Phenotypic plasticity and epithelial-to-mesenchymal transition in the behaviour and therapeutic response of oral squamous cell carcinoma

J Oral Pathol Med. 2015 Oct;44(9):649-55. doi: 10.1111/jop.12306. Epub 2015 Jan 16.

Abstract

It is increasingly recognised that phenotypic plasticity, apparently driven by epigenetic mechanisms, plays a key role in tumour behaviour and markedly influences the important processes of therapeutic survival and metastasis. An important source of plasticity in malignancy is epithelial-to-mesenchymal transition (EMT), a common epigenetically controlled event that results in transition of malignant cells between different phenotypic states that confer motility and enhance survival. In this review, we discuss the importance of phenotypic plasticity and its contribution to cellular heterogeneity in oral squamous cell carcinoma with emphasis on aspects of drug resistance and EMT.

Keywords: cancer; epithelial-to-mesenchymal transition; heterogeneity; mesenchymal-to-epithelial transition; plasticity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Carcinoma, Squamous Cell / pathology*
  • Carcinoma, Squamous Cell / therapy*
  • Cell Movement / physiology
  • Cell Plasticity / physiology*
  • Epigenesis, Genetic / physiology
  • Epithelial-Mesenchymal Transition / genetics
  • Epithelial-Mesenchymal Transition / physiology*
  • Genetic Heterogeneity
  • Head and Neck Neoplasms / pathology*
  • Head and Neck Neoplasms / therapy*
  • Humans
  • Neoplasm Metastasis
  • Signal Transduction / genetics
  • Signal Transduction / physiology
  • Squamous Cell Carcinoma of Head and Neck