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Targeting Oncoimmune Drivers of Cancer Metastasis
Chie Kudo-Saito1, Yukinori Ozaki1, Hiroshi Imazeki1
1Department of Immune Medicine, National Cancer Center Research Institute, Tokyo 104-0045, Japan.
Abstract:
Residual metastasis is a major cause of cancer-associated death. Recent advances in understanding the molecular basis of the epithelial-mesenchymal transition (EMT) and the related cancer stem cells (CSCs) have revealed the landscapes of cancer metastasis and are promising contributions to clinical treatments. However, this rarely leads to practical advances in the management of cancer in clinical settings, and thus cancer metastasis is still a threat to patients. The reason for this may be the heterogeneity and complexity caused by the evolutional transformation of tumor cells through interactions with the host environment, which is composed of numerous components, including stromal cells, vascular cells, and immune cells. The reciprocal evolution further raises the possibility of successful tumor escape, resulting in a fatal prognosis for patients. To disrupt the vicious spiral of tumor-immunity aggravation, it is important to understand the entire metastatic process and the practical implementations. Here, we provide an overview of the molecular and cellular links between tumors' biological properties and host immunity, mainly focusing on EMT and CSCs, and we also highlight therapeutic agents targeting the oncoimmune determinants driving cancer metastasis toward better practical use in the treatment of cancer patients.
Insights
Understanding cancer metastasis, including epithelial-mesenchymal transition (EMT) and cancer stem cells (CSCs), is crucial. This overview links tumor biology and immunity to improve treatments for residual cancer metastasis.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Residual metastasis remains a primary cause of cancer mortality.
- Epithelial-mesenchymal transition (EMT) and cancer stem cells (CSCs) offer insights into metastasis but lack clinical translation.
- Tumor cell evolution, driven by host environment interactions, creates complexity and hinders effective cancer management.
Purpose of the Study:
- To provide an overview of the molecular and cellular links between tumor properties and host immunity.
- To focus on the roles of EMT and CSCs in cancer metastasis.
- To highlight therapeutic strategies targeting oncoimmune determinants for improved clinical application.
Main Methods:
- Review of current literature on cancer metastasis, EMT, CSCs, and tumor-immune interactions.
- Analysis of molecular and cellular mechanisms underlying tumor progression and immune evasion.
- Identification of therapeutic targets within the tumor-immune microenvironment.
Main Results:
- EMT and CSCs are key drivers of cancer metastasis, contributing to tumor heterogeneity and immune evasion.
- Complex interactions between tumor cells and the host environment, including immune cells, promote metastasis.
- Targeting oncoimmune factors presents a promising strategy to overcome treatment resistance.
Conclusions:
- A comprehensive understanding of the interplay between tumor biology and immunity is essential for combating metastasis.
- Therapeutic strategies should address both tumor-intrinsic properties (EMT, CSCs) and the tumor-immune microenvironment.
- Developing practical clinical applications requires targeting key oncoimmune determinants to disrupt the metastatic cascade.
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