2021
DOI: 10.1002/1878-0261.12965
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The ZEB2‐dependent EMT transcriptional programme drives therapy resistance by activating nucleotide excision repair genes ERCC1 and ERCC4 in colorectal cancer

Abstract: Resistance to adjuvant chemotherapy is a major clinical problem in the treatment of colorectal cancer (CRC). The aim of this study was to elucidate the role of an epithelial to mesenchymal transition (EMT)‐inducing protein, ZEB2, in chemoresistance of CRC, and to uncover the underlying mechanism. We performed IHC for ZEB2 and association analyses with clinical outcomes on primary CRC and matched CRC liver metastases in compliance with observational biomarker study guidelines. ZEB2 expression in primary tumours… Show more

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Cited by 20 publications
(12 citation statements)
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“…EMT is a process during which epithelial cells lose their polarity and acquire a mesenchymal phenotype, which is an important process for promoting tumor invasiveness and metastasis ( 29 ). It is commonly characterized by downregulation of E-cad, which is a key epithelial marker, along with upregulation of N-cad, vimentin and ZEB2, which are crucial mesenchymal marker genes ( 30 , 31 ). As presented in Fig.…”
Section: Resultsmentioning
confidence: 99%
“…EMT is a process during which epithelial cells lose their polarity and acquire a mesenchymal phenotype, which is an important process for promoting tumor invasiveness and metastasis ( 29 ). It is commonly characterized by downregulation of E-cad, which is a key epithelial marker, along with upregulation of N-cad, vimentin and ZEB2, which are crucial mesenchymal marker genes ( 30 , 31 ). As presented in Fig.…”
Section: Resultsmentioning
confidence: 99%
“…ZEB2 increases the nucleotide excision repair (NER) pathway activity. In colorectal cancer, ZEB2 enhances resistance of cancer cells to oxaliplatin‐induced DNA damage, by increasing NER capacity by upregulation of the ERCC1 gene 90 . Again, in this case, ZEB2‐mediated EMT is instrumental in increasing genomic stability and cell survival.…”
Section: Discussionmentioning
confidence: 99%
“…Due to the relatively slow advancement of new agents to substitute traditional chemotherapeutics, predicting whether the patient will develop fluoropyrimidine-based chemotherapy resistance is critical in achieving effective clinical management of patients with CRC. Many biomarkers have been shown to be associated with fluoropyrimidine-based chemotherapy resistance, such as complement component 3 ( 31 ), ZEB2 ( 32 ), and PKM2 ( 33 ). These biomarkers may help identify patients who are suitable for fluoropyrimidine-based chemotherapy.…”
Section: Discussionmentioning
confidence: 99%