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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">11010</article-id><article-id pub-id-type="doi">10.32607/actanaturae.11010</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Epithelial–mesenchymal transition: role in cancer progression and the perspectives of antitumor treatment</article-title><trans-title-group xml:lang="ru"><trans-title>Эпителиально-мезенхимальный переход: злокачественная прогрессия и перспективы противоопухолевой терапии</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gaponova</surname><given-names>A. V.</given-names></name><name xml:lang="ru"><surname>Гапонова</surname><given-names>А. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>annagaponova28@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rodin</surname><given-names>S.</given-names></name><name xml:lang="ru"><surname>Родин</surname><given-names>С.</given-names></name></name-alternatives><address><country country="SE">Sweden</country></address><email>annagaponova28@gmail.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Mazina</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Мазина</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>annagaponova28@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Volchkov</surname><given-names>P. V.</given-names></name><name xml:lang="ru"><surname>Волчков</surname><given-names>П. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>annagaponova28@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Moscow Institute of Physics and Technology</institution></aff><aff><institution xml:lang="ru">Московский физико-технический институт (национальный исследовательский университет)</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Karolinska Institute</institution></aff><aff><institution xml:lang="ru"></institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-10-27" publication-format="electronic"><day>27</day><month>10</month><year>2020</year></pub-date><volume>12</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>4</fpage><lpage>23</lpage><history><date date-type="received" iso-8601-date="2020-05-20"><day>20</day><month>05</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-05-20"><day>20</day><month>05</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, Gaponova A.V., Rodin S., Mazina A.A., Volchkov P.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, Гапонова А.В., Родин С., Мазина А.А., Волчков П.В.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">Gaponova A.V., Rodin S., Mazina A.A., Volchkov P.V.</copyright-holder><copyright-holder xml:lang="ru">Гапонова А.В., Родин С., Мазина А.А., Волчков П.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/11010">https://actanaturae.ru/2075-8251/article/view/11010</self-uri><abstract xml:lang="en"><p>About 90% of all malignant tumors are of epithelial nature. The epithelial tissue is characterized by a close interconnection between cells through cell–cell interactions, as well as a tight connection with the basement membrane, which is responsible for cell polarity. These interactions strictly determine the location of epithelial cells within the body and are seemingly in conflict with the metastatic potential that many cancers possess (the main criteria for highly malignant tumors). Tumor dissemination into vital organs is one of the primary causes of death in patients with cancer. Tumor dissemination is based on the so-called epithelial–mesenchymal transition (EMT), a process when epithelial cells are transformed into mesenchymal cells possessing high mobility and migration potential. More and more studies elucidating the role of the EMT in metastasis and other aspects of tumor progression are published each year, thus forming a promising field of cancer research. In this review, we examine the most recent data on the intracellular and extracellular molecular mechanisms that activate EMT and the role they play in various aspects of tumor progression, such as metastasis, apoptotic resistance, and immune evasion, aspects that have usually been attributed exclusively to cancer stem cells (CSCs). In conclusion, we provide a detailed review of the approved and promising drugs for cancer therapy that target the components of the EMT signaling pathways.</p></abstract><trans-abstract xml:lang="ru"><p>Примерно 90% всех злокачественных опухолей имеют эпителиальную природу. Эпителиальная ткань характеризуется тесной связью клеток между собой и тесной связью клеток с базальной мембраной, определяющей их полярность. Эти связи строго определяют положение клеток в пространстве и, казалось бы, противоречат способности многих опухолей к метастазированию (основной критерий злокачественности опухоли). Однако именно диссеминация опухоли из первичного источника в жизненно важные органы является основной причиной смертности пациентов при онкологической патологии. В основе опухолевой диссеминации лежит так называемый эпителиально-мезенхимальный переход (ЭМП) – процесс, при котором эпителиальные клетки трансформируются в мезенхимальные, обладающие высокой подвижностью и способностью к миграции. Количество публикаций, освещающих роль ЭМП не только в процессах метастазирования, но и в других сторонах опухолевой прогрессии, растет с каждым годом, формируя активно расширяющуюся область научного интереса в онкологии. В обзоре рассмотрены последние данные о внутриклеточных и внеклеточных молекулярных механизмах, активирующих ЭМП, их роли в таких аспектах опухолевой прогрессии, как метастазирование, устойчивость к апоптозу и уход от иммунного надзора, которые ранее связывали исключительно с существованием так называемых стволовых опухолевых клеток. Подробно рассмотрены одобренные и перспективные для противоопухолевой терапии таргетные препараты, использующие в качестве мишени компоненты сигнальных путей ЭМП.</p></trans-abstract><kwd-group xml:lang="en"><kwd>epithelial–mesenchymal transition</kwd><kwd>cancer</kwd><kwd>metastasis</kwd><kwd>resistance to anticancer therapy</kwd><kwd>cancer stem cells</kwd><kwd>chemotherapy</kwd><kwd>immunotherapy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>эпителиально-мезенхимальный переход</kwd><kwd>метастазирование</kwd><kwd>стволовые опухолевые клетки</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Российский научный фонд</institution></institution-wrap><institution-wrap><institution xml:lang="en">Russian Science Foundation</institution></institution-wrap></funding-source><award-id>18-75-10054</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Nollet F., Kools P., van Roy F. // J. 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