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Metastatic cascade processes

01

Overview

The metastatic cascade refers to the multistep biological process by which cancer cells detach from the primary tumor, invade surrounding tissue, enter the circulation (intravasation), survive transport through blood or lymphatic systems, exit into distant tissues (extravasation), and colonize secondary organs. Each stage involves specific molecular interactions, cell types, and microenvironmental factors, such as epithelial–mesenchymal transition (EMT), degradation of the extracellular matrix by matrix metalloproteinases, evasion of immune surveillance, and the induction of angiogenesis. The metastatic cascade is a defining feature of malignant cancers and is responsible for more than 90% of cancer-related deaths. Current therapeutic strategies attempt to target specific molecules or pathways within this cascade, but the cascade itself is not a single, druggable target.

Other names
Metastatic cascadeMetastasis cascadeMetastatic processMetastatic process cascadeCascade of metastasis
02

Biological functions

Cell migrationCell invasionIntravasation (entry of cancer cells into blood/lymph vessels)Survival in circulationExtravasation (exit from vessels)Colonization of distant tissuesAngiogenesis (formation of new blood vessels)
03

Disease associations

Cancer progressionCancer metastasisTreatment resistance

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