2003
DOI: 10.1038/nrc1098
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The pathogenesis of cancer metastasis: the 'seed and soil' hypothesis revisited

Abstract: Researchers have been studying metastasis for more than 100 years, and only recently have we gained insight into the mechanisms by which metastatic cells arise from primary tumours and the reasons that certain tumour types tend to metastasize to specific organs. Stephen Paget's 1889 proposal that metastasis depends on cross-talk between selected cancer cells (the 'seeds') and specific organ microenvironments (the 'soil') still holds forth today. It is now known that the potential of a tumour cell to metastasiz… Show more

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Cited by 4,066 publications
(3,231 citation statements)
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References 18 publications
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“…It is conceivable that some breast tumors were derived from cells that had deleted ATF3 (a tumor suppressor), whereas others from cells that had 'evolved' to co-opt ATF3 (to become an oncogene). This speculation fits with the observations that cancer cells are heterogenous in their genetic and epigenetic alterations (some reviews; Loeb, 2001;Fidler, 2003;Albertson, 2006). Although frequently amplified, 1q was documented to be lost in some tumors (Rooney et al, 1999), such as renal carcinoma, rhabdomyosarcoma and gastrointestinal tumors.…”
Section: Atf3 Dichotomy In Cancer Developmentsupporting
confidence: 82%
“…It is conceivable that some breast tumors were derived from cells that had deleted ATF3 (a tumor suppressor), whereas others from cells that had 'evolved' to co-opt ATF3 (to become an oncogene). This speculation fits with the observations that cancer cells are heterogenous in their genetic and epigenetic alterations (some reviews; Loeb, 2001;Fidler, 2003;Albertson, 2006). Although frequently amplified, 1q was documented to be lost in some tumors (Rooney et al, 1999), such as renal carcinoma, rhabdomyosarcoma and gastrointestinal tumors.…”
Section: Atf3 Dichotomy In Cancer Developmentsupporting
confidence: 82%
“…Micrometastases can establish early in heterogeneous primary tumor development and seed distal sites prior to clinical detection [96]. Therefore, at the time of diagnosis many cancer patients already have microscopic metastases, an observation that has led to the development of post-surgical adjuvant therapy for patients with solid tumors.…”
Section: Generation Of Ctl In the Light-mediated Tumor Environment --mentioning
confidence: 99%
“…Existing strategies are mostly limited to combine therapy based on chemotherapy, gene therapy, and radiotherapeutics 5, 6, 7, 8. Moreover, the metastasis cascade is inherent to the generation process of most tumor metastases, especially lung metastases 9, 10, 11, 12. Therefore, an adjuvant‐therapy‐based strategy that effectively inhibits the metastasis cascade might greatly contribute to preventing the metastasis of most malignant tumors.…”
Section: Introductionmentioning
confidence: 99%