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Review | Open Access

Bone serves as a transfer station for secondary dissemination of breast cancer

Yufan Huang1,2,3Hongli Wang1,2,3Xiaomin Yue1,2,3Xiaoqing Li1,2,3 ( )
Department of Biochemistry and Molecular Biology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Tianjin 300060, China
Tianjin’s Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Tianjin 300060, China
Key Laboratory of Breast Cancer Prevention and Treatment of the Ministry of Education, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Tianjin 300060, China
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Abstract

Metastasis is responsible for the majority of deaths among breast cancer patients. Although parallel polyclonal seeding has been shown to contribute to organ-specific metastasis, in the past decade, horizontal cross-metastatic seeding (metastasis-to-metastasis spreading) has also been demonstrated as a pattern of distant metastasis to multiple sites. Bone, as the most frequent first destination of breast cancer metastasis, has been demonstrated to facilitate the secondary dissemination of breast cancer cells. In this review, we summarize the clinical and experimental evidence that bone is a transfer station for the secondary dissemination of breast cancer. We also discuss the regulatory mechanisms of the bone microenvironment in secondary seeding of breast cancer, focusing on stemness regulation, quiescence-proliferation equilibrium regulation, epigenetic reprogramming and immune escape of cancer cells. Furthermore, we highlight future research perspectives and strategies for preventing secondary dissemination from bone.

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Bone Research
Article number: 21
Cite this article:
Huang Y, Wang H, Yue X, et al. Bone serves as a transfer station for secondary dissemination of breast cancer. Bone Research, 2023, 11: 21. https://doi.org/10.1038/s41413-023-00260-1

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Received: 24 November 2022
Revised: 28 February 2023
Accepted: 22 March 2023
Published: 21 April 2023
© The Author(s) 2023

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