Journal of Cancer Metastasis and Treatment最新文献

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Evaluating different routes of extracellular vesicle administration for cranial therapies. 评估不同途径的细胞外囊泡给药颅内治疗。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-06-18 DOI: 10.20517/2394-4722.2020.22
Pericles Ioannides, Erich Giedzinski, Charles L Limoli
{"title":"Evaluating different routes of extracellular vesicle administration for cranial therapies.","authors":"Pericles Ioannides,&nbsp;Erich Giedzinski,&nbsp;Charles L Limoli","doi":"10.20517/2394-4722.2020.22","DOIUrl":"https://doi.org/10.20517/2394-4722.2020.22","url":null,"abstract":"<p><strong>Aim: </strong>Human stem cell-derived extracellular vesicles (EV) provide many advantages over cell-based therapies for the treatment of functionally compromised tissue beds and organ sites. Here we aimed to highlight multiple administration routes for the potential treatment of various forms of brain injury.</p><p><strong>Methods: </strong>Human neural stem cell-derived EV were isolated from conditioned media and administered via three distinct routes: intrahippocampal transplantation, retro-orbital vein injection, and intranasal. EV were administered after which brains were evaluated to determine the capability of EV to translocate into normal tissue.</p><p><strong>Results: </strong>Data showed no significant differences in the amount of EV able to translocate across the brain, indicating the functional equivalence of each administration route to effectively deliver EV to the brain parenchyma.</p><p><strong>Conclusion: </strong>Findings show that both systemic administration routes (retro-orbital vein or intranasal delivery) afforded effective penetrance and perfusion of EV throughout the brain in a minimally invasive manner, and point to a translationally tractable option for treating certain neurological disorders including those resulting from cranial irradiation procedures.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 15","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Extracellular RNAs as potential biomarkers for cancer. 细胞外rna作为潜在的癌症生物标志物。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-09-17 DOI: 10.20517/2394-4722.2020.71
Christine Happel, Aniruddha Ganguly, Danilo A Tagle
{"title":"Extracellular RNAs as potential biomarkers for cancer.","authors":"Christine Happel,&nbsp;Aniruddha Ganguly,&nbsp;Danilo A Tagle","doi":"10.20517/2394-4722.2020.71","DOIUrl":"https://doi.org/10.20517/2394-4722.2020.71","url":null,"abstract":"<p><p>The discovery that all cells secrete extracellular vesicles (EVs) to shuttle proteins and nucleic acids to recipient cells suggested they play an important role in intercellular communication. EVs are widely distributed in many body fluids, including blood, cerebrospinal fluid, urine and saliva. Exosomes are nano-sized EVs of endosomal origin that regulate many pathophysiological processes including immune responses, inflammation, tumour growth, and infection. Healthy individuals release exosomes with a cargo of different RNA, DNA, and protein contents into the circulation, which can be measured non-invasively as biomarkers of healthy and diseased states. Cancer-derived exosomes carry a unique set of DNA, RNA, protein and lipid reflecting the stage of tumour progression, and may serve as diagnostic and prognostic biomarkers for various cancers. However, many gaps in knowledge and technical challenges in EVs and extracellular RNA (exRNA) biology, such as mechanisms of EV biogenesis and uptake, exRNA cargo selection, and exRNA detection remain. The NIH Common Fund-supported exRNA Communication Consortium was launched in 2013 to address major scientific challenges in this field. This review focuses on scientific highlights in biomarker discovery of exosome-based exRNA in cancer and its possible clinical application as cancer biomarkers.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38855731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Letting go of the physical exam: embracing telehealth solutions to oncology. 放弃身体检查:接受肿瘤远程医疗解决方案。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-04-28 DOI: 10.20517/2394-4722.2020.06
Michael J Overman
{"title":"Letting go of the physical exam: embracing telehealth solutions to oncology.","authors":"Michael J Overman","doi":"10.20517/2394-4722.2020.06","DOIUrl":"https://doi.org/10.20517/2394-4722.2020.06","url":null,"abstract":"Despite the diminishing value of the physical exam in the management of many chronic diseases, it still represents a core component of clinical office visits[1]. In part, this reflects the reimbursement landscape that continues to support its use at every clinical encounter. However, as healthcare pivots towards a new focus on value-based care, it is imperative that we move beyond the confines of the in-person clinical encounter and embrace the tremendous potential for telehealth solutions to healthcare delivery.","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Burden of chronic diseases among sarcoma survivors treated with anthracycline chemotherapy: results from an observational study. 接受蒽环类化疗的肉瘤幸存者的慢性疾病负担:一项观察性研究的结果
