“…It involves a cascade of events, including break out of cancer cells from the primary tumor location, invasion and intravasation through the blood vessels, and colonization at the secondary site in the patient’s body [ 2 , 3 ]. To invade the blood vessel barrier, which is lined with endothelial cells, tumor cells communicate with the endothelial cells and impose phenotypical transition [ 4 , 5 , 6 , 7 , 8 , 9 ] to enter the circulation and achieve metastasis [ 10 , 11 , 12 ]. Cross talk between the cancer cells and the endothelial cells takes place through various cellular communications, such as paracrine signaling, through physical modalities like gap junctions, synapses, exosomes, and vesicles that contribute to cancer progress and metastasis [ 13 , 14 , 15 , 16 ].…”