“…[58,59] During EMT, a variety of transcription factors are upregulated in metastatic cells, such as Snail, Slug, Twist and Zeb ½. [60] Snail can be activated by a number of pathways, including hypoxia, HIF-1, HIF-2, Notch, nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB), and transforming growth factor beta (TGF-β), a pro-apoptotic factor. Snail up-regulates AKT phosphorylation and Bcl-X l, countering the induction of apoptosis, [61] and down-regulates cyclin D2, inhibiting cell cycle progression.…”