2021
DOI: 10.1016/j.cell.2021.03.011
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The bone microenvironment invigorates metastatic seeds for further dissemination

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Cited by 163 publications
(130 citation statements)
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“…Another cancer cell might follow a similar pathway, but instead colonizes a metastatic site and forms a metastatic nodule (pathway B). Cells within this nodule, such as from the bone marrow metastases [ 39 ] could additionally re-intravasate and re-seed back to the primary tumor, if still in place (pathway C). Finally, cells within this nodule could re-disseminate to tertiary metastatic sites (pathway D) ( Figure 2 A).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Another cancer cell might follow a similar pathway, but instead colonizes a metastatic site and forms a metastatic nodule (pathway B). Cells within this nodule, such as from the bone marrow metastases [ 39 ] could additionally re-intravasate and re-seed back to the primary tumor, if still in place (pathway C). Finally, cells within this nodule could re-disseminate to tertiary metastatic sites (pathway D) ( Figure 2 A).…”
Section: Discussionmentioning
confidence: 99%
“…Cancer cells can leave the primary tumor and extravasate at the secondary site (e.g., lungs) where they form metastatic foci [ 4 , 5 ]. Pathway C. From a metastatic focus, cancer cells can also re-intravasate and re-seed back to the primary tumor (if still in place), or travel and seed tertiary metastatic sites, Pathway D [ 12 , 13 , 14 , 39 ], enhancing metastatic burden. ( B ) Schematic representation showing that cancer cell re-dissemination from metastatic foci drastically enhances metastatic burden, which may contribute to cancer patient mortality.…”
Section: Figurementioning
confidence: 99%
“…In addition, immune mediators including chemokines, cytokines, and exosomes have shown great therapeutic and prognostic value in the bone metastases. Furthermore, the bone microenvironment can also influence the metastatic seeding into other distant organs triggered by epigenetic reprogramming ( 70 ). Despite deep insights into the immune landscape of bone metastasis, future studies are still needed to identify novel determinants and elucidate their immunological mechanisms, which will pave the way for immune-based therapy and improve clinical outcomes.…”
Section: Perspectivesmentioning
confidence: 99%
“…In the majority of cases, metastasis is first detected in the bone tissue [9]. Moreover, it has been shown recently that the bone microenvironment prepares cancer cells to disseminate to other organs in a mouse model [10].…”
Section: Introductionmentioning
confidence: 99%