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Targeting circulating tumor cell‒neutrophil interactions: nanoengineered strategies for inhibiting cancer metastasis
Yong Su1, Mingjing Leng1, Qingqing Yang1
1School of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing, 400054, People's Republic of China.
Abstract:
Metastasis remains the leading cause of cancer-related mortality, with a persistently poor prognosis for metastatic cancer patients despite extensive therapeutic efforts. Circulating tumor cells (CTCs), which detach from primary tumors and enter the bloodstream, can establish distant metastatic sites. These CTCs often form heterotypic clusters with white blood cells, especially neutrophils, through various interaction mechanisms, including intercellular adhesion, cytokine secretion, protease release, and the formation of neutrophil extracellular traps (NETs). These interactions enhance CTCs survival, proliferation, invasion, and transendothelial migration while simultaneously remodeling premetastatic niches and the tumor microenvironment. Consequently, pharmacologically disrupting CTC‒neutrophil crosstalk represents a promising strategy to curb metastatic spread and improve clinical outcomes. Recent breakthroughs in nanotechnology-based drug delivery systems have shown considerable potential in antimetastatic therapies, offering significant advantages over conventional treatments, which are often associated with severe side effects and limited efficacy. This review systematically explores nanoengineered strategies targeting CTC‒neutrophil interactions, addresses the current limitations and outlines future directions for developing clinically translatable nanotherapeutics.
Insights
Targeting interactions between circulating tumor cells (CTCs) and neutrophils can inhibit cancer metastasis. Nanotechnology offers a promising approach to disrupt this crosstalk, improving treatment efficacy and reducing side effects for metastatic cancer patients.
Area of Science:
- Oncology
- Nanotechnology
- Immunology
Background:
- Metastasis is the primary cause of cancer mortality, with limited treatment options for patients with metastatic disease.
- Circulating tumor cells (CTCs) spread cancer by entering the bloodstream and forming clusters with white blood cells, particularly neutrophils.
- These CTC-neutrophil interactions promote cancer cell survival, invasion, and the creation of pre-metastatic environments.
Purpose of the Study:
- To review nanoengineered strategies for disrupting CTC-neutrophil interactions.
- To explore the potential of nanotechnology in antimetastatic therapies.
- To identify limitations and future directions for nanotherapeutics targeting metastasis.
Main Methods:
- Systematic review of existing literature on nanotechnology-based drug delivery systems.
- Analysis of mechanisms underlying CTC-neutrophil crosstalk.
- Evaluation of nanoengineered strategies targeting these interactions.
Main Results:
- CTC-neutrophil interactions enhance cancer cell survival, proliferation, invasion, and metastasis.
- Nanotechnology-based systems show potential for targeted delivery and reduced side effects compared to conventional therapies.
- Disrupting CTC-neutrophil crosstalk is a viable strategy to inhibit metastatic spread.
Conclusions:
- Pharmacological disruption of CTC-neutrophil crosstalk is a promising antimetastatic strategy.
- Nanoengineered drug delivery systems offer advantages for targeting this crosstalk.
- Further development of clinically translatable nanotherapeutics is needed to combat metastatic cancer effectively.
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