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-08-07 DOI: 10.20517/2394-4722.2020.36
Laurence H Baker, Philip S Boonstra, Denise K Reinke, Erin J Peregrine Antalis, Bradley J Zebrack, Richard L Weinberg
{"title":"Burden of chronic diseases among sarcoma survivors treated with anthracycline chemotherapy: results from an observational study.","authors":"Laurence H Baker,&nbsp;Philip S Boonstra,&nbsp;Denise K Reinke,&nbsp;Erin J Peregrine Antalis,&nbsp;Bradley J Zebrack,&nbsp;Richard L Weinberg","doi":"10.20517/2394-4722.2020.36","DOIUrl":"https://doi.org/10.20517/2394-4722.2020.36","url":null,"abstract":"<p><strong>Aim: </strong>Cardiovascular disease is a leading cause of mortality among long-term cancer survivors treated with large total doses of doxorubicin. An increase in coronary artery disease (CAD) among childhood cancer survivors by age 45 has been observed and is driven by primarily anthracycline chemotherapy and to a lesser extent chest radiation that includes the heart in the radiation field. The risk factors and associated chronic diseases (hypertension, <i>etc</i>.) are well known for CAD and can be often prevented or treated, thus reducing the risk of CAD in these patients. We piloted a risk-based survivorship clinic in an academic medical center to characterize the distribution of risk factors for CAD and improve the quality of life in a population of sarcoma survivors treated with doxorubicin.</p><p><strong>Methods: </strong>We followed a prospective cohort of sixty-one survivors of bone and soft tissue sarcoma treated with doxorubicin chemotherapy (> 400 mg/m<sup>2</sup>) and at least 2 years post-therapy attending the sarcoma survivorship clinic. We collected clinical, demographic data, and patient reported outcomes via PROMIS questionnaires annually.</p><p><strong>Results: </strong>We demonstrated a high burden of chronic diseases in this population. Among six chronic conditions that are known risk factors for CAD (hypertension, diabetes, obesity, chronic inflammation, kidney disease and dyslipidemia), more than one-fourth (26%, 16/61) of patients had three or more of these risk factors at baseline visit, and 49% (30/61) had two or more.</p><p><strong>Conclusion: </strong>The results of this pilot study support the presence of modifiable CAD risk factors in this population of sarcoma survivors. Evidence-based guidelines for high-risk survivors of rare cancers are needed.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39519295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Introduction to this Special Issue: "Biomarker Discovery and Precision Medicine". 本期特刊简介:“生物标志物发现与精准医学”。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-01-07 DOI: 10.20517/2394-4722.2019.42
Bingliang Fang
{"title":"Introduction to this Special Issue: \"Biomarker Discovery and Precision Medicine\".","authors":"Bingliang Fang","doi":"10.20517/2394-4722.2019.42","DOIUrl":"https://doi.org/10.20517/2394-4722.2019.42","url":null,"abstract":"With advances in genomics, transcriptomics, proteomics, and metabolomics, blooming data have been available for exploring molecular alternations in cancers. Many of these molecular alternations have been investigated as biomarkers for cancer diagnosis, prognosis, and precision therapies. It is my privilege to introduce this Special Issue of the Journal of Cancer Metastasis and Treatment, which contains four review articles and four original articles that focus on the topic of biomarker discoveries for cancer diagnosis and precision therapy.","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39624642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epithelial-mesenchymal transition: a hallmark in pancreatic cancer stem cell migration, metastasis formation, and drug resistance. 上皮-间质转化:胰腺癌干细胞迁移、转移形成和耐药的标志。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-09-27 DOI: 10.20517/2394-4722.2020.55
Ahmad R Safa
{"title":"Epithelial-mesenchymal transition: a hallmark in pancreatic cancer stem cell migration, metastasis formation, and drug resistance.","authors":"Ahmad R Safa","doi":"10.20517/2394-4722.2020.55","DOIUrl":"10.20517/2394-4722.2020.55","url":null,"abstract":"<p><p>Metastasis, tumor progression, and chemoresistance are the major causes of death in patients with pancreatic ductal adenocarcinoma (PDAC). Tumor dissemination is associated with the activation of an epithelial-to-mesenchymal transition (EMT) process, a program by which epithelial cells lose their cell polarity and cell-to-cell adhesion, and acquire migratory and invasive abilities to become mesenchymal stem cells (MSC). These MSCs are multipotent stromal cells capable of differentiating into various cell types and trigger the phenotypic transition from an epithelial to a mesenchymal state. Therefore, EMT promotes