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2015 ; 15
(4
): 238-47
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Metastasis prevention by targeting the dormant niche
#MMPMID25801619
Ghajar CM
Nat Rev Cancer
2015[Apr]; 15
(4
): 238-47
PMID25801619
show ga
Despite considerable advancements that shattered previously held dogmas about the
metastatic cascade, the evolution of therapies to treat metastatic disease has
not kept up. In this Opinion article, I argue that, rather than waiting for
metastases to emerge before initiating treatment, it would be more effective to
target metastatic seeds before they sprout. Specifically, I advocate directing
therapies towards the niches that harbour dormant disseminated tumour cells to
sensitize them to cytotoxic agents. Treatment sensitization, achieved by
disrupting reservoirs of leukaemic stem cells and latent HIV, argues that this
approach, although unconventional, could succeed in improving patient survival by
delaying or even preventing metastasis.