Yang Yang, Zheng Hongmei, Zhan Yuting, Fan Songqing
Department of Pathology, The Second Xiangya Hospital of Central South University Changsha, Hunan, China.
Am J Transl Res. 2019 Sep 15;11(9):5301-5312. eCollection 2019.
Traditionally, the metastasis has been detected in the late stage of the cancer, which mostly leads to death. The classical opinion about tumor metastasis is that tumor cell migration begins with the single tumor cell and goes through a series of complicated procedures, and lastly arrives and survives at distant tissues and organs. However, emerging studies have found a new migration mechanism called collective cell migration in many cancers. The collective cell migration could move as clusters with the tight cell-cell junction in the tumor microenvironments, toward the traction established by the leader cells. In addition, the collective cell migration has been shown to have higher invasive capacity and higher resistance to the clinical treatments than the single tumor cell migration. Interestingly, the collective clusters of tumor cells have been detected in the early stage of the cancer patient, which has led to the understanding of the significance of early cancer screenings. Here, we reviewed the major principles and guidance of the collective cell migration mechanisms, and the specific manifestations in the different tumors such as breast cancer and lung cancer.
传统上,转移是在癌症晚期才被检测到,这大多会导致死亡。关于肿瘤转移的经典观点是,肿瘤细胞迁移始于单个肿瘤细胞,并经历一系列复杂过程,最终到达远处组织和器官并存活下来。然而,新出现的研究在许多癌症中发现了一种称为集体细胞迁移的新迁移机制。集体细胞迁移能够在肿瘤微环境中以紧密的细胞间连接形成细胞簇移动,朝着由领头细胞建立的牵引力方向移动。此外,与单个肿瘤细胞迁移相比,集体细胞迁移已被证明具有更高的侵袭能力和对临床治疗的更高抗性。有趣的是,在癌症患者的早期就已检测到肿瘤细胞的集体簇,这使得人们对早期癌症筛查的重要性有了认识。在此,我们综述了集体细胞迁移机制的主要原理和指导原则,以及在乳腺癌和肺癌等不同肿瘤中的具体表现。