migration and survival during cancer metastasis and confers stemness features to particular subsets of cells. Furthermore, a major problem limiting our ability to treat PDAC is the existence of rare populations of pancreatic cancer stem cells (PCSCs) or cancer-initiating cells in pancreatic tumors. PCSCs may represent sub-populations of tumor cells resistant to therapy which are most crucial for driving invasive tumor growth. These cells are capable of regenerating the cellular heterogeneity associated with the primary tumor when xenografted into mice. Therefore, the presence of PCSCs has prognostic relevance and influences the therapeutic response of tumors. PCSCs express markers of cancer stem cells (CSCs) including CD24, CD133, CD44, and epithelial specific antigen as well as the drug transporter ABCG2 grow as spheroids in a defined growth medium. A major difficulty in studying tumor cell dissemination and metastasis has been the identification of markers that distinguish metastatic cancer cells from cells that are normally circulating in the bloodstream or at sites where these cells metastasize. Evidence highlights a linkage between CSC and EMT. In this review, The current understanding of the PCSCs, signaling pathways regulating these cells, PDAC heterogeneity, EMT mechanism, and links between EMT and metastasis in PCSCs are summarised. This information may provide potential therapeutic strategies to prevent EMT and trigger CSC growth inhibition and cell death.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Mouse tumor susceptibility genes identify drug combinations for multiple myeloma. 小鼠肿瘤易感基因鉴定多发性骨髓瘤的药物组合。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2020-01-01 Epub Date: 2020-07-26 DOI: 10.20517/2394-4722.2020.40
Shuling Zhang, Wendy DuBois, Ke Zhang, John K Simmons, V Keith Hughitt, Sayeh Gorjifard, Snehal Gaikwad, Tyler J Peat, Beverly A Mock
{"title":"Mouse tumor susceptibility genes identify drug combinations for multiple myeloma.","authors":"Shuling Zhang,&nbsp;Wendy DuBois,&nbsp;Ke Zhang,&nbsp;John K Simmons,&nbsp;V Keith Hughitt,&nbsp;Sayeh Gorjifard,&nbsp;Snehal Gaikwad,&nbsp;Tyler J Peat,&nbsp;Beverly A Mock","doi":"10.20517/2394-4722.2020.40","DOIUrl":"https://doi.org/10.20517/2394-4722.2020.40","url":null,"abstract":"<p><p>Long-term genetic studies utilizing backcross and congenic strain analyses coupled with positional cloning strategies and functional studies identified <i>Cdkn2a</i>, <i>Mtor</i>, and <i>Mndal</i> as mouse plasmacytoma susceptibility/resistance genes. Tumor incidence data in congenic strains carrying the resistance alleles of <i>Cdkn2a</i> and <i>Mtor</i> led us to hypothesize that drug combinations affecting these pathways are likely to have an additive, if not synergistic effect in inhibiting tumor cell growth. Traditional and novel systems-level genomic approaches were used to assess combination activity, disease specificity, and clinical potential of a drug combination involving rapamycin/everolimus, an <i>Mtor</i> inhibitor, with entinostat, an histone deacetylase inhibitor. The combination synergistically repressed oncogenic <i>MYC</i> and activated the <i>Cdkn2a</i> tumor suppressor. The identification of <i>MYC</i> as a primary upstream regulator led to the identification of small molecule binders of the G-quadruplex structure that forms in the NHEIII region of the <i>MYC</i> promoter. These studies highlight the importance of identifying drug combinations which simultaneously upregulate tumor suppressors and downregulate oncogenes.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"6 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38377188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A new view of the mammary epithelial hierarchy and its implications for breast cancer initiation and metastasis. 乳腺上皮结构的新观点及其对乳腺癌起始和转移的影响。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2019-01-01 Epub Date: 2019-06-13 DOI: 10.20517/2394-4722.2019.24
Lindsey J Anstine, Ruth Keri
{"title":"A new view of the mammary epithelial hierarchy and its implications for breast cancer initiation and metastasis.","authors":"Lindsey J Anstine,&nbsp;Ruth Keri","doi":"10.20517/2394-4722.2019.24","DOIUrl":"https://doi.org/10.20517/2394-4722.2019.24","url":null,"abstract":"<p><p>The existence of mammary epithelial stem cell (MaSC) populations capable of mediating mammary gland development and homeostasis has been established for over a decade. A combination of lineage tracing and mammary gland transplantation studies has affirmed that MaSCs and their downstream progenitors are organized in a hierarchal manner; however, these techniques have failed to illuminate the complete spectrum of epithelial intermediate populations or their spatial and temporal relationships. The advent of single cell sequencing technology has allowed for characterization of highly heterogeneous tissues at high resolution. In the last two years, the remarkable advances in single cell RNA sequencing (scRNA-seq) technologies have been leveraged to address the heterogeneity of the mammary epithelium. These studies have afforded fresh insights into the transcriptional differentiation hierarchy and its chronology. Importantly, these data have led to a major conceptual shift in which the rigid boundaries separating stem, progenitor, and differentiated epithelial populations have been deconstructed, resulting in a new more fluid and flexible model of epithelial differentiation. The emerging view of the mammary epithelial hierarchy has important implications for mammary development, carcinogenesis, and metastasis, providing novel insights into the underlying cellular states that may promote malignant phenotypes.