expression or function of the same as the main signals downstream and the main mediator of this seems to be mechanism of inactivation in Diffuse Type Gastric Carcinoma and 11 β-catenin. Breast Lobular Carcinoma, they have also been observed in a certain E-cadherin/β-catenin /wnt signaling type of Synovial sarcomas, and infrequent in other types of tumors. They usually occur in combination with the loss of heterozygosity of B-catenin has a dual function in epithelial cells depending on its the normal allele.16 Mutations in the germ line predispose to gastric intracellular localization, at the adherent junctions acting on cell-cell carcinoma of the diffuse type and families with early onset of this adhesion with E-Cadherin, however it also acts as the main effector cancer have been detected where the appearance of mutations in in the Wnt signaling cascade in the nucleus, In summary the free the early stages of these tumorigenesis allows proposing to CDH1 β-Catenin in the cytosol is rapidly degraded by proteasome unless / E-Cadherin as a tumor suppressor gene in these types of cancer.10 the Wnt signaling pathway is activated. The binding of the WNT molecules to the frizzled receptors activates the signaling cascade Epigenetic silencing and the LRP5/6 receptor co receptors are recruited to translate the It consists of the hypermethylation of the CpG islands of the gene signal to the cytoplasm, causing inhibition of GSK3β, whereby beta- promoter; this entails the recruitment of methylated DNA binding catenin evades degradation, accumulating in the cytoplasm and finally proteins