“…At present, mechanisms underlying the exit of tumor cells from the dormant state are being actively studied. It is well-known that systems of canonical WNT signaling and ERK/p38 pathways play a key role in the exit of micrometastatic tumor cells from the dormant state, including after chemotherapy. − Suppression of various components of WNT signaling is considered the most promising approach in terms of the development of antimetastatic drugs, and some compounds are already in phase II clinical trials . In the dormant state, tumor cells are in a fully differentiated state, not expressing stemness markers; therefore, in order to form a secondary tumor, they need to dedifferentiate into cancer stem cells (CSCs), which are capable of proliferation (giving rise to progenitor tumor cells) and of self-maintenance of their population .…”