2018
DOI: 10.1038/s41467-018-05030-w
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Reactive astrocytic S1P3 signaling modulates the blood–tumor barrier in brain metastases

Abstract: Brain metastases are devastating complications of cancer. The blood–brain barrier (BBB), which protects the normal brain, morphs into an inadequately characterized blood–tumor barrier (BTB) when brain metastases form, and is surrounded by a neuroinflammatory response. These structures contribute to poor therapeutic efficacy by limiting drug uptake. Here, we report that experimental breast cancer brain metastases of low- and high permeability to a dextran dye exhibit distinct microenvironmental gene expression … Show more

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Cited by 94 publications
(80 citation statements)
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“…[ 3 ] The tight junction of complexes between adjacent endothelial cells further strengthens the functional integrity of BBB, which strictly monitors and controls the import and export of different substances of the brain. [ 4 ] It is reported that nearly 98% of small‐molecule drugs or contrast agents and most macromolecular drugs are routinely excluded from the brain, which makes the treatment and imaging of brain tumors extremely difficult. [ 5,6 ] Although the tight junctions of BBB at the late stage of brain tumors are disrupted to permit drug penetration into brain, the drug concentration in tumor sites is not sufficient to reach the therapeutic level.…”
Section: Introductionmentioning
confidence: 99%
“…[ 3 ] The tight junction of complexes between adjacent endothelial cells further strengthens the functional integrity of BBB, which strictly monitors and controls the import and export of different substances of the brain. [ 4 ] It is reported that nearly 98% of small‐molecule drugs or contrast agents and most macromolecular drugs are routinely excluded from the brain, which makes the treatment and imaging of brain tumors extremely difficult. [ 5,6 ] Although the tight junctions of BBB at the late stage of brain tumors are disrupted to permit drug penetration into brain, the drug concentration in tumor sites is not sufficient to reach the therapeutic level.…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, the BBB protects the normal brain, looses its permeability partially or hetrogenously, and transforms into a blood-tumor barrier (BTB) which enhances the accessibily of therapeutic drugs to some extent, but not completly [14]. However the therapeutic role of BTB permeability is not well defined.…”
Section: Introductionmentioning
confidence: 99%
“…However the therapeutic role of BTB permeability is not well defined. Smith et al, demonstrated that BTB limits the uptake of chemotherapeutic drugs for BC, such as doxorubicin and paclitaxel into the brain relative to other organs [14,15], suggesting limitations of BTB for the complete response of these drugs.…”
Section: Introductionmentioning
confidence: 99%
“…Many of the cytokines/chemokines we identified have previously been reported to be involved in regulating the blood-tumor-barrier, e.g., GRO-α, ICAM-1, IL-6, IL-8, GM-CSF, and CCL5 [58]. Others have found that these proteins also have an impact on BBB integrity and/or facilitate BBB transmigration, e.g., ICAM-1, GM-CSF, CCL5 [55][56][57][58]. Additionally, IL-8 was shown to bind to Sdc1, thereby facilitating leukocyte transendothelial migration [46].…”
Section: Discussionmentioning
confidence: 90%