Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis

Metastasis formation is a hallmark of invasive cancers and it is achieved through the shedding of circulating tumor cells (CTCs) from the primary site into the blood circulation. There, CTCs are found as single cells or as multicellular clusters, with clusters carrying an elevated ability to survive...

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Main Author: Nicola Aceto
Format: Article
Language:English
Published: Elsevier 2020-02-01
Series:Biomedical Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417019305086
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author Nicola Aceto
author_facet Nicola Aceto
author_sort Nicola Aceto
collection DOAJ
description Metastasis formation is a hallmark of invasive cancers and it is achieved through the shedding of circulating tumor cells (CTCs) from the primary site into the blood circulation. There, CTCs are found as single cells or as multicellular clusters, with clusters carrying an elevated ability to survive within the bloodstream and initiate new metastatic lesions at distant sites. Clusters of CTCs include homotypic clusters made of cancer cells only, as well as heterotypic clusters that incorporate stromal or immune cells along with cancer cells. Both homotypic and heterotypic CTC clusters are characterized by a high metastasis-forming capability, high proliferation rate and by distinct molecular features compared to single CTCs, and their presence in the peripheral circulation of cancer patients is generally associated with a poor prognosis. In this short review, we summarize the current literature that describes homotypic and heterotypic CTC clusters, both in the context of their molecular characteristics as well as their value in the clinical setting. While CTC clusters have only recently emerged as key players in the metastatic process and many aspects of their biology remain to be investigated, a detailed understanding of their vulnerabilities may pave the way towards the generation of new metastasis-suppressing agents. Keywords: Circulating tumor cells, Circulating tumor cell clusters, Metastasis, Cell–cell interactions, Liquid biopsy
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spelling doaj.art-2ffafc5ad12d4ed9ad8833bc3fa97ad52022-12-22T04:27:47ZengElsevierBiomedical Journal2319-41702020-02-014311823Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasisNicola Aceto0Corresponding author. University of Basel and University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.; Department of Biomedicine, Cancer Metastasis Laboratory, University of Basel and University Hospital Basel, Basel, SwitzerlandMetastasis formation is a hallmark of invasive cancers and it is achieved through the shedding of circulating tumor cells (CTCs) from the primary site into the blood circulation. There, CTCs are found as single cells or as multicellular clusters, with clusters carrying an elevated ability to survive within the bloodstream and initiate new metastatic lesions at distant sites. Clusters of CTCs include homotypic clusters made of cancer cells only, as well as heterotypic clusters that incorporate stromal or immune cells along with cancer cells. Both homotypic and heterotypic CTC clusters are characterized by a high metastasis-forming capability, high proliferation rate and by distinct molecular features compared to single CTCs, and their presence in the peripheral circulation of cancer patients is generally associated with a poor prognosis. In this short review, we summarize the current literature that describes homotypic and heterotypic CTC clusters, both in the context of their molecular characteristics as well as their value in the clinical setting. While CTC clusters have only recently emerged as key players in the metastatic process and many aspects of their biology remain to be investigated, a detailed understanding of their vulnerabilities may pave the way towards the generation of new metastasis-suppressing agents. Keywords: Circulating tumor cells, Circulating tumor cell clusters, Metastasis, Cell–cell interactions, Liquid biopsyhttp://www.sciencedirect.com/science/article/pii/S2319417019305086
spellingShingle Nicola Aceto
Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
Biomedical Journal
title Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
title_full Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
title_fullStr Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
title_full_unstemmed Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
title_short Bring along your friends: Homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
title_sort bring along your friends homotypic and heterotypic circulating tumor cell clustering to accelerate metastasis
url http://www.sciencedirect.com/science/article/pii/S2319417019305086
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