“…The most common sequence of events nesessary to successfully colonize distant organs is termed “the invasion-metastasis cascade” and includes the following steps: (1) invasion at the local site through BM; (2) migration in surrounding tissues; (3) entrance into a circulatory system (blood or lymph vessel) and traveling through circulation; (4) arrest at a distant site and exit from the circulatory system; (5) survival and proliferation in a distant organ, resulting in formation of micro- and macrometastases [ 30 ]. In cancer, EMT is activated by signaling pathways from TGFβ (Transforming Growth Factor Beta), EGF (Epidermal Growth Factor), HGF (Hepatocyte Growth Factor), Notch, FGF (Fibroblast Growth Factor), Wnt, and IGF (Insulin-Like Growth Factor), signals from tumor microenvironment (e.g., cancer-associated macrophages or fibroblasts), hypoxia and increased matrix stiffness [ 29 , 31 , 32 , 33 , 34 ].…”