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"5 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213536/pdf/nihms-1578731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37925289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
ESR1 alterations and metastasis in estrogen receptor positive breast cancer. 雌激素受体阳性乳腺癌中ESR1的改变和转移。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2019-01-01 Epub Date: 2019-05-04 DOI: 10.20517/2394-4722.2019.12
Jonathan T Lei, Xuxu Gou, Sinem Seker, Matthew J Ellis
{"title":"<i>ESR1</i> alterations and metastasis in estrogen receptor positive breast cancer.","authors":"Jonathan T Lei,&nbsp;Xuxu Gou,&nbsp;Sinem Seker,&nbsp;Matthew J Ellis","doi":"10.20517/2394-4722.2019.12","DOIUrl":"https://doi.org/10.20517/2394-4722.2019.12","url":null,"abstract":"<p><p>Endocrine therapy is essential for the treatment of patients with estrogen receptor positive (ER+) breast cancer, however, resistance and the development of metastatic disease is common. Understanding how ER+ breast cancer metastasizes is critical since the major cause of death in breast cancer is metastasis to distant organs. Results from many studies suggest dysregulation of the estrogen receptor alpha gene (<i>ESR1</i> ) contributes to therapeutic resistance and metastatic biology. This review covers both pre-clinical and clinical evidence on the spectrum of <i>ESR1</i> alterations including amplification, point mutations, and genomic rearrangement events driving treatment resistance and metastatic potential of ER+ breast cancer. Importantly, we describe how these <i>ESR1</i> alterations may provide therapeutic opportunities to improve outcomes in patients with lethal, metastatic breast cancer.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"5 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37418425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 68
Stem cells, immortality, and the evolution of metastatic properties in breast cancer: telomere maintenance mechanisms and metastatic evolution. 干细胞、永生和癌症转移特性的演变:端粒维持机制和转移演变。
IF 1.9
Journal of Cancer Metastasis and Treatment Pub Date : 2019-01-01 Epub Date: 2019-05-06 DOI: 10.20517/2394-4722.2019.15
Nathaniel J Robinson, Derek J Taylor, William P Schiemann
{"title":"Stem cells, immortality, and the evolution of metastatic properties in breast cancer: telomere maintenance mechanisms and metastatic evolution.","authors":"Nathaniel J Robinson, Derek J Taylor, William P Schiemann","doi":"10.20517/2394-4722.2019.15","DOIUrl":"10.20517/2394-4722.2019.15","url":null,"abstract":"<p><p>Breast cancer is the most significant cause of cancer-related death in women around the world. The vast majority of breast cancer-associated mortality stems from metastasis, which remains an incurable disease state. Metastasis results from evolution of clones that possess the insidious properties required for dissemination and colonization of distant organs. These clonal populations are descended from breast cancer stem cells (CSCs), which are also responsible for their prolonged maintenance and continued evolution. Telomeres impose a lifespan on cells that can be extended when they are actively elongated, as occurs in CSCs. Thus, changes in telomere structure serve to promote the survival of CSCs and subsequent metastatic evolution. The selection of telomere maintenance mechanism (TMM) has important consequences not only for CSC survival and evolution, but also for their coordination of various signaling pathways that choreograph the metastatic cascade. Targeting the telomere maintenance machinery may therefore provide a boon to the treatment of metastatic breast cancer. Here we review the two major TMMs and the roles they play in the development of stem and metastatic breast cancer cells. We also highlight current and future approaches to targeting these mechanisms in clinical settings to alleviate metastatic breast cancers.</p>","PeriodicalId":15167,"journal":{"name":"Journal of Cancer Metastasis and Treatment","volume":"5 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706062/pdf/nihms-1046606.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41201916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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