Multi-stage mechanisms of tumor metastasis and therapeutic strategies.

IF 40.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Signal Transduction and Targeted Therapy Pub Date : 2024-10-11 DOI:10.1038/s41392-024-01955-5
Zaoqu Liu, Jingqi Chen, Yuqing Ren, Shutong Liu, Yuhao Ba, Anning Zuo, Peng Luo, Quan Cheng, Hui Xu, Xinwei Han
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Abstract

The cascade of metastasis in tumor cells, exhibiting organ-specific tendencies, may occur at numerous phases of the disease and progress under intense evolutionary pressures. Organ-specific metastasis relies on the formation of pre-metastatic niche (PMN), with diverse cell types and complex cell interactions contributing to this concept, adding a new dimension to the traditional metastasis cascade. Prior to metastatic dissemination, as orchestrators of PMN formation, primary tumor-derived extracellular vesicles prepare a fertile microenvironment for the settlement and colonization of circulating tumor cells at distant secondary sites, significantly impacting cancer progression and outcomes. Obviously, solely intervening in cancer metastatic sites passively after macrometastasis is often insufficient. Early prediction of metastasis and holistic, macro-level control represent the future directions in cancer therapy. This review emphasizes the dynamic and intricate systematic alterations that occur as cancer progresses, illustrates the immunological landscape of organ-specific PMN creation, and deepens understanding of treatment modalities pertinent to metastasis, thereby identifying some prognostic and predictive biomarkers favorable to early predict the occurrence of metastasis and design appropriate treatment combinations.

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肿瘤转移的多阶段机制和治疗策略。
肿瘤细胞的级联转移表现出器官特异性倾向,可能发生在疾病的多个阶段,并在强大的进化压力下进展。器官特异性转移依赖于转移前生态位(PMN)的形成,多种细胞类型和复杂的细胞相互作用促成了这一概念,为传统的转移级联增添了新的维度。在转移扩散之前,作为 PMN 形成的协调者,原发肿瘤衍生的细胞外囊泡为循环肿瘤细胞在远处的继发部位定居和定植准备了肥沃的微环境,从而对癌症的进展和预后产生重大影响。显然,仅在大转移后被动干预癌症转移部位往往是不够的。癌症转移的早期预测和整体宏观调控是癌症治疗的未来方向。本综述强调了癌症进展过程中发生的动态和复杂的系统性改变,阐述了器官特异性 PMN 生成的免疫学格局,并加深了对转移相关治疗模式的理解,从而确定了一些有利于早期预测转移发生和设计适当治疗组合的预后和预测性生物标志物。
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来源期刊
Signal Transduction and Targeted Therapy
Signal Transduction and Targeted Therapy Biochemistry, Genetics and Molecular Biology-Genetics
CiteScore
44.50
自引率
1.50%
发文量
384
审稿时长
5 weeks
期刊介绍: Signal Transduction and Targeted Therapy is an open access journal that focuses on timely publication of cutting-edge discoveries and advancements in basic science and clinical research related to signal transduction and targeted therapy. Scope: The journal covers research on major human diseases, including, but not limited to: Cancer,Cardiovascular diseases,Autoimmune diseases,Nervous system diseases.
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