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Published on: August 2, 2022
Current and future approaches for the therapeutic targeting of metastasis (review)
Elitza Germanov1, Jason N Berman, Duane L Guernsey
1Department of Microbiology and Immunology, Faculty of Medicine, Dalhousie University, Sir Charles Tupper Medical Building, Nova Scotia B3H 1X5, Canada. germanov@dal.ca
Abstract:
Metastasis is the process whereby cancer cells disseminate and establish secondary tumors at distant sites from the primary tumor and is estimated to be responsible for approximately 90% of all cancer deaths. Cancers with metastatic spread are frequently resistant to conventional chemotherapeutic approaches, underlining the urgent need for novel treatments in these diseases. Recent advances in understanding the mechanisms underlining both the intrinsic cellular and extrinsic micro-environmental factors contributing to the metastatic process have resulted in the identification of a number of molecular targets for the development of specific anti-metastatic therapeutic strategies. These targets include intracellular enzymes such as the protein tyrosine kinases, cell surface receptors and their ligands, and elements of the extracellular matrix such as pro-angiogenic factors, protease enzymes and cytokines. Many of these pathways interact with each other, with the possibility of multiple downstream antineoplastic consequences as well as the potential for synergistic effects by targeting more than one of these factors. This review outlines several of the promising targets, and provides examples, of how these targets are being exploited as anti-metastatic therapies in conjunction with conventional treatments.
Insights
Metastasis, responsible for 90% of cancer deaths, requires new treatments. This review explores molecular targets and therapies to combat cancer spread and resistance to chemotherapy.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Medicine
Background:
- Metastasis is the primary cause of cancer mortality, accounting for approximately 90% of cancer deaths.
- Metastatic cancers often exhibit resistance to conventional chemotherapy, highlighting the need for innovative therapeutic strategies.
- Understanding the cellular and micro-environmental factors driving metastasis has led to the identification of novel molecular targets.
Purpose of the Study:
- To review promising molecular targets for anti-metastatic therapies.
- To provide examples of how these targets are being exploited in cancer treatment.
- To discuss the potential for synergistic effects when targeting multiple pathways.
Main Methods:
- Review of current scientific literature on metastasis mechanisms and therapeutic targets.
- Identification and categorization of key molecular targets, including intracellular enzymes, cell surface receptors, and extracellular matrix components.
- Analysis of preclinical and clinical strategies employing these targets.
Main Results:
- Several molecular targets, such as protein tyrosine kinases, cell surface receptors, and extracellular matrix factors, show promise for anti-metastatic therapies.
- Targeting these pathways can lead to multiple downstream antineoplastic effects.
- Synergistic therapeutic outcomes may be achieved by simultaneously targeting multiple factors.
Conclusions:
- Targeting specific molecular pathways involved in metastasis offers a promising avenue for developing novel anti-cancer treatments.
- Combination therapies that exploit these targets alongside conventional treatments may enhance efficacy against metastatic disease.
- Further research into these molecular targets is crucial for advancing the treatment of metastatic cancers.
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