Open Access

Widespread activation and critical role of EMT and stemness in the neuroendocrine differentiation of prostate cancer (Review)

  • Authors:
    • Yun-Fan Li
    • Shuai Su
    • Yu Luo
    • Chengcheng Wei
    • Jingke He
    • Liang-Dong Song
    • Kun Han
    • Jue Wang
    • Xiangzhi Gan
    • De-Lin Wang
  • View Affiliations

  • Published online on: July 4, 2025     https://doi.org/10.3892/or.2025.8942
  • Article Number: 109
  • Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Neuroendocrine (NE) prostate cancer (NEPC) is an aggressive and lethal subtype of prostate cancer. It is typically characterized by the expression of NE markers and the loss of androgen receptor expression. De novo NEPC is rare, accounting for <2% of all prostate cancer cases at diagnosis. More commonly, NEPC arises from prostate adenocarcinoma following androgen deprivation therapy, with 20‑25% of metastatic castration‑resistant prostate cancers undergoing NE differentiation due to lineage plasticity. During this transition, pathways associated with epithelial‑mesenchymal transition (EMT) and stemness are broadly activated, which is considered to be a key driver of NEPC's high metastatic potential, resistance to chemotherapy and radiotherapy and poor prognosis. EMT facilitates metastasis by enhancing cellular motility and invasiveness, while stemness properties contribute to post‑metastatic colonization, immune evasion, therapy resistance and cellular dormancy. As manifestations of cellular plasticity, these processes share overlapping molecular mechanisms. Targeting key regulators within these pathways may offer promising therapeutic strategies for NEPC.
View Figures
View References

Related Articles

Journal Cover

September-2025
Volume 54 Issue 3

Print ISSN: 1021-335X
Online ISSN:1791-2431

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Li Y, Su S, Luo Y, Wei C, He J, Song L, Han K, Wang J, Gan X, Wang D, Wang D, et al: Widespread activation and critical role of EMT and stemness in the neuroendocrine differentiation of prostate cancer (Review). Oncol Rep 54: 109, 2025.
APA
Li, Y., Su, S., Luo, Y., Wei, C., He, J., Song, L. ... Wang, D. (2025). Widespread activation and critical role of EMT and stemness in the neuroendocrine differentiation of prostate cancer (Review). Oncology Reports, 54, 109. https://doi.org/10.3892/or.2025.8942
MLA
Li, Y., Su, S., Luo, Y., Wei, C., He, J., Song, L., Han, K., Wang, J., Gan, X., Wang, D."Widespread activation and critical role of EMT and stemness in the neuroendocrine differentiation of prostate cancer (Review)". Oncology Reports 54.3 (2025): 109.
Chicago
Li, Y., Su, S., Luo, Y., Wei, C., He, J., Song, L., Han, K., Wang, J., Gan, X., Wang, D."Widespread activation and critical role of EMT and stemness in the neuroendocrine differentiation of prostate cancer (Review)". Oncology Reports 54, no. 3 (2025): 109. https://doi.org/10.3892/or.2025.8942