A Perspective on Therapeutic Pan-Resistance in Metastatic Cancer.

Abstract:

:Metastatic spread represents the leading cause of disease-related mortality among cancer patients. Many cancer patients suffer from metastatic relapse years or even decades after radical surgery for the primary tumor. This clinical phenomenon is explained by the early dissemination of cancer cells followed by a long period of dormancy. Although dormancy could be viewed as a window of opportunity for therapeutic interventions, dormant disseminated cancer cells and micrometastases, as well as emergent outgrowing macrometastases, exhibit a generalized, innate resistance to chemotherapy and even immunotherapy. This therapeutic pan-resistance, on top of other adaptive responses to targeted agents such as acquired mutations and lineage plasticity, underpins the current difficulties in eradicating cancer. In the present review, we attempt to provide a framework to understand the underlying biology of this major issue.

journal_name

Int J Mol Sci

authors

Korentzelos D,Clark AM,Wells A

doi

10.3390/ijms21197304

subject

Has Abstract

pub_date

2020-10-03 00:00:00

issue

19

issn

1422-0067

pii

ijms21197304

journal_volume

21

pub_type

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