Mechanisms of metastasis: epithelial‐to‐mesenchymal transition and contribution of tumor microenvironment

JC Tse, R Kalluri - Journal of cellular biochemistry, 2007 - Wiley Online Library
JC Tse, R Kalluri
Journal of cellular biochemistry, 2007Wiley Online Library
Every year about 500,000 people in the United States die as a result of cancer. Among them,
90% exhibit systemic disease with metastasis. Considering this high rate of incidence and
mortality, it is critical to understand the mechanisms behind metastasis and identify new
targets for therapy. In recent years, two broad mechanisms for metastasis have received
significant attention: epithelial‐to‐mesenchymal transition (EMT) and tumor
microenvironment interactions. EMT is believed to be a major mechanism by which cancer …
Abstract
Every year about 500,000 people in the United States die as a result of cancer. Among them, 90% exhibit systemic disease with metastasis. Considering this high rate of incidence and mortality, it is critical to understand the mechanisms behind metastasis and identify new targets for therapy. In recent years, two broad mechanisms for metastasis have received significant attention: epithelial‐to‐mesenchymal transition (EMT) and tumor microenvironment interactions. EMT is believed to be a major mechanism by which cancer cells become migratory and invasive. Various cancer cells—both in vivo and in vitro—demonstrate features of epithelial‐to‐mesenchymal‐like transition. In addition, many steps of metastasis are influenced by host contributions from the tumor microenvironment, which help determine the course and severity of metastasis. Here we evaluate the diverse mechanisms of EMT and tumor microenvironment interactions in the progression of cancer, and construct a rational argument for targeting these pathways to control metastasis. J. Cell. Biochem. 101: 816–829, 2007. © 2007 Wiley‐Liss, Inc.
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