The role of epithelial-mesenchymal transition-regulating transcription factors in anti-cancer drug resistance

Arch Pharm Res. 2021 Mar;44(3):281-292. doi: 10.1007/s12272-021-01321-x. Epub 2021 Mar 25.

Abstract

The complex orchestration of gene expression that mediates the transition of epithelial cells into mesenchymal cells is implicated in cancer development and metastasis. As the primary regulator of the process, epithelial-mesenchymal transition-regulating transcription factors (EMT-TFs) play key roles in metastasis. They are also highlighted in recent preclinical studies on resistance to cancer therapy. This review describes the role of three main EMT-TFs, including Snail, Twist1, and zinc-finger E homeobox-binding 1 (ZEB1), relating to drug resistance and current possible approaches for future challenges targeting EMT-TFs.

Keywords: Drug resistance; Epithelial-mesenchymal transition; Snail; Transcription factor; Twist1; ZEB1.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / pharmacology*
  • Drug Resistance, Neoplasm / drug effects*
  • Epithelial-Mesenchymal Transition / drug effects*
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / metabolism
  • Transcription Factors / antagonists & inhibitors*
  • Transcription Factors / metabolism

Substances

  • Antineoplastic Agents
  • Transcription Factors