Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas

Head and neck squamous cell carcinomas (HNSCC) are common tumors with a poor overall prognosis. Poor survival is resulting from limited response to multi-modal therapy, high incidence of metastasis, and local recurrence. Treatment includes surgery, radio(chemo)therapy, and targeted therapy specific...

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Autores principales: Philipp Baumeister, Jiefu Zhou, Martin Canis, Olivier Gires
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/9c36456f36da4f6594369b9581000e31
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spelling oai:doaj.org-article:9c36456f36da4f6594369b9581000e312021-11-11T15:28:55ZEpithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas10.3390/cancers132153552072-6694https://doaj.org/article/9c36456f36da4f6594369b9581000e312021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5355https://doaj.org/toc/2072-6694Head and neck squamous cell carcinomas (HNSCC) are common tumors with a poor overall prognosis. Poor survival is resulting from limited response to multi-modal therapy, high incidence of metastasis, and local recurrence. Treatment includes surgery, radio(chemo)therapy, and targeted therapy specific for EGFR and immune checkpoint inhibition. The understanding of the molecular basis for the poor outcome of HNSCC was improved using multi-OMICs approaches, which revealed a strong degree of inter- and intratumor heterogeneity (ITH) at the level of DNA mutations, transcriptome, and (phospho)proteome. Single-cell RNA-sequencing (scRNA-seq) identified RNA-expression signatures related to cell cycle, cell stress, hypoxia, epithelial differentiation, and a partial epithelial-to-mesenchymal transition (pEMT). The latter signature was correlated to nodal involvement and adverse clinical features. Mechanistically, shifts towards a mesenchymal phenotype equips tumor cells with migratory and invasive capacities and with an enhanced resistance to standard therapy. Hence, gradual variations of EMT as observed in HNSCC represent a potent driver of tumor progression that could open new paths to improve the stratification of patients and to innovate approaches to break therapy resistance. These aspects of molecular heterogeneity will be discussed in the present review.Philipp BaumeisterJiefu ZhouMartin CanisOlivier GiresMDPI AGarticlehead and neck squamous cell carcinoma(partial) epithelial-to-mesenchymal transitiontherapy resistanceNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5355, p 5355 (2021)
institution DOAJ
collection DOAJ
language EN
topic head and neck squamous cell carcinoma
(partial) epithelial-to-mesenchymal transition
therapy resistance
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle head and neck squamous cell carcinoma
(partial) epithelial-to-mesenchymal transition
therapy resistance
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Philipp Baumeister
Jiefu Zhou
Martin Canis
Olivier Gires
Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
description Head and neck squamous cell carcinomas (HNSCC) are common tumors with a poor overall prognosis. Poor survival is resulting from limited response to multi-modal therapy, high incidence of metastasis, and local recurrence. Treatment includes surgery, radio(chemo)therapy, and targeted therapy specific for EGFR and immune checkpoint inhibition. The understanding of the molecular basis for the poor outcome of HNSCC was improved using multi-OMICs approaches, which revealed a strong degree of inter- and intratumor heterogeneity (ITH) at the level of DNA mutations, transcriptome, and (phospho)proteome. Single-cell RNA-sequencing (scRNA-seq) identified RNA-expression signatures related to cell cycle, cell stress, hypoxia, epithelial differentiation, and a partial epithelial-to-mesenchymal transition (pEMT). The latter signature was correlated to nodal involvement and adverse clinical features. Mechanistically, shifts towards a mesenchymal phenotype equips tumor cells with migratory and invasive capacities and with an enhanced resistance to standard therapy. Hence, gradual variations of EMT as observed in HNSCC represent a potent driver of tumor progression that could open new paths to improve the stratification of patients and to innovate approaches to break therapy resistance. These aspects of molecular heterogeneity will be discussed in the present review.
format article
author Philipp Baumeister
Jiefu Zhou
Martin Canis
Olivier Gires
author_facet Philipp Baumeister
Jiefu Zhou
Martin Canis
Olivier Gires
author_sort Philipp Baumeister
title Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
title_short Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
title_full Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
title_fullStr Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
title_full_unstemmed Epithelial-to-Mesenchymal Transition-Derived Heterogeneity in Head and Neck Squamous Cell Carcinomas
title_sort epithelial-to-mesenchymal transition-derived heterogeneity in head and neck squamous cell carcinomas
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9c36456f36da4f6594369b9581000e31
work_keys_str_mv AT philippbaumeister epithelialtomesenchymaltransitionderivedheterogeneityinheadandnecksquamouscellcarcinomas
AT jiefuzhou epithelialtomesenchymaltransitionderivedheterogeneityinheadandnecksquamouscellcarcinomas
AT martincanis epithelialtomesenchymaltransitionderivedheterogeneityinheadandnecksquamouscellcarcinomas
AT oliviergires epithelialtomesenchymaltransitionderivedheterogeneityinheadandnecksquamouscellcarcinomas
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