HC9- Invasion & metastasis Flashcards
primary tumors are noticed when they
influence the function of organs or tissues
percentage of deaths caused by primary tumors
10%
tumors in certain tissues have
high metastatic potential
example high metastatic potential
primary melanomas
examples low metastatic potential (2)
- basal cell carcinomas skin
- astrocytomas
invasion-metastasis cascade
primary tumor formation - local invasion - intravasation - transport through circulation - arrest in microvessels of various organs - extravasation - colonization = formation of micrometastasis
carcinomas location
thin sheets of epithelial cells sit on top of deep, complex layers of stroma
malignant cells that breach the basement membrane gain exces to
growth factors and blood supply
carcinomas charachteristic
breaching basement membrane of epithelium with proteases that cleave the ECM
intravasation
cancer cells enter blood vessels from stroma
for the invasion of the lumen of capillaries > cooperation between
carcinoma cells, macrophages and endothelial cells
intravasation stimulated by signaling
EGF from macrophages
blood
hostile environment for carcinoma cells
hostile environment because of (4)
- no contact with other cells
- hydrodynamic stress
- no stromal support
- diameter of carcinoma cells is larger > 3-8 um
circulating cancer cells are a
readout value for therapy efficacy
readout value therapy efficacy (2)
- comparison between cancers and patients is complicated
- measuring tumor DNA in blood > accumulated mutations and translocations
circulating cancer cells spend very little time in circulation because they
are immobilized in the lungs > can escape to other organs
primary mechanism metastasis
trapping in small vessels
extravasation
invasion into surrounding tissue
for extravasation help is needed from
macrophages for certain factors
forms of extravasation (2)
- through the vessel wall
- growth within the vessel
colonization
most complex step
first step colonization
formation of micrometastases
probability for the formation of a macroscopic metastase
low
micrometastases breastcancer
30% of patients have hundred-thousand micrometastases in the bone marrow
presence of micrometastases
indactive for a bad prognosis