Metastasis prevention: How to catch metastatic seeds

Biochim Biophys Acta Rev Cancer. 2023 May;1878(3):188867. doi: 10.1016/j.bbcan.2023.188867. Epub 2023 Feb 24.

Abstract

Despite considerable advances in the evolution of anticancer therapies, metastasis still remains the main cause of cancer mortality. Therefore, current strategies for cancer cure should be redirected towards prevention of metastasis. Targeting metastatic pathways represents a promising therapeutic opportunity aimed at obstructing tumor cell dissemination and metastatic colonization. In this review, we focus on preclinical studies and clinical trials over the last five years that showed high efficacy in suppressing metastasis through targeting lymph node dissemination, tumor cell extravasation, reactive oxygen species, pre-metastatic niche, exosome machinery, and dormancy.

Keywords: Anticancer therapy; Cancer; Dormancy; Exosome; Extravasation; Metastasis prevention; Pre-metastatic niche; Reactive oxygen species.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Neoplasm Metastasis* / diagnosis
  • Neoplasms* / pathology