Premetastatic niches, exosomes and circulating tumor cells: Early mechanisms of tumor dissemination and the relation to surgery.

Abstract:

:The physiological stress response to surgery promotes wound healing and functional recovery and includes the activation of neural, inflammatory and proangiogenic signaling pathways. Paradoxically, the same pathways also promote metastatic spread and growth of residual cancer. Human and animal studies show that cancer surgery can increase survival, migration and proliferation of residual tumor cells. To secure the survival and growth of disseminated tumor cells, the formation of premetastatic niches in target organs involves a complex interplay between microenvironment, immune system, circulating tumor cells, as well as chemical mediators and exosomes secreted by the primary tumor. This review describes the current understanding of the early mechanisms of dissemination, as well as how surgery may facilitate disease progression.

journal_name

Int J Cancer

authors

Raskov H,Orhan A,Salanti A,Gögenur I

doi

10.1002/ijc.32820

subject

Has Abstract

pub_date

2020-06-15 00:00:00

pages

3244-3255

issue

12

eissn

0020-7136

issn

1097-0215

journal_volume

146

pub_type

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