Tumor
heterogeneity
is
a
major
obstacle
to
achieving
consistent
outcomes
in
cancer
therapy.
Here,
we
present
new
perspective
on
tumor
heterogeneity.
The
foundation
for
understanding
lies
recognizing
that
evolution
process
driven
by
cells
responding
survival
challenges,
and
this
cellular
response
precipitates
the
development
of
hallmark
capabilities.
We
posit
arises
from
cells’
continued
capabilities,
which
ultimately
leads
increased
molecular
chaos.
Therapeutic
inhibition
essential
genes
driving
disease
can
disrupt
evolution,
leading
cell
death,
phenomenon
termed
oncogene
addiction.
Drawing
same
idea
respond
introduce
notion
increasing
primitiveness
during
its
progress
stems
continuous
need
regeneration
due
sustained
damage.
To
expand
our
concept
heterogeneity,
further
explore
redefining
key
based
levels,
propose
potential
treatment
strategy
advanced-stage
cancers
inducing
aging-related
deterioration.
Taken
together,
notions
explored
herein
pave
way
novel
therapies
betterment
human
health.
Annual Review of Pathology Mechanisms of Disease,
Год журнала:
2023,
Номер
19(1), С. 133 - 156
Опубликована: Сен. 27, 2023
Epithelial-mesenchymal
transition
(EMT)
is
a
cellular
process
by
which
epithelial
cells
lose
their
characteristics
and
acquire
mesenchymal
traits
to
promote
cell
movement.
This
program
aberrantly
activated
in
human
cancers
endows
tumor
with
increased
abilities
initiation,
migration,
invasion,
metastasis,
therapy
resistance.
The
EMT
tumors
rarely
binary
often
leads
series
of
gradual
or
intermediate
epithelial-mesenchymal
states.
Functionally,
plasticity
(EMP)
improves
the
fitness
cancer
during
progression
response
therapies.
Here,
we
discuss
most
recent
advances
our
understanding
diverse
roles
EMP
progression,
resistance
address
major
clinical
challenges
due
EMP-driven
phenotypic
heterogeneity
cancer.
Uncovering
novel
molecular
markers
key
regulators
will
aid
development
new
therapeutic
strategies
prevent
recurrence
overcome
Signal Transduction and Targeted Therapy,
Год журнала:
2025,
Номер
10(1)
Опубликована: Фев. 20, 2025
The
progression
of
malignant
tumors
leads
to
the
development
secondary
in
various
organs,
including
bones,
brain,
liver,
and
lungs.
This
metastatic
process
severely
impacts
prognosis
patients,
significantly
affecting
their
quality
life
survival
rates.
Research
efforts
have
consistently
focused
on
intricate
mechanisms
underlying
this
corresponding
clinical
management
strategies.
Consequently,
a
comprehensive
understanding
biological
foundations
tumor
metastasis,
identification
pivotal
signaling
pathways,
systematic
evaluation
existing
emerging
therapeutic
strategies
are
paramount
enhancing
overall
diagnostic
treatment
capabilities
for
tumors.
However,
current
research
is
primarily
metastasis
within
specific
cancer
types,
leaving
significant
gaps
our
complex
cascade,
organ-specific
tropism
mechanisms,
targeted
treatments.
In
study,
we
examine
sequential
processes
elucidate
driving
organ-tropic
systematically
analyze
tumors,
those
tailored
organ
involvement.
Subsequently,
synthesize
most
recent
advances
technologies
challenges
opportunities
encountered
pertaining
bone
metastasis.
Our
objective
offer
insights
that
can
inform
future
practice
crucial
field.
Abstract
Triple-negative
breast
cancer
(TNBC)
stands
as
the
subtype
with
highest
recurrence
and
mortality
rates,
lungs
being
common
site
of
metastasis.
The
pulmonary
microenvironment
plays
a
pivotal
role
in
colonization
disseminated
tumor
cells.
Herein,
this
study
highlights
crucial
exosomal
LAP-TGF-β1,
principal
form
TGF-β1,
reshaping
vascular
niche,
thereby
facilitating
TNBC
lung
Although
various
strategies
have
been
developed
to
block
TGF-β
signaling
advanced
clinically,
their
significant
side
effects
limited
therapeutic
application.
