Stresses in the metastatic cascade: molecular mechanisms and therapeutic opportunities. Author Minhong Shen, Yibin Kang Publication Year 2020 Type Journal Article Abstract Metastasis is the ultimate "survival of the fittest" test for cancer cells, as only a small fraction of disseminated tumor cells can overcome the numerous hurdles they encounter during the transition from the site of origin to a distinctly different distant organ in the face of immune and therapeutic attacks and various other stresses. During cancer progression, tumor cells develop a variety of mechanisms to cope with the stresses they encounter, and acquire the ability to form metastases. Restraining these stress-releasing pathways could serve as potentially effective strategies to prevent or reduce metastasis and improve the survival of cancer patients. Here, we provide an overview of the tumor-intrinsic, microenvironment- and treatment-induced stresses that tumor cells encounter in the metastatic cascade and the molecular pathways they develop to relieve these stresses. We also summarize the preclinical and clinical studies that evaluate the potential therapeutic benefit of targeting these stress-relieving pathways. Keywords Stress, Physiological, Humans, Gene Expression Regulation, Neoplastic, Tumor Microenvironment, Antineoplastic Agents, Neoplasms, Neoplasm Metastasis Journal Genes Dev Volume 34 Issue 23-24 Pages 1577-1598 Date Published 2020 Dec 01 ISSN Number 1549-5477 DOI 10.1101/gad.343251.120 Alternate Journal Genes Dev PMCID PMC7706714 PMID 33262145 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML