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Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis

Saxena, K and Jolly, MK and Balamurugan, K (2020) Hypoxia, partial EMT and collective migration: Emerging culprits in metastasis. In: Translational Oncology, 13 (11).

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Official URL: https://dx.doi.org/10.1016/j.tranon.2020.100845


Epithelial-mesenchymal transition (EMT) is a cellular biological process involved in migration of primary cancer cells to secondary sites facilitating metastasis. Besides, EMT also confers properties such as stemness, drug resistance and immune evasion which can aid a successful colonization at the distant site. EMT is not a binary process; recent evidence suggests that cells in partial EMT or hybrid E/M phenotype(s) can have enhanced stemness and drug resistance as compared to those undergoing a complete EMT. Moreover, partial EMT enables collective migration of cells as clusters of circulating tumor cells or emboli, further endorsing that cells in hybrid E/M phenotypes may be the �fittest� for metastasis. Here, we review mechanisms and implications of hybrid E/M phenotypes, including their reported association with hypoxia. Hypoxia-driven activation of HIF-1α can drive EMT. In addition, cyclic hypoxia, as compared to acute or chronic hypoxia, shows the highest levels of active HIF-1α and can augment cancer aggressiveness to a greater extent, including enriching for a partial EMT phenotype. We also discuss how metastasis is influenced by hypoxia, partial EMT and collective cell migration, and call for a better understanding of interconnections among these mechanisms. We discuss the known regulators of hypoxia, hybrid EMT and collective cell migration and highlight the gaps which needs to be filled for connecting these three axes which will increase our understanding of dynamics of metastasis and help control it more effectively. © 2020 The Authors

Item Type: Journal Article
Publication: Translational Oncology
Additional Information: Copy right for this article belongs to Neoplasia Press, Inc.
Keywords: HIF-1αpartial EMTCollective migrationInflammatory breast cancerMetastasi
Department/Centre: Division of Interdisciplinary Sciences > Centre for Biosystems Science and Engineering
Date Deposited: 03 Mar 2021 11:05
Last Modified: 03 Mar 2021 11:05
URI: http://eprints.iisc.ac.in/id/eprint/66303

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