Tumor-draining lymph nodes: At the crossroads of metastasis and immunity.

Tumor-draining lymph nodes: At the crossroads of metastasis and immunity.
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DOI:
10.1126/sciimmunol.abg3551
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发表时间:
2021-09-10
期刊:
影响因子:
24.8
通讯作者:
Lund AW
Lund AW
中科院分区:
医学1区
文献类型:
--
作者:
du Bois H;Heim TA;Lund AW

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Early engagement of the lymphatic system by solid tumors in peripheral, non-lymphoid tissues is a clinical hallmark of cancer and often forecasts poor prognosis. The significance of lymph node metastasis for distant spread, however, has been questioned by large-scale lymph node dissection trials and the likely prevalence of direct hematogenous metastasis. Still, an emerging appreciation for the immunological role of the tumor draining lymph node has renewed interest in its basic biology, role in metastatic progression, anti-tumor immunity, and patient outcomes. In this review, we discuss our current understanding of the early mechanisms through which tumors engage lymphatic transport and condition tumor-draining lymph nodes, the significance of these changes for both metastasis and immunity, and potential implications of the tumor-draining lymph node for immunotherapy. Tumors remodel their draining lymph nodes to simultaneously impact both metastatic potential and systemic immune surveillance.
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