Targeting metastatic cancer.

Targeting metastatic cancer.
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DOI:
10.1038/s41591-020-01195-4
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发表时间:
2021-01
期刊:
影响因子:
82.9
通讯作者:
Massagué J
Massagué J
中科院分区:
医学1区
文献类型:
--
作者:
Ganesh K;Massagué J

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尽管最近在癌症治疗方面取得了进展,但转移仍然是癌症死亡的主要原因。最近的工作揭示了转移起始细胞的独特生物学,其导致肿瘤在远处器官中生长,逃避免疫监视和转移微环境的共选择。在这里,我们回顾了最近的进展,使治疗的进展,在治疗微观和宏观转移。这些见解来自癌症测序、机制研究和临床试验,包括免疫疗法。这些研究揭示了转移的起源和性质,并确定了开发更有效的策略以靶向转移复发和改善患者结局的新机会。
Despite recent therapeutic advances in cancer treatment, metastasis remains the principal cause of cancer death. Recent work has uncovered the unique biology of metastasis-initiating cells that results in tumor growth in distant organs, evasion of immune surveillance and co-option of metastatic microenvironments. Here we review recent progress that is enabling therapeutic advances in treating both micro- and macrometastases. Such insights were gained from cancer sequencing, mechanistic studies and clinical trials, including of immunotherapy. These studies reveal both the origins and nature of metastases and identify new opportunities for developing more effective strategies to target metastatic relapse and improve patient outcomes.
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