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Updated: Jun 4, 2025

In Vivo Inhibition of MicroRNA to Decrease Tumor Growth in Mice
Published on: August 23, 2019
The metastatic cascade through the lens of therapeutic inhibition
Ian Miranda1, Nusrat Jahan2, Lalita A Shevde3
1Medical Scientist Training Program, University of Alabama at Birmingham, Birmingham, AL, USA; Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract:
Metastasis is a main cause of cancer-related death, and a deeper understanding of the metastatic process will inform more targeted and mechanistic approaches that can abrogate challenges in treatment efficacy and toxicity. Several steps throughout the metastatic cascade, from angiogenesis to secondary tumor formation, offer specific vulnerabilities to therapies that can lead to the decline or cessation of metastatic progression. A deeper understanding of the metastatic cascade also allows combination systemic therapies to be used synergistically. In this review, we describe current treatment modalities in the context of multiple steps of the metastatic cascade. We highlight their mechanisms and present their efficacy across multiple cancers. This work also presents targets within the metastatic cascade in need of more research that can advance the landscape of treatments and lead to the goal of metastatic cancer remission.
Insights
Understanding cancer metastasis, a leading cause of death, is crucial for developing targeted therapies. This review explores current treatments targeting the metastatic cascade to improve efficacy and reduce toxicity for cancer remission.
Area of Science:
- Oncology
- Cancer Biology
- Translational Medicine
Background:
- Metastasis is a primary driver of cancer mortality.
- Targeting the metastatic cascade offers opportunities for novel therapeutic strategies.
- Current treatments face challenges in efficacy and toxicity.
Purpose of the Study:
- To review current treatment modalities within the context of the metastatic cascade.
- To highlight mechanisms and efficacy of therapies across various cancers.
- To identify research gaps and future targets for metastatic cancer remission.
Main Methods:
- Comprehensive literature review of the metastatic cascade.
- Analysis of current therapeutic strategies and their mechanisms.
- Evaluation of treatment efficacy in preclinical and clinical settings.
Main Results:
- The metastatic cascade presents multiple vulnerabilities exploitable by therapies.
- Combination therapies can be utilized synergistically to target metastasis.
- Existing treatments show variable efficacy across different cancer types.
Conclusions:
- Targeting specific steps of the metastatic cascade can impede cancer progression.
- Further research into novel targets is essential for advancing metastatic cancer treatment.
- The ultimate goal is to achieve remission in metastatic cancers through improved therapies.
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