Journal
CLINICAL & EXPERIMENTAL METASTASIS
Volume 39, Issue 1, Pages 85-99Publisher
SPRINGER
DOI: 10.1007/s10585-021-10097-9
Keywords
Cancer heterogeneity; Cancer evolution; Cancer microenvironment; Cancer metastasis
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Funding
- Dr. Miriam and Sheldon G. Adelson Medical Research Foundation (Needham, MA, USA)
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Cancer heterogeneity is influenced by genetic mutations within cancer cells and their interaction with the cancer microenvironment. Understanding the relationship between cancer cells and the microenvironment is crucial for developing therapeutic strategies to control cancer progression.
Cancer heterogeneity is a result of genetic mutations within the cancer cells. Their proliferation is not only driven by autocrine functions but also under the influence of cancer microenvironment, which consists of normal stromal cells such as infiltrating immune cells, cancer-associated fibroblasts, endothelial cells, pericytes, vascular and lymphatic channels. The relationship between cancer cells and cancer microenvironment is a critical one and we are just on the verge to understand it on a molecular level. Cancer microenvironment may serve as a selective force to modulate cancer cells to allow them to evolve into more aggressive clones with ability to invade the lymphatic or vascular channels to spread to regional lymph nodes and distant sites. It is important to understand these steps of cancer evolution within the cancer microenvironment towards invasion so that therapeutic strategies can be developed to control or stop these processes.
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