Key Indicators for Monitoring Epithelial-to-Mesenchymal Transition (EMT)

FeatureEpithelialMesenchymalRemarks
MorphologyCobblestone-likeSpindle-shaped, motileMorphological shift is often the first visible sign of EMT.
E-cadherinHighLow/AbsentLoss of E-cadherin weakens cell-cell adhesion; hallmark of EMT.
N-cadherin/VimentinLowHighUpregulation contributes to motility and structural changes.
MMP-3LowHighUpregulation contributes to ECM remodeling
Migration/InvasionLowHighEnhanced migratory behavior is a functional outcome of EMT.
Junctional ProteinsZO-1, Claudin, Occludin (present)Lost or mislocalizedDisruption of tight junctions affects polarity and permeability.
Transcription FactorsInactive (Snail, Slug, Twist, Zeb1/2)ActivatedThese TFs repress epithelial genes and activate mesenchymal programs.
PolarityApical-basal polarity maintainedLoss of polarityLoss of polarity contributes to invasive behavior and tissue disorganization.
Extracellular Matrix (ECM)Minimal interactionIncreased interaction/remodelingECM remodeling via fibronectin, MMPs, etc. supports invasion.
Stemness markersLowHigh in some EMT statesPartial EMT may confer stem-like features and therapeutic resistance.
Drug resistanceLowHighEMT is associated with resistance to apoptosis and certain therapies.
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