Bladder cancer (BC) is the 11th most common diagnosed
cancer, and a number of factors including environmental and genetic ones participate in BC development.
Metastasis of BC cells into neighboring and distant tissues significantly reduces overall survival of patients with this life-threatening disorder. Recently, studies have focused on revealing molecular pathways involved in
metastasis of BC cells, and in this review, we focus on
microRNAs (
miRNAs) and their regulatory effect on epithelial-to-mesenchymal transition (EMT) mechanisms that can regulate
metastasis. EMT is a vital process for migration of BC cells, and inhibition of this mechanism restricts invasion of BC cells.
MiRNAs are endogenous non-coding RNAs with 19-24
nucleotides capable of regulating different cellular events, and EMT is one of them. In BC cells,
miRNAs are able to both induce and/or inhibit EMT. For regulation of EMT,
miRNAs affect different molecular pathways such as
transforming growth factor-beta (TGF-β), Snail, Slug, ZEB1/2, CD44, NSBP1, which are, discussed in detail this review. Besides,
miRNA/EMT axis can also be regulated by upstream mediators such as lncRNAs,
circRNAs and targeted by diverse anti-
tumor agents. These topics are also discussed here to reveal diverse molecular pathways involved in migration of BC cells and strategies to target them to develop effective
therapeutics.