Abstract
Hematogenous metastasis involves the entry of cancer cells into the circulation at a primary tumor site and the extravasation of those cells at a secondary organ which may ultimately support the growth of a metastatic tumor. Although extravasation is likely an obligate step in metastasis, it is relatively poorly understood in part due the difficulty studying this process in appropriate experimental models in vivo. Thus, there remain open questions about how cancer cells interact with the vascular wall during this process including the extent to which non-selective mechanisms such as size restriction versus specific adhesive interactions determine the behavior of extravasating cancer cells; how cancer cells cross the endothelium; and the degree to which extravasation limits the overall efficiency of metastasis. The answers to these questions are influenced by specific properties of both the cancer cells and the nature of the vascular bed involved. In this Chapter, we review our current understanding of the cellular and molecular biology of cancer cell extravasation and discuss how this knowledge impacts clinical issues related to the biology of circulating tumor cells and cancer therapy.
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Abbreviations
- CTC:
-
Circulating tumor cell
- DTC:
-
Disseminated tumor cell
- EMT:
-
Epithelial-to-mesenchymal transition
- EpCAM:
-
Epithelial cell adhesion molecule
- MET:
-
Mesenchymal-to-epithelial transition
- SCID:
-
Severe and combined immune deficient
- TEM:
-
Trans-endothelial migration
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Acknowledgements
We thank Jones Nauseef for critical reading of the manuscript. JMB was supported by a Department of Defense pre-doctoral fellowship, PC094754. Work on cancer cell extravasation in the Henry lab has been supported by a Grant-in-Aid from the American Heart Association.
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Barnes, J.M., Henry, M.D. (2011). Cellular and Molecular Biology of Cancer Cell Extravasation. In: Fatatis, A. (eds) Signaling Pathways and Molecular Mediators in Metastasis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2558-4_8
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DOI: https://doi.org/10.1007/978-94-007-2558-4_8
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