Türk Nöroşirürji Dergisi
2017 , Vol 27 , Num 2
Molecular Mechanisms of Metastases
1Akdeniz Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Antalya, Türkiye
Metastases to the central nervous system (CNS) remain a major cause of morbidity and mortality in patients with systemic cancer.
To improve the treatments, one must first understand the biology of the metastatic process. The aim of this review is to summarize
the most up to date understanding of the metastatic process. The mobilization of tumor cells from their site of origin, their migration
to the brain and formation of metastatic lesions is called the "metastatic process". This paper will discuss the molecular processes
of metastasis. The metastatic process starts with the epithelial to mesenchymal transition which is followed by local invasion.
When tumor cells access the vasculature they can reach their distal metastatic site. The metastatic process involves migration and
colonization. Migration consists of intravasation, dissemination and extravasation. Further growth at the metastatic site depends on
the interaction between tumor cells and the brain microenvironment. Better understanding of the metastatic process is important to
design better preventive and therapeutic methods.
Anahtar Kelimeler :
Cancer, Brain metastasis, Metastatic process