scispace - formally typeset


About: Metastasis is a(n) research topic. Over the lifetime, 103639 publication(s) have been published within this topic receiving 3446363 citation(s). The topic is also known as: metastatic neoplasm & Metastatic Neoplasm. more


Open accessJournal ArticleDOI: 10.1038/415530A
31 Jan 2002-Nature
Abstract: Breast cancer patients with the same stage of disease can have markedly different treatment responses and overall outcome. The strongest predictors for metastases (for example, lymph node status and histological grade) fail to classify accurately breast tumours according to their clinical behaviour. Chemotherapy or hormonal therapy reduces the risk of distant metastases by approximately one-third; however, 70-80% of patients receiving this treatment would have survived without it. None of the signatures of breast cancer gene expression reported to date allow for patient-tailored therapy strategies. Here we used DNA microarray analysis on primary breast tumours of 117 young patients, and applied supervised classification to identify a gene expression signature strongly predictive of a short interval to distant metastases ('poor prognosis' signature) in patients without tumour cells in local lymph nodes at diagnosis (lymph node negative). In addition, we established a signature that identifies tumours of BRCA1 carriers. The poor prognosis signature consists of genes regulating cell cycle, invasion, metastasis and angiogenesis. This gene expression profile will outperform all currently used clinical parameters in predicting disease outcome. Our findings provide a strategy to select patients who would benefit from adjuvant therapy. more

Topics: Breast cancer (63%), Adjuvant therapy (59%), Metastasis (58%) more

9,279 Citations

Open accessJournal ArticleDOI: 10.1038/NATURE07205
24 Jul 2008-Nature
Abstract: The mediators and cellular effectors of inflammation are important constituents of the local environment of tumours. In some types of cancer, inflammatory conditions are present before a malignant change occurs. Conversely, in other types of cancer, an oncogenic change induces an inflammatory microenvironment that promotes the development of tumours. Regardless of its origin, 'smouldering' inflammation in the tumour microenvironment has many tumour-promoting effects. It aids in the proliferation and survival of malignant cells, promotes angiogenesis and metastasis, subverts adaptive immune responses, and alters responses to hormones and chemotherapeutic agents. The molecular pathways of this cancer-related inflammation are now being unravelled, resulting in the identification of new target molecules that could lead to improved diagnosis and treatment. more

Topics: Inflammation (52%), Cancer (52%), Metastasis (51%)

7,976 Citations

Open accessJournal ArticleDOI: 10.1016/J.CELL.2010.01.025
19 Mar 2010-Cell
Abstract: Inflammatory responses play decisive roles at different stages of tumor development, including initiation, promotion, malignant conversion, invasion, and metastasis. Inflammation also affects immune surveillance and responses to therapy. Immune cells that infiltrate tumors engage in an extensive and dynamic crosstalk with cancer cells, and some of the molecular events that mediate this dialog have been revealed. This review outlines the principal mechanisms that govern the effects of inflammation and immunity on tumor development and discusses attractive new targets for cancer therapy and prevention. more

Topics: Immune system (53%), Metastasis (53%), Inflammation (52%)

7,334 Citations

Journal ArticleDOI: 10.1056/NEJM199101033240101
Abstract: Background. Experimental evidence suggests that the growth of a tumor beyond a certain size requires angiogenesis, which may also permit metastasis. To investigate how tumor angiogenesis correlates with metastases in breast carcinoma, we counted microvessels (capillaries and venules) and graded the density of microvessels within the initial invasive carcinomas of 49 patients (30 with metastases and 19 without). Methods. Using light microscopy, we highlighted the vessels by staining their endothelial cells immunocyto-chemically for factor VIII. The microvessels were carefully counted (per 200×field), and their density was graded (1 to 4+), in the most active areas of neovascularization, without knowledge of the outcome in the patient, the presence or absence of metastases, or any other pertinent variable. Results. Both microvessel counts and density grades correlated with metastatic disease. The mean (±SD) count and grade in the patients with metastases were 101±49.3 and 2.95±1.00 vessels, respect... more

Topics: Neovascularization (56%), Microvessel (56%), Angiogenesis (55%) more

5,530 Citations

Journal ArticleDOI: 10.1038/35065016
Anja Müller, Bernhard Homey1, Hortensia Soto, Nianfeng Ge  +10 moreInstitutions (1)
01 Mar 2001-Nature
Abstract: Breast cancer is characterized by a distinct metastatic pattern involving the regional lymph nodes, bone marrow, lung and liver. Tumour cell migration and metastasis share many similarities with leukocyte trafficking, which is critically regulated by chemokines and their receptors. Here we report that the chemokine receptors CXCR4 and CCR7 are highly expressed in human breast cancer cells, malignant breast tumours and metastases. Their respective ligands CXCL12/SDF-1α and CCL21/6Ckine exhibit peak levels of expression in organs representing the first destinations of breast cancer metastasis. In breast cancer cells, signalling through CXCR4 or CCR7 mediates actin polymerization and pseudopodia formation, and subsequently induces chemotactic and invasive responses. In vivo, neutralizing the interactions of CXCL12/CXCR4 significantly impairs metastasis of breast cancer cells to regional lymph nodes and lung. Malignant melanoma, which has a similar metastatic pattern as breast cancer but also a high incidence of skin metastases, shows high expression levels of CCR10 in addition to CXCR4 and CCR7. Our findings indicate that chemokines and their receptors have a critical role in determining the metastatic destination of tumour cells. more

Topics: Metastasis (69%), Breast cancer (66%), CA15-3 (66%) more

4,906 Citations

No. of papers in the topic in previous years

Top Attributes

Show by:

Topic's top 5 most impactful authors

Robert M. Hoffman

223 papers, 10.9K citations

Isaiah J. Fidler

170 papers, 30K citations

Wen Guo Jiang

134 papers, 5.8K citations

Masaki Mori

127 papers, 6K citations

Danny R. Welch

104 papers, 7.9K citations

Network Information
Related Topics (5)
Primary tumor

24.7K papers, 856.4K citations

96% related

53.7K papers, 1.5M citations

95% related

339.6K papers, 10.9M citations

95% related
Tumor progression

32.6K papers, 1.5M citations

94% related
Lymph node

36.5K papers, 1M citations

94% related