This
demonstrates
that
metastatic
sites,
LAP-TGF-β1
within
exosomes
can
remarkably
reconfigure
niche
at
lower
doses,
bolstering
extravasation
cells
lungs.
Mechanistically,
under
aegis
acetyltransferase
TIP60,
non-canonical
KFERQ-like
sequence
undergoes
acetylation
K304
site,
promoting
its
interaction
HSP90A
subsequent
transport
into
exosomes.
Concurrent
inhibition
both
TIP60
significantly
diminishes
burden
presenting
promising
avenue
for
not
only
offers
fresh
insights
molecular
underpinnings
metastasis
but
also
lays
foundation
innovative
strategies.
Current Opinion in Cell Biology,
Год журнала:
2023,
Номер
84, С. 102218 - 102218
Опубликована: Авг. 17, 2023
Cell
function
relies
on
the
spatiotemporal
dynamics
of
metabolic
reactions.
In
all
physiopathological
processes
tissues,
mechanical
forces
impact
structure
and
membranes,
enzymes,
organelles
regulators
gene
programs,
thus
regulating
cell
metabolism.
turn,
pathways
feedback
impacts
physical
properties
tissues.
Hence,
metabolism
tissue
mechanics
are
dynamically
intertwined
continuously
interact.
Cancer
is
akin
to
an
ecosystem,
comprising
tumor
cells
various
subpopulations
stromal
embedded
in
altered
extracellular
matrix.
The
progression
cancer,
from
initiation
advanced
stage
metastasis,
driven
by
genetic
mutations
crucially
influenced
alterations
microenvironment.
These
also
play
a
pivotal
role
cancer
evasion
immune
surveillance
developing
resistance
treatments.
Here,
we
highlight
emerging
evidence
showing
that
mechano-metabolic
circuits
regulate
multiple
crucial
for
discuss
potential
approaches
improve
therapeutic
treatments
interfering
with
these
circuits.
Biological Procedures Online,
Год журнала:
2023,
Номер
25(1)
Опубликована: Ноя. 13, 2023
Non-small
cell
lung
cancer
(NSCLC)
remains
a
leading
cause
of
cancer-related
deaths
worldwide,
primarily
due
to
its
propensity
for
metastasis.
Patients
diagnosed
with
localized
primary
have
higher
survival
rates
than
those
Thus,
it
is
imperative
discover
biomarkers
the
early
detection
NSCLC
and
timely
prediction
tumor
metastasis
improve
patient
outcomes.
Chinese Medical Journal,
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 10, 2023
Abstract
As
one
of
the
most
malignant
tumors
worldwide,
lung
cancer,
fueled
by
metastasis,
has
shown
rising
mortality
rates.
However,
effective
clinical
strategies
aimed
at
preventing
metastasis
are
lacking
owing
to
its
dynamic
multi-step,
complicated,
and
progressive
nature.
Immunotherapy
promise
in
treating
cancer
reversing
immunosuppressive
network
tumor
microenvironment.
drug
resistance
inevitably
develops
due
inadequate
delivery
immunostimulants
an
uncontrolled
immune
response.
Consequently,
adverse
effects
occur,
such
as
autoimmunity,
from
non-specific
activation
inflammation
off-target
organs.
Nanocarriers
that
improve
solubility,
permeability,
stability,
bioavailability,
well
sustained,
controlled,
targeted
can
effectively
overcome
enhance
therapeutic
effect
while
reducing
effects.
In
particular,
nanomedicine-based
immunotherapy
be
utilized
target
presenting
a
promising
strategy
for
cancer.
Nanotechnology
boost
classified
based
on
metastatic
cascade
related
microenvironment;
breaking
away
primary
tumors,
circulating
cell
dissemination,
premetastatic
niche
formation
cause
distant
secondary
site
colonization.
this
review,
we
focus
opportunities
challenges
integrating
with
nanoparticle
formulation
establish
nanotechnology-based
modulating
microenvironment
preclinical
applications
management
patients
We
also
discuss
prospects
emerging
field
translation
potential
these
techniques.