The tumor-immune ecosystem in shaping metastasis

Am J Physiol Cell Physiol. 2023 Mar 1;324(3):C707-C717. doi: 10.1152/ajpcell.00132.2022. Epub 2023 Jan 30.

Abstract

A better understanding of the mechanisms regulating cancer metastasis is critical to develop new therapies and decrease mortality. Emerging evidence suggests that the interactions between tumor cells and the host immune system play important roles in establishing metastasis. Tumor cells are able to recruit immune cells, which in turn promotes tumor cell invasion, intravasation, survival in circulation, extravasation, and colonization in different organs. The tumor-host immunological interactions also generate a premetastatic niche in distant organs which facilitates metastasis. In this review, we summarize the recent findings on how tumor cells and immune cells regulate each other to coevolve and promote the formation of metastases at the major organ sites of metastasis.

Keywords: ecosystem; immune; metastasis; organotropism; tumor.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, N.I.H., Extramural

MeSH terms

  • Ecosystem*
  • Humans
  • Neoplasm Metastasis / pathology
  • Neoplasms* / pathology
  • Neoplastic Stem Cells / pathology
  • Tumor Microenvironment / physiology