Table 1 The distinct characteristics among different organ metastasis

From: New insights into the correlations between circulating tumor cells and target organ metastasis

Organ

Category

Key factor

Mechanism

Primary cancer

Ref.

Brain

Characteristics of CTCs

Nestin, CD133 and Cd44

Markers of circulating tumor stem cells, indicating stronger metastatic potential

Breast cancer and TNBC

100,101

CD44v6

Activate the EMT process

Small cell lung cancer

102

HER2, EGFR, HPSE and Notch1

Highly invasive phenotype of CTCs

Breast cancer

103

RAC1

Regulate the motility of CTCs

LUAD

104,105

Nrf2

Mediate Keap1-Nrf2-ARE pathway and drive anti-oxidant gene expression

Lung cancer

111

RPL/RPS

Be associated with ribosome production, translation and metabolism of CTCs

Melanoma

112,113

SEMA4D

Activate Rho pathway, which facilitates CTCs migration across the BBB

Breast cancer

15,119

COX2

Activate MMP-1 to break down endothelial cell connections

TNBC

117

ST6GALNAC5

Enhance the adhesion of CTCs to brain endothelial cells

Breast cancer

114,118

MYC

Up-regulate GPX1 expression to alleviate the killing effect of oxidative stress

Breast cancer

122,123

Extracellular vesicles

miR-105

Target ZO-1, which increases vascular permeability of the BBB

Breast cancer

116

miR-19a

Down-regulate PTEN and up-regulate CCL2 to promote the migration of CTCs

Breast cancer

125

Microenvironment

Anti-PA serpins

Inhibit PAs-mediated cell apoptosis

Breast cancer

121

PCDH7

Assist cGAMP to secrete inflammatory cytokines such as IFN-α and TNF

Breast cancer

124

Lung

Characteristics of CTCs

FADS3

Enhance cell membrane fluidity

Breast cancer

138

LT receptors (BLT2 and CysLT2)

Increase tumorigenicity in lung PMN

Breast cancer

139

ICAM-1

Drive CTC cluster formation and lead to lung metastasis

TNBC

140

VCAM-1

Activate VCAM-1-Ezrin-PI3K/Akt pathway

Breast cancer

141

Periostin and tenascin C

Maintain cancer cell stemness

Breast cancer

142,143

Exosome

miR-105

Break the monolayer vascular endothelial barrier by degrading ZO-1

Breast cancer

116

Integrins α6β4 and α6β1

Up-regulate the expression of a metastasis-promoting factor, S100A4

Breast cancer

93,135,136

miR-122

Down-regulate glycolytic enzyme pyruvate kinase to inhibit glucose uptake

Breast cancer

137

Microenvironment

VEGFR1+ BMDCs

Combine with TDSFs to increases MMP-9 expression

Melanoma

128

S100A8 and S100A9

Massive recruitment of myeloid cells

 

130

lysyl oxidase

Cross-linked to type IV collagen in the lung to recruit myeloid cells

Breast cancer

131

CCR2+ inflammatory monocytes

Secrete VEGF to assist survival of CTCs

Muscle-invasive bladder cancer

129

Bone marrow-derived neutrophils

Secrete proteases to proteolytically destroy the antitumor factor Tsp-1.

 

133

TGF-β1 and periostin

Awaken dormant tumor cells

Breast cancer

134

Liver

Characteristics of CTCs

Hybrid CTCs

Prefer intrahepatic metastasis

Hepatocellular carcinoma

149

Mesenchymal CTCs

Prefer extrahepatic metastasis

Hepatocellular carcinoma

149

CD133

Show obvious preference for liver metastasis

Lung caner

150

CD110

TPO-Induced metabolic reprogramming

Colorectal cancer

151

Extracellular vesicles

MIF

Induce Kuppfer cells to secret TGF-β

Pancreatic ductal adenocarcinoma

157

Integrin αvβ5

Stimulate Kupffer cells to express proinflammatory S100A8 and S100P

Breast cancer

136,158

miR-122-5p

Facilitate the migration and EMT of CTCs

Lung caner

162

miR-25-3p, miR-638, miR-663a, miR-3648, miR-4258 and miR-103

Suppress the transcription factors KLF4 and KLF2 in endothelial cells, consequently enhancing vascular permeability and angiogenesis

Colorectal cancer

163,164,165

miR-203

Induce the polarization of macrophages to M2-TAMs

Colorectal cancer

166,167

miR-135a-5p

Activate LATS2-YAP1/TEAD1-MMP-7 axis

Colorectal cancer

159

CD44v6/C1QBP complex

Activate hepatic stellate cells and promote liver fibrosis.

Colorectal cancer

146

Microenvironment

Lipopolysaccharide

Enhance the adhesion of neutrophils and CTCs and increase CTC recruitment to the liver

Lung cancer

160

IL-22

Induce aminopeptidase N expression of in endothelial cells

Colorectal cancer

167

TGF-β

Cause hepatic stellate cells to produce excess fibronectin

Pancreatic ductal adenocarcinoma

157

Fibronectin

Recruit bone marrow-derived macrophage and neutrophil

Pancreatic ductal adenocarcinoma

157

Bone

Vicious cycle

OPN, PTHrP, HPSE, PGE2 and cytokines like IL-1, IL-6

Increase the production of osteoclasts

Breast cancer

173,174

IGF-1, platelet-derived growth factor (PDGF), and TGF-β

Provide space and fertile soil for tumor growth

Breast cancer

93,176

SCUBE2

Regulate osteoblast differentiation and immunosuppressive niches formation

Breast cancer

189

Characteristics of CTCs

PDGFR-α

Transform CTCs into a more aggressive phenotype

Breast cancer

183

SDF-1/CXCR4

Mediate the adhesion between bone marrow endothelial cells and CTCs

Prostate cancer

188

TFF3

Higher tendency to bone

Breast cancer

190

Lymph node

Characteristics of CTCs

VIM, uPAR and CXCