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Microenvironmental regulation of metastasis
Johanna A Joyce1, Jeffrey W Pollard
1Cancer Biology and Genetics Program, Memorial Sloan Kettering Cancer Center, New York, USA. joycej@mskcc.org
Nature Reviews. Cancer
|March 13, 2009
Summary
Cancer metastasis involves complex steps influenced by the tumor microenvironment. Non-malignant cells, especially myeloid cells, aid cancer cell survival, growth, and spread, offering potential therapeutic targets.
Area of Science:
- Oncology and Cancer Biology
- Tumor Microenvironment Research
- Metastasis Mechanisms
Background:
- Metastasis is a critical hallmark of cancer, involving multiple sequential steps for tumor cells to spread.
- The tumor microenvironment, comprising non-malignant cells, plays a crucial role in facilitating each stage of metastasis.
- Cells of myeloid origin are frequently recruited by tumors to promote cancer progression.
Purpose of the Study:
- To review experimental evidence detailing the influence of the tumor microenvironment on metastasis.
- To highlight key areas requiring further investigation in metastasis research.
- To propose novel therapeutic strategies targeting the tumor microenvironment.
Main Methods:
- Review of existing experimental data on tumor microenvironment and metastasis.
- Analysis of cellular and molecular interactions within the tumor microenvironment.
- Identification of rate-limiting steps in the metastatic cascade.
Main Results:
- The tumor microenvironment significantly impacts cancer cell escape, survival, and colonization.
- Recruitment of bone marrow-derived cells, particularly myeloid cells, enhances cancer cell dissemination.
- Specific microenvironmental components act as critical regulators of metastatic processes.
Conclusions:
- The tumor microenvironment is a key determinant of metastatic potential.
- Targeting microenvironmental interactions presents a promising therapeutic avenue for controlling cancer spread.
- Further research is needed to fully elucidate the complex roles of stromal cells in metastasis.
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