4.7 Review

Heterogeneity of CTC contributes to the organotropism of breast cancer

Journal

BIOMEDICINE & PHARMACOTHERAPY
Volume 137, Issue -, Pages -

Publisher

ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.biopha.2021.111314

Keywords

Breast cancer; CTC; Seed and soil; Organotropism; Heterogeneity

Funding

  1. National Natural Science Foundation of China [81773102]
  2. Key International Cooperation of National Natural Science Foundation of China [81920108029]

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This article discusses the relationship between the heterogeneity of circulating tumor cells (CTCs) and the progression and prognosis of breast cancer, dividing them into different subtypes for characterization. By utilizing the "seed and soil" model, the study further explores the connection between the heterogeneity of CTCs and the organ-specific metastasis of breast cancer. It is speculated that CTCs may not only express their genetic potential, but also interact with the surrounding environment to regulate the organ-specific metastases of breast cancer.
Circulating tumor cells (CTCs) are viewed as pro-metastasis precursors shed from primary tumors or metastatic sites. The phenotypic and molecular heterogeneity of CTCs is associated with breast cancer progression and prognosis. Therefore, we divided CTCs into several subtypes according to their differences in biomarker status, epithelial/mesenchymal phenotype, aggregation status, and other factors to summarize their characteristics. Considering that the organ-specific metastasis is a hallmark of breast cancer, we adopted the ?seed and soil? model to further analyze the relationship between the heterogeneity of CTCs and the organotropism of breast cancer. We speculated that CTCs might not only develop their genetic potential but communicate with surroundings, including chemokine systems, hemocytes, and extracellular matrix components, to regulate the organ-specific metastases of breast cancer.

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