2008
DOI: 10.1056/nejmra0805239
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Molecular Basis of Metastasis

Abstract: Metastasis is the end product of an evolutionary process in which diverse interactions between cancer cells and their microenvironment yield alterations that allow these cells to transcend their programmed behavior. Tumor cells thus populate and flourish in new tissue habitats and, ultimately, cause organ dysfunction and death. Understanding the many molecular players and processes involved in metastasis could lead to effective, targeted approaches to prevent and treat cancer metastasis.

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Cited by 933 publications
(741 citation statements)
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References 67 publications
(76 reference statements)
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“…The incidence of breast cancer accounts for 7-8% of the total number of malignant tumors (25). Metastatic progression of breast cancer is a complex and clinically daunting process (26)(27)(28)(29). Breast cancer is both genetically and histopathologically heterogeneous.…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of breast cancer accounts for 7-8% of the total number of malignant tumors (25). Metastatic progression of breast cancer is a complex and clinically daunting process (26)(27)(28)(29). Breast cancer is both genetically and histopathologically heterogeneous.…”
Section: Discussionmentioning
confidence: 99%
“…All primary neoplasms are biologically heterogeneous, and the process of metastasis is highly selective [1][2][3]6 Therefore, an in vitro method that can rapidly isolate the precursor cells of metastasis is highly desirable. Here, we have shown that culturing a heterogeneous population of breast cancer cells on 0.9% agar selects for the metastasis-initiating population of the cells and that much of the gene expression analyses of these cells are consistent with those of breast cancer cells selected after successive in vivo cycling in an experimental model of brain metastasis.…”
Section: Discussionmentioning
confidence: 99%
“…1 Metastases originate from a selected subpopulation of cells that reside in a biologically heterogeneous primary tumor. 2,3 Results from experimental 4 and clinical 5 examinations indicate that most metastases are clonal in origin and that the metastatic process is highly selective. 6 Studies have also shown profound differences between local and disseminated cancers, 7 suggesting that information on primary tumors alone may not be sufficient to determine optimal therapeutic interventions.…”
mentioning
confidence: 99%
“…Despite recent advances, treatment of advanced breast cancer remains palliative, and the survival times for the patients vary greatly. Breast cancer displays a distinct metastatic pattern with the skeleton as predominant metastatic site [2,3]. About 65e75% of the patients with metastatic breast cancer develop bone metastases [4,5].…”
Section: Introductionmentioning
confidence: 99%