2017
DOI: 10.1002/1878-0261.12024
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Understanding the molecular mechanisms driving metastasis

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Cited by 61 publications
(36 citation statements)
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“…We have previously reported that metastatic lesions showed a completely different genetic profile and biological behavior compared to their primary lesion, including primary lesions created by inoculation in orthotopic versus ectopic sites (5, 6, 9, 16). This is in agreement with other studies that demonstrated the difference between primary and metastatic lesions (2426). In addition, treatment response may be due to multiple factors, including microenvironment and cancer stem cells.…”
Section: Discussionsupporting
confidence: 94%
“…We have previously reported that metastatic lesions showed a completely different genetic profile and biological behavior compared to their primary lesion, including primary lesions created by inoculation in orthotopic versus ectopic sites (5, 6, 9, 16). This is in agreement with other studies that demonstrated the difference between primary and metastatic lesions (2426). In addition, treatment response may be due to multiple factors, including microenvironment and cancer stem cells.…”
Section: Discussionsupporting
confidence: 94%
“…Interestingly, some bone metastatic patients never progress to this point, while others rapidly progress to a skeletal-related event. While estrogen receptor (ER) status may account for some of these differences (ER+ patients typically have longer latency and therefore may not develop clinically detectable bone metastases [111]), it remains unclear how early the functional bone-remodeling unit is disrupted by this process. Can a few disseminated tumor cells significantly disrupt “coupling”?…”
Section: Hallmarks Of Breast Cancer Bone Metastasismentioning
confidence: 99%
“…It is suggested that more than 90% of deaths from cancer are not caused by the primary tumour but by the direct effects of metastatic deposits and from the metabolic burden of a rapidly growing tumour cell mass ( Jemal et al , 2011). Traditionally an orderly cascade of cellular behaviours was presumed to underlie the progression from a well circumscribed and localised tumour growth to distant spread, based on initial local invasion, entry into the vascular or lymphatic system, survival in those fluid channels followed by extravasation and colonisation in a distal site ( Massagué et al , 2017). However, this orderly progression is not borne out by current research and the mechanisms of metastatic spread remain controversial.…”
Section: Introductionmentioning
confidence: 99%