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Cancer metastases: challenges and opportunities.

作者信息

Guan Xiangming

机构信息

Department of Pharmaceutical Sciences, College of Pharmacy, South Dakota State University, Brookings, SD 57007, USA.

出版信息

Acta Pharm Sin B. 2015 Sep;5(5):402-18. doi: 10.1016/j.apsb.2015.07.005. Epub 2015 Sep 8.


DOI:10.1016/j.apsb.2015.07.005
PMID:26579471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4629446/
Abstract

Cancer metastasis is the major cause of cancer morbidity and mortality, and accounts for about 90% of cancer deaths. Although cancer survival rate has been significantly improved over the years, the improvement is primarily due to early diagnosis and cancer growth inhibition. Limited progress has been made in the treatment of cancer metastasis due to various factors. Current treatments for cancer metastasis are mainly chemotherapy and radiotherapy, though the new generation anti-cancer drugs (predominantly neutralizing antibodies for growth factors and small molecule kinase inhibitors) do have the effects on cancer metastasis in addition to their effects on cancer growth. Cancer metastasis begins with detachment of metastatic cells from the primary tumor, travel of the cells to different sites through blood/lymphatic vessels, settlement and growth of the cells at a distal site. During the process, metastatic cells go through detachment, migration, invasion and adhesion. These four essential, metastatic steps are inter-related and affected by multi-biochemical events and parameters. Additionally, it is known that tumor microenvironment (such as extracellular matrix structure, growth factors, chemokines, matrix metalloproteinases) plays a significant role in cancer metastasis. The biochemical events and parameters involved in the metastatic process and tumor microenvironment have been targeted or can be potential targets for metastasis prevention and inhibition. This review provides an overview of these metastasis essential steps, related biochemical factors, and targets for intervention.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/94923cdfba51/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/536058955727/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/7e3fffd21927/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/512ab26d4f7c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f369457e7755/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/10d145e4eb7e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/2e0c42141e96/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/1044b73ee6ba/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f1b12c350695/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/ae2f8ef4a244/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/4fcd25fc38d3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f8e453277270/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/94923cdfba51/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/536058955727/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/7e3fffd21927/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/512ab26d4f7c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f369457e7755/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/10d145e4eb7e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/2e0c42141e96/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/1044b73ee6ba/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f1b12c350695/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/ae2f8ef4a244/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/4fcd25fc38d3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/f8e453277270/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0242/4629446/94923cdfba51/gr11.jpg

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本文引用的文献

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Nat Cell Biol. 2014-8

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Bioimpacts. 2014-6-29

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