PMID- 20531305 OWN - NLM STAT- MEDLINE DCOM- 20101007 LR - 20220408 IS - 1476-5594 (Electronic) IS - 0950-9232 (Print) IS - 0950-9232 (Linking) VI - 29 IP - 34 DP - 2010 Aug 26 TI - EMT, cancer stem cells and drug resistance: an emerging axis of evil in the war on cancer. PG - 4741-51 LID - 10.1038/onc.2010.215 [doi] AB - Tumors are cellularly and molecularly heterogeneous, with subsets of undifferentiated cancer cells exhibiting stem cell-like features (CSCs). Epithelial to mesenchymal transitions (EMT) are transdifferentiation programs that are required for tissue morphogenesis during embryonic development. The EMT process can be regulated by a diverse array of cytokines and growth factors, such as transforming growth factor (TGF)-beta, whose activities are dysregulated during malignant tumor progression. Thus, EMT induction in cancer cells results in the acquisition of invasive and metastatic properties. Recent reports indicate that the emergence of CSCs occurs in part as a result of EMT, for example, through cues from tumor stromal components. Recent evidence now indicates that EMT of tumor cells not only causes increased metastasis, but also contributes to drug resistance. In this review, we will provide potential mechanistic explanations for the association between EMT induction and the emergence of CSCs. We will also highlight recent studies implicating the function of TGF-beta-regulated noncoding RNAs in driving EMT and promoting CSC self-renewal. Finally we will discuss how EMT and CSCs may contribute to drug resistance, as well as therapeutic strategies to overcome this clinically. FAU - Singh, A AU - Singh A AD - Massachusetts General Hospital Cancer Center and Harvard Medical School, Charlestown, MA, USA. FAU - Settleman, J AU - Settleman J LA - eng GR - K99 CA149169/CA/NCI NIH HHS/United States GR - K99 CA149169-01/CA/NCI NIH HHS/United States GR - K99 CA149169-02/CA/NCI NIH HHS/United States GR - R00 CA149169/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20100607 PL - England TA - Oncogene JT - Oncogene JID - 8711562 SB - IM MH - Animals MH - Drug Resistance, Neoplasm MH - Epithelial Cells/pathology MH - Humans MH - Mesoderm/pathology MH - Neoplasms/*drug therapy/*pathology MH - Neoplastic Stem Cells/*pathology PMC - PMC3176718 MID - NIHMS323987 EDAT- 2010/06/10 06:00 MHDA- 2010/10/12 06:00 PMCR- 2011/09/20 CRDT- 2010/06/10 06:00 PHST- 2010/06/10 06:00 [entrez] PHST- 2010/06/10 06:00 [pubmed] PHST- 2010/10/12 06:00 [medline] PHST- 2011/09/20 00:00 [pmc-release] AID - onc2010215 [pii] AID - 10.1038/onc.2010.215 [doi] PST - ppublish SO - Oncogene. 2010 Aug 26;29(34):4741-51. doi: 10.1038/onc.2010.215. Epub 2010 Jun 7.