Premetastatic niches, exosomes and circulating tumor cells: Early mechanisms of tumor dissemination and the relation to surgery
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Premetastatic niches, exosomes and circulating tumor cells : Early mechanisms of tumor dissemination and the relation to surgery. / Raskov, Hans; Orhan, Adile; Salanti, Ali; Gögenur, Ismail.
In: International Journal of Cancer, Vol. 146, No. 12, 2020, p. 3244-3255.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Premetastatic niches, exosomes and circulating tumor cells
T2 - Early mechanisms of tumor dissemination and the relation to surgery
AU - Raskov, Hans
AU - Orhan, Adile
AU - Salanti, Ali
AU - Gögenur, Ismail
PY - 2020
Y1 - 2020
N2 - The physiological stress response to surgery promotes wound healing and functional recovery and includes the activation of neural, inflammatory and proangiogenic signaling pathways. Paradoxically, the same pathways also promote metastatic spread and growth of residual cancer. Human and animal studies show that cancer surgery can increase survival, migration and proliferation of residual tumor cells. To secure the survival and growth of disseminated tumor cells, the formation of premetastatic niches in target organs involves a complex interplay between microenvironment, immune system, circulating tumor cells, as well as chemical mediators and exosomes secreted by the primary tumor. This review describes the current understanding of the early mechanisms of dissemination, as well as how surgery may facilitate disease progression.
AB - The physiological stress response to surgery promotes wound healing and functional recovery and includes the activation of neural, inflammatory and proangiogenic signaling pathways. Paradoxically, the same pathways also promote metastatic spread and growth of residual cancer. Human and animal studies show that cancer surgery can increase survival, migration and proliferation of residual tumor cells. To secure the survival and growth of disseminated tumor cells, the formation of premetastatic niches in target organs involves a complex interplay between microenvironment, immune system, circulating tumor cells, as well as chemical mediators and exosomes secreted by the primary tumor. This review describes the current understanding of the early mechanisms of dissemination, as well as how surgery may facilitate disease progression.
KW - circulating tumor cells
KW - exosomes
KW - metastasis
KW - premetastatic niche
KW - surgical stress response
U2 - 10.1002/ijc.32820
DO - 10.1002/ijc.32820
M3 - Review
C2 - 31808150
AN - SCOPUS:85078617549
VL - 146
SP - 3244
EP - 3255
JO - International Journal of Cancer
JF - International Journal of Cancer
SN - 0020-7136
IS - 12
ER -
ID: 235786076