CD44 and HCELL: preventing hematogenous metastasis at step 1

Pieter P Jacobs1, Robert Sackstein

  • 1Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

FEBS Letters
|August 11, 2011
PubMed

Insights

Metastasis, the spread of cancer cells, is poorly understood. This review highlights how cancer cells use CD44 and hematopoietic cell E-/L-selectin ligand (HCELL) to home to specific organs, similar to leukocyte trafficking.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Metastasis causes over 90% of cancer deaths, yet its molecular drivers remain largely unknown.
  • Understanding cancer cell metastasis is crucial for developing effective treatments.
  • Circulating tumor cells (CTCs) appear to utilize normal leukocyte trafficking pathways to reach distant sites.

Purpose of the Study:

  • To review the structural biology of CD44 and HCELL.
  • To present current data on the function of CD44 and HCELL in CTC homing and organ-specific metastasis.
  • To elucidate the molecular mechanisms underlying cancer metastasis.

Main Methods:

  • Literature review focusing on structural biology and functional data of CD44 and HCELL.
  • Analysis of existing evidence on selectin ligand function in cancer cell trafficking.
  • Integration of knowledge on leukocyte and tumor cell homing mechanisms.

Main Results:

  • CD44 is characteristically expressed on cancer cells.
  • Hematopoietic cell E-/L-selectin ligand (HCELL), a CD44 variant, acts as a key selectin ligand on cancer cells.
  • HCELL mediates interactions between tumor cells, endothelium, leukocytes, and platelets, facilitating organ-specific metastasis.

Conclusions:

  • CD44 and HCELL play critical roles in the organ-specific homing of circulating tumor cells.
  • Hijacking leukocyte trafficking mechanisms by cancer cells involves CD44 and HCELL.
  • Further research into these molecules could reveal novel therapeutic targets for preventing cancer metastasis.