Emerging Biological Principles of Metastasis

Clonal Heterogeneity and Tumor Evolution: Past, Present, and the Future.

Inflammation and Cancer: Triggers, Mechanisms, and Consequences.

EMT Transition States during Tumor Progression and Metastasis.

Metastasis is the main cause of death in people with cancer. To colonize distant organs, circulating tumour cells must overcome many obstacles through mechanisms that we are only now starting to understand. These include infiltrating distant tissue, evading immune defences, adapting to supportive niches, surviving as latent tumour-initiating seeds and eventually breaking out to replace the host tissue. They make metastasis a highly inefficient process. However, once metastases have been established, current treatments frequently fail to provide durable responses. An improved understanding of the mechanistic determinants of such colonization is needed to better prevent and treat metastatic cancer.

Adam Pely

Papers

Circulating Tumor Cell Clusters Are Oligoclonal Precursors of Breast Cancer Metastasis