Metastatic colonization by circulating tumour cells
2016; Nature Portfolio; Volume: 529; Issue: 7586 Linguagem: Inglês
10.1038/nature17038
ISSN1476-4687
AutoresJoan Massagué, Anna C. Obenauf,
Tópico(s)Cancer Research and Treatments
ResumoMetastasis is the main cause of death in people with cancer. To colonize distant organs, circulating tumour cells must overcome many obstacles through mechanisms that we are only now starting to understand. These include infiltrating distant tissue, evading immune defences, adapting to supportive niches, surviving as latent tumour-initiating seeds and eventually breaking out to replace the host tissue. They make metastasis a highly inefficient process. However, once metastases have been established, current treatments frequently fail to provide durable responses. An improved understanding of the mechanistic determinants of such colonization is needed to better prevent and treat metastatic cancer.
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