2019
DOI: 10.1038/s41556-018-0267-0
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Targeting the perivascular niche sensitizes disseminated tumour cells to chemotherapy

Abstract: The presence of disseminated tumour cells (DTCs) in BM predicts poorer metastasis-free survival of breast cancer patients with localized disease. DTCs persist in distant tissues despite systemic administration of adjuvant chemotherapy. Many assume this is because the majority of DTCs are quiescent. Here, we challenge this notion and provide evidence that the microenvironment of DTCs protects them from chemotherapy, independent of cell cycle status. We show that chemoresistant DTCs occupy the perivascular niche… Show more

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Cited by 220 publications
(213 citation statements)
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“…Another camp promotes a regimen that would keep cells in a dormant state, but this could be costly, lengthy, and unnecessary if a patient does not have micrometastases. A more exciting possibility is the recent revelation that dormant cells may in fact be sensitized to chemotherapy in an ECM-dependent manner [5,71]. This agrees with our suggestion that targeting survival signaling from cell-ECM adhesion could be a valuable treatment option.…”
Section: Discussionsupporting
confidence: 86%
“…Another camp promotes a regimen that would keep cells in a dormant state, but this could be costly, lengthy, and unnecessary if a patient does not have micrometastases. A more exciting possibility is the recent revelation that dormant cells may in fact be sensitized to chemotherapy in an ECM-dependent manner [5,71]. This agrees with our suggestion that targeting survival signaling from cell-ECM adhesion could be a valuable treatment option.…”
Section: Discussionsupporting
confidence: 86%
“…Separately, a wide range of studies have focused on developing microphysiological models of the perivascular environment to interrogate processes associated with disease progression, 9,29,54,55 cancer invasion or metastasis, 4,37,50,51,66 and even dormancy of cancer stem cells. 10,24 These studies provide an illustrative example of the power of the perivascular environment and motivate our study of the role of perivascular signals on murine HSC culture.…”
Section: Discussionmentioning
confidence: 86%
“…As a result, ongoing efforts are examining if the other proteins identified in this study are individual mediators of temozolomide resistance in order to identify underlying signaling mechanisms that lead to this response. Potential mechanisms include modulation of MGMT and mismatch repair functionality, as well as integrin-mediated resistance [13].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, recent studies in regenerative, stem cell, and cancer biology suggest that vasculature can instruct the behavior of surrounding cells via signaling cues derived from the cells that make up vasculature, namely endothelial cells and supporting mural cells (e.g. pericytes, smooth muscle cells) [12][13][14][15]. Understanding how signaling cues from vasculature affect tumor cell behavior and the underlying mechanisms that govern the crosstalk between vasculature and tumor cells can provide insights into new therapeutic strategies, particularly because the PVN has been associated with the maintenance of stem-like and therapeutically-resistant GBM cells that facilitate disease recurrence [6,[16][17][18].…”
Section: Introductionmentioning
confidence: 99%