Insights into brain metastasis: Recent advances in circulating tumor cell research.

Insights into brain metastasis: Recent advances in circulating tumor cell research.
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DOI:
10.1002/cnr2.1239
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发表时间:
2022-04
期刊:
影响因子:
1.7
通讯作者:
Yu, Min
Yu, Min
中科院分区:
其他
文献类型:
--
作者:
Klotz, Remi;Yu, Min

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肿瘤细胞如何扩散到大脑并建立脑转移在一定程度上仍然是一个悬而未决的问题。这种许多癌症的毁灭性并发症是由一种罕见的循环肿瘤细胞亚群进入血流引起的。因此,分析这些启动脑转移的CTCs的分子特性对于揭示脑转移的机制是至关重要的。在改进CTCs的浓缩和检测方面所做的重要工作使得能够对导致脑转移的CTCs进行详细的分子和功能分析。在这篇综述中,我们强调了现有临床前研究的关键发现,这些研究为全面了解脑转移--CTC的前体及其潜在的临床意义提供了见解。对脑转移先兆的深入了解将有助于对高危患者进行分层,并改进预防性治疗策略。尽管所有这些临床前证据尚未转化为患者,但它们为未来脑转移患者的利益提供了相当大的希望。
How tumor cells disseminate to brain and establish brain metastasis remains partly an unsolved problem. This devastating complication of many cancers is initiated by a rare subset of the circulating tumor cells (CTCs) shed into the blood stream. Thus, the profiling of the molecular properties in these brain metastasis‐initiating CTCs is essential to uncover the mechanisms underlying brain metastasis. Important efforts to improve the enrichment and detection of CTCs enabled the detailed molecular and functional analysis of CTCs that drive brain metastasis. In this review, we highlight key findings on existing preclinical studies that provide insights toward a comprehensive picture of brain metastasis‐precursors in CTCs and the potential clinical implications. A deeper understanding of the brain metastasis precursors should help to stratify high‐risk patients and improve preventive therapeutic strategies. Although all these preclinical evidences have yet to be translated into patients, they provide considerable hope to benefit patients with brain metastases in the future.
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