Translational Research Program, Public Health Sciences and Human Biology Divisions, Fred Hutchinson Cancer Center, Seattle, Washington, USA; email:
Molecular and Cellular Biology Graduate Program, University of Washington, Seattle, Washington, USA.
Annu Rev Pathol. 2023 Jan 24;18:231-256. doi: 10.1146/annurev-pathmechdis-031521-023557. Epub 2022 Oct 7.
Metastatic dissemination has lethal consequences for cancer patients. Accruing evidence supports the hypothesis that tumor cells can migrate and metastasize as clusters of cells while maintaining contacts with one another. Collective metastasis enables tumor cells to colonize secondary sites more efficiently, resist cell death, and evade the immune system. On the other hand, tumor cell clusters face unique challenges for dissemination particularly during systemic dissemination. Here, we review recent progress toward understanding how tumor cell clusters overcome these disadvantages as well as mechanisms they utilize to gain advantages throughout the metastatic process. We consider useful models for studying collective metastasis and reflect on how the study of collective metastasis suggests new opportunities for eradicating and preventing metastatic disease.
转移扩散对癌症患者具有致命的后果。越来越多的证据支持这样一种假设,即肿瘤细胞可以成群迁移和转移,同时保持彼此之间的联系。集体转移使肿瘤细胞能够更有效地在次级部位定植,抵抗细胞死亡,并逃避免疫系统。另一方面,肿瘤细胞簇在转移扩散过程中,尤其是在全身扩散时,面临着独特的挑战。在这里,我们回顾了最近在理解肿瘤细胞簇如何克服这些劣势以及它们在整个转移过程中利用的机制方面取得的进展。我们考虑了用于研究集体转移的有用模型,并反思了集体转移的研究如何为消除和预防转移性疾病提供新的机会。