Molecular mechanisms of cancer metastasis via the lymphatic versus the blood vessels.


Journal

Clinical & experimental metastasis
ISSN: 1573-7276
Titre abrégé: Clin Exp Metastasis
Pays: Netherlands
ID NLM: 8409970

Informations de publication

Date de publication:
02 2022
Historique:
received: 09 06 2021
accepted: 26 08 2021
pubmed: 13 11 2021
medline: 2 4 2022
entrez: 12 11 2021
Statut: ppublish

Résumé

Cancer metastasis is the process by which primary cancer cells invade through the lymphatic or blood vessels to distant sites. The molecular mechanisms by which cancer cells spread either through the lymphatic versus blood vessels or both are not well established. Two major developments have helped us to understand the process more clearly. First, the development of the sentinel lymph node (SLN) concept which is well established in melanoma and breast cancer. The SLN is the first lymph node in the draining nodal basin to receive cancer cells. Patients with a negative SLN biopsy show a significantly lower incidence of distant metastasis, suggesting that the SLN may be the major gateway for cancer metastasis in these cancer types. Second, the discovery and characterization of several biomarkers including VEGF-C, LYVE-1, Podoplanin and Prox-1 have opened new vistas in the understanding of the induction of lymphangiogenesis by cancer cells. Cancer cells must complete multiple steps to invade the lymphatic system, some of which may be enabled by the evolution of new traits during cancer progression. Thus, cancer cells may spread initially through the main gateway of the SLN, from which evolving cancer clones can invade the blood vessels to distant sites. Cancer cells may also enter the blood vessels directly, bypassing the SLN to establish distant metastases. Future studies need to pinpoint the molecules that are used by cancer cells at different stages of metastasis via different routes so that specific therapies can be targeted against these molecules, with the goal of stopping or preventing cancer metastasis.

Identifiants

pubmed: 34767139
doi: 10.1007/s10585-021-10120-z
pii: 10.1007/s10585-021-10120-z
pmc: PMC8967809
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

159-179

Informations de copyright

© 2021. The Author(s).

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Auteurs

Stanley P Leong (SP)

California Pacific Medical Center and Research Institute, San Francisco, CA, USA. leongsx@sutterhealth.org.
University of California, San Francisco, San Francisco, CA, USA. leongsx@sutterhealth.org.

Kamila Naxerova (K)

Center for Systems Biology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Laura Keller (L)

Institute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Klaus Pantel (K)

Institute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Marlys Witte (M)

Department of Surgery, Neurosurgery and Pediatrics, University of Arizona College of Medicine-Tucson, Tucson, AZ, USA.

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