Mechanisms of Metastasis: Analysis on Abdominal Organs and the Effect of Treatment Options

Authors

  • Sinchana Keshav Gifted Gabber
  • Josthna Kethar Gifted Gabber

DOI:

https://doi.org/10.47611/jsrhs.v11i4.3704

Keywords:

Metastatic cancer

Abstract

Metastasis is the leading cause of cancer related deaths and commonly associated with Stage IV cancer. This paper will answer the question of: “How do the different circumstances of metastatic origin, growth, and spread affect the function of abdominal organs and life expectancy in cancer patients as well as how varied treatment options affect tumor spread?” in the style of an empirical review. It details numerous studies on metastasis formation, growth, and its effects in the three abdominal organs of the colon/ rectum, pancreas, and the stomach. Additionally, it delves into the treatment options for metastasis and how they help or worsen the situation. 

Overall, the key factors in tumor spread is the tumor microenvironment which highlights the interactions between healthy and malignant cells. Tumors secrete various growth factors, the most important being VEGF which is helpful in the processes of acquiring nutrients and oxygen for it to grow and develop. Prior niches are formed which guide the tumors on where to spread depending on the cancer type. In abdominal organs specifically, the most common sites of metastasis are the liver, lung, and peritoneum, which indicates proximal metastasis of cancers which originate in that region. Lastly, treatment methods aimed at eliminating the chance of cancer metastasis can lead to a stimulation of metastasis, having the opposite of its intended effect. Ultimately, cancer research is a field which is actively being experienced and studied to make developments and further existing knowledge.

Downloads

Download data is not yet available.

Author Biography

Josthna Kethar, Gifted Gabber

The 8- Week session where the student will conduct research and write a scientific journal guided by Dr. Rajagopal Appavu, Assistant proffesor, Vaccine Developer, Senior Data Scientsit/Analyst, Toxicologist, and Chemist. After the draft has been approved by Professor, students will be guided to submit their scientific journal. 

References or Bibliography

Balkwill, F. R., Capasso, M., & Hagemann, T. (2012). The tumor microenvironment at a glance.

Journal of Cell Science, 125(23), 5591–5596. https://doi.org/10.1242/jcs.116392

Carmeliet, P. (2005). VEGF as a key mediator of angiogenesis in cancer. Oncology 69

(Suppl. 3), 4–10. https://doi.org/10.1159/000088478

Celià-Terrassa, T., & Kang, Y. (2016). Distinctive properties of metastasis-initiating cells.

Genes & Development, 30(8), 892–908. https://doi.org/10.1101/gad.277681.116

Direct , S. (2017). Enterohepatic circulation. Enterohepatic Circulation - an overview |

ScienceDirect Topics. Retrieved August 10, 2022, from

https://www.sciencedirect.com/topics/medicine-and-dentistry/enterohepatic-circulation

Kim, K. J., Li, B., Winer, J., Armanini, M., Gillett, N., Phillips, H. S., & Ferrara, N. (1993).

Inhibition of vascular endothelial growth factor-induced angiogenesis suppresses tumor

growth in vivo. Nature, 362(6423), 841–844. https://doi.org/10.1038/362841a0

Kow, A. W. (2019). Hepatic metastasis from colorectal cancer. Journal of Gastrointestinal

Oncology, 10(6), 1274–1298. https://doi.org/10.21037/jgo.2019.08.06

Matsumoto, M., Roufail, S., Inder, R. et al. Signaling for lymphangiogenesis via VEGFR-3

is required for the early events of metastasis. Clin Exp Metastasis 30, 819–832 (2013).

https://doi.org/10.1007/s10585-013-9581-x

Metastatic cancer: When cancer spreads. National Cancer Institute. (2020, November

. Retrieved July 26, 2022, from https://www.cancer.gov/types/metastatic-cancer

​​Nature Publishing Group. (n.d.). Apicobasal polarity. Nature news. Retrieved August 2, 2022,

from https://www.nature.com/subjects/apicobasal-polarity

Obenauf, A. C., & Massagué, J. (2015). Surviving at a distance: Organ-specific metastasis.

