Cancer metastasis

IJ Fidler - British medical bulletin, 1991 - academic.oup.com
IJ Fidler
British medical bulletin, 1991academic.oup.com
The process of metastasis consists of a series of linked, sequential steps that must be
completed by tumour cells if a metastasis is to develop. Although some of the steps in this
process contain stochastic elements, metastasis as a whole favors the survival and growth of
a few subpopulations of tumour cells that pre-exist within the heterogeneous parent
neoplasm. Metastases can have a clonal origin, and different metastases can originate from
the proliferation of single cells. The outcome of metastasis depends on the interaction of …
Abstract
The process of metastasis consists of a series of linked, sequential steps that must be completed by tumour cells if a metastasis is to develop. Although some of the steps in this process contain stochastic elements, metastasis as a whole favors the survival and growth of a few subpopulations of tumour cells that pre-exist within the heterogeneous parent neoplasm. Metastases can have a clonal origin, and different metastases can originate from the proliferation of single cells. The outcome of metastasis depends on the interaction of metastatic cells with different organ environments. Organ-specific metastases have been demonstrated in a variety of experimental tumour systems, and tumour growth can be specific to a particular site within one organ. The factors that regulate metastasis are the intrinsic properties of some tumour cells and host factors involved in homeostasis. Understanding these factors should allow for the development of more effective of cancer metastasis.
Oxford University Press