THEME: "Current Perspectives and New Challenges in Cancer Research and Therapy"
The University of Texas MD Anderson Cancer Center, USA
Title: EMT-induced carcinoma cells can differentiate into endothelial cells and contribute to tumor growth
She received her PhD degree from Purdue University. Then she did her postdoctoral research at National
Cancer Institute/National Institute of health (supervised by Dr. Esta Sterneck) and University of Texas M.D.
Anderson Cancer center (Supervised by Dr. Sendurai Mani). After her postdoctoral work she joined
Department of Biology at Texas A&M University as a faculty. She has published more than 21 research
articles in reputed journals such as PNAS, Oncogene, Cancer research, Oncotarget etc.
Hypoxia stimulates angiogenesis, promotes tumor growth, and triggers the epithelial-mesenchymal
transition (EMT), which bestows cells with mesenchymal traits and multi-lineage differentiation potential. In
this study, we investigated whether EMT can confer endothelial attributes upon carcinoma cells, augmenting
tumor growth and vascularization. Human epithelial breast cancer cells (MCF7) were orthotopically injected
into mice. The tumors of different sizes were harvested and immunostained for markers of hypoxia and EMT.
Larger tumors were found to be well-vascularized with CD31-positive cells of human origin. It was observed
that hypoxic regions in the tumors (demarcated by HIF-1? staining), exhibited E-cadherin loss and elevated
levels of mesenchymal markers such as vimentin and FOXC2. When MCF-7 cells were implanted, co-mixed
with human mammary epithelial (HMLE) cells overexpressing the EMT-inducer Snail, markedly potentiated
tumor growth and vascularization, compared with MCF-7 cells injected alone or co-mixed with HMLE-vector
cells. Intra-tumoral vessels contained CD31-positive cells derived from either donor cell type which indicated
the mesenchymal to endothelial transdifferentiattion. FOXC2 knockdown was found to abrogate the
potentiating effects of HMLE-Snail cells on MCF-7 tumor growth and vascularization, and compromised
endothelial transdifferentiation. Therefore, we concluded cells that have undergone EMT can promote tumor
growth and neovascularization by promoting endothelial transdifferentiation of carcinoma cells, with FOXC2
playing key roles in these processes. This complex mechanism underlying neoangiogenesis differ from
physiological angiogenesis and lead to the formation of dysfunctional and disorganized vessels with a
defective endothelial layer, which nevertheless fuels tumor progression. This mechanism along with vascular
mimicry are involved in the anti-angiogenesis therapy resistance.