Trends in Cancer, 1(1), 76–91. https://doi.org/10.1016/j.trecan.2015.07.009

Piersma, B., Hayward, M.-K., & Weaver, V. M. (2020). Fibrosis and cancer: A strained

relationship. Biochimica Et Biophysica Acta (BBA) - Reviews on Cancer, 1873(2),

https://doi.org/10.1016/j.bbcan.2020.188356

Purohit, A., Saxena, S., Varney, M., Prajapati, D. R., Kozel, J. A., Lazenby, A., & Singh, R. K.

(2021). Host CXCR2-dependent regulation of pancreatic cancer growth, angiogenesis,

and metastasis. The American Journal of Pathology, 191(4), 759–771.

https://doi.org/10.1016/j.ajpath.2021.01.002

Ren, B., Cui, M., Yang, G., Wang, H., Feng, M., You, L., & Zhao, Y. (2018). Tumor

microenvironment participates in metastasis of pancreatic cancer. Molecular Cancer,

(1). https://doi.org/10.1186/s12943-018-0858-1

Riihimäki, M., Thomsen, H., Hemminki, A., Sundquist, K., & Hemminki, K. (2013).

Comparison of survival of patients with metastases from known versus unknown

primaries: Survival in metastatic cancer. BMC Cancer, 13(1).

https://doi.org/10.1186/1471-2407-13-36

Stacker, S. A., Achen, M. G., Jussila, L., Baldwin, M. E., & Alitalo, K. (2002).

Lymphangiogenesis and cancer metastasis. Nature Reviews Cancer, 2(8), 573–583.

https://doi.org/10.1038/nrc863

Stewart, C. L., Warner, S., Ito, K., Raoof, M., Wu, G. X., Kessler, J., Kim, J. Y., & Fong, Y.

(2018). Cytoreduction for colorectal metastases: Liver, lung, peritoneum, lymph nodes,

bone, brain. when does it palliate, prolong survival, and potentially cure? Current

Problems in Surgery, 55(9), 330–379. https://doi.org/10.1067/j.cpsurg.2018.08.004

Wang, B., Zhang, Y., Qing, T., Xing, K., Li, J., Zhen, T., Zhu, S., & Zhan, X. (2021). Comprehensive analysis of

metastatic gastric cancer tumor cells using single-cell RNA-seq. Scientific reports, 11(1), 1141.

https://doi.org/10.1038/s41598-020-80881-2

Wang, R. A., Lu, Y. Y., & Fan, D. M. (2015). Reasons for cancer metastasis: A holistic perspective. Molecular

and clinical oncology, 3(6), 1199–1202. https://doi.org/10.3892/mco.2015.623

Wang, Y., Ding, Y., Guo, N., & Wang, S. (2019). MDSCs: Key criminals of tumor pre-metastatic

niche formation. Frontiers in Immunology, 10. https://doi.org/10.3389/fimmu.2019.00172

Yaeger, R., Cowell, E., Chou, J. F., Rosen, N., Gewirtz, A. N., Borsu, L., Vaikani, E., Solit, D.

B., Kemeny, N., Capanu, M., & Ladanyi, M. (2014, November 9). Ras mutations affect

pattern of metastatic ... - Wiley Online Library. ACS Journals . Retrieved July 26, 2022,

from https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.29196

Yang, J., & Weinberg, R. A. (2008). Epithelial-mesenchymal transition: At the crossroads of

development and tumor metastasis. Developmental Cell, 14(6), 818–829.

https://doi.org/10.1016/j.devcel.2008.05.009

Yuen, G. J., Demissie, E., & Pillai, S. (2016). B lymphocytes and cancer: A love–hate

relationship. Trends in Cancer, 2(12), 747–757.

https://doi.org/10.1016/j.trecan.2016.10.010

Adapted from “Cancer progression Stages”, by BioRender.com (2022). Retrieved from

https://app.biorender.com/biorender-templates

Adapted from “The Tumor Microenvironment: Overview of Cancer Associated Changes”, by

BioRender.com (2022). Retrieved from https://app.biorender.com/biorender-templates

Published

11-30-2022

How to Cite

Keshav, S., & Kethar, J. (2022). Mechanisms of Metastasis: Analysis on Abdominal Organs and the Effect of Treatment Options. Journal of Student Research, 11(4). https://doi.org/10.47611/jsrhs.v11i4.3704

Issue

Section

HS Review Articles