2015
DOI: 10.1158/0008-5472.can-15-0308
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Prodding the Beast: Assessing the Impact of Treatment-Induced Metastasis

Abstract: The arsenal of treatments for most cancers fit broadly into the categories of surgery, chemotherapy, radiation, and targeted therapy. All represent proven and successful strategies, yet each can trigger local (tumor) and systemic (host) processes that elicit unwanted, often opposing, influences on cancer growth. Under certain conditions, nearly all cancer treatments can facilitate metastatic spread, often in parallel (and sometimes in clear contrast) with tumor reducing benefits. The paradox of treatment-induc… Show more

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Cited by 52 publications
(61 citation statements)
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“…4) supports this notion and encourages the identification and targeting of additional functional domains of heparanase by means of neutralizing mAbs or small molecule inhibitors. Importantly, evidence accumulating in recent years shows that targeting the tumor microenvironment (i.e., VEGF) unexpectedly results in accelerated metastasis and more aggressive disease (42). In contrast, heparanase targeting uniquely inhibits both tumor growth and metastasis, thus possibly offering new opportunities and a safer mode to obstruct the tumor microenvironment.…”
Section: Discussionmentioning
confidence: 99%
“…4) supports this notion and encourages the identification and targeting of additional functional domains of heparanase by means of neutralizing mAbs or small molecule inhibitors. Importantly, evidence accumulating in recent years shows that targeting the tumor microenvironment (i.e., VEGF) unexpectedly results in accelerated metastasis and more aggressive disease (42). In contrast, heparanase targeting uniquely inhibits both tumor growth and metastasis, thus possibly offering new opportunities and a safer mode to obstruct the tumor microenvironment.…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, evidence accumulating in recent years shows that targeting the tumor microenvironment (i.e., VEGF), may unexpectedly result in accelerated metastasis and more aggressive disease. 20 In contrast, our results indicate that heparanase targeting uniquely inhibits both tumor growth and metastasis, thus offering new opportunities and a safer mode to obstruct the tumor microenvironment.…”
Section: Heparanase Neutralizing Antibodiesmentioning
confidence: 69%
“…It has been shown earlier that radiation changes the tumour environment and enhances metastasis in vitro, as well as in vivo, by different mechanisms (170).…”
Section: Impact Of Aeg-1 In Radiation-enhanced Metastasismentioning
confidence: 99%
“…All cancer treatments currently used in clinical practice including surgery, chemotherapy, and RT have proven their effect in large clinical trials including several hundreds to thousands of patients, but they may also create phenotypes and niches that facilitate metastatic spread (170).…”
Section: Treatment-enhanced Metastasismentioning
confidence: 99%
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