2000
DOI: 10.1007/s004320000148
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Mechanisms of tumor metastasis: cell biological aspects and clinical implications

Abstract: The clinical course--and hence the prognosis--of patients suffering from malignant tumors are essentially determined by the capability of tumor cells to metastasize. During the past decade knowledge about genetic aberrations, as well as molecular and cell biological mechanisms which are involved in the regulation of tumor metastasis, has dramatically increased and consequently led to the development of new theoretical and experimental strategies in cancer treatment. The objective of this review is not only to … Show more

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Cited by 109 publications
(75 citation statements)
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“…In addition, increased MT nucleation capacity of centrosomes correlated with loss of tissue differentiation. Loss of differentiation as indicated by high histologic grade is an indicator of poor prognosis (27), probably because of the increased metastatic potential of cells with altered cytoskeletons and adherent properties (28).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, increased MT nucleation capacity of centrosomes correlated with loss of tissue differentiation. Loss of differentiation as indicated by high histologic grade is an indicator of poor prognosis (27), probably because of the increased metastatic potential of cells with altered cytoskeletons and adherent properties (28).…”
Section: Discussionmentioning
confidence: 99%
“…When tumor cells are inoculated via the portal vein, tumor cells are first arrested in small vessels, followed by extravasation, invasion of tissues and proliferation of tumor cells. 3 Therefore, blood flows would be, at least transiently, hindered by tumor cells, which could result in a reduction in the oxygen supply. In addition to hypoxia, other processes such as growth factor stimulation and cytokine stimulation are reported to increase HIF-1a expression and activate HIF-1-dependent transcription.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 Tumor metastasis is an exceedingly complex process, which occurs through a series of sequential steps that include dissociation from the primary tumor, invasion of adjacent tissues, intravasation, transport through the circulatory system, arrest in small vessels, adhesion to endothelial cells, extravasation and growth in secondary organs. 3 It can be hypothesized that components of the secondary organ, such as endothelial cells, stromal cells, fibroblasts and parenchymal cells, are functionally organized to promote survival and proliferation of metastasizing cancer cells and generate a favorable microenvironment for cancer cells in metastatic sites. 4,5 Hypoxia initiates a variety of cellular responses including the activation of hypoxia-inducible factor-1 (HIF-1).…”
Section: Introductionmentioning
confidence: 99%
“…The capacity of tumor cells to form metastatic foci correlates with the ability to proteolytically degrade basement membrane barriers and to adhere to and migrate through extracellular matrix layers. 1,2 Two classes of molecules are mainly involved in these processes: the matrix metalloproteinases (MMPs) 3 and integrins. 4,5 Integrins are a large family of adhesion receptors involved in cell-cell and cellextracellular matrix interactions.…”
mentioning
confidence: 99%