The Biology of Bone Metastasis.

The Biology of Bone Metastasis.
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DOI:
10.1101/cshperspect.a031252
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发表时间:
2018-06-01
影响因子:
5.4
通讯作者:
Kang Y
Kang Y
中科院分区:
医学2区
文献类型:
--
作者:
Esposito M;Guise T;Kang Y

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骨转移,或癌症患者骨骼内继发性肿瘤的发展,是一种使人虚弱和无法治愈的疾病。尽管骨转移的发病率很高,但它是所有致癌过程中最复杂和最耐人寻味的过程之一。这种复杂性源于错综复杂的骨微环境,在这种微环境中,造血、成骨和骨溶解的不同阶段受到共同调节,但在空间上受到限制。来自乳腺癌、前列腺癌、肺癌、肾癌或骨髓瘤等常见恶性肿瘤的播散性肿瘤细胞(DCs)被独特地激活,以颠覆这些内源性骨基质元素,生长成病理性的溶骨性或成骨细胞病变。这一定植过程可分为三个关键步骤:播种、休眠和生长。针对休眠和最初的生长过程提供了最有希望的治疗前景。在这里,我们讨论了骨转移生态位的概念,从控制肿瘤细胞的存活到生长到临床可检测的疾病。
Bone metastasis, or the development of secondary tumors within the bone of cancer patients, is a debilitating and incurable disease. Despite its morbidity, the biology of bone metastasis represents one of the most complex and intriguing of all oncogenic processes. This complexity derives from the intricately organized bone microenvironment in which the various stages of hematopoiesis, osteogenesis, and osteolysis are jointly regulated but spatially restricted. Disseminated tumor cells (DTCs) from various common malignancies such as breast, prostate, lung, and kidney cancers or myeloma are uniquely primed to subvert these endogenous bone stromal elements to grow into pathological osteolytic or osteoblastic lesions. This colonization process can be separated into three key steps: seeding, dormancy, and outgrowth. Targeting the processes of dormancy and initial outgrowth offers the most therapeutic promise. Here we discuss the concepts of the bone metastasis niche from controlling tumor cell survival to growth into clinically detectable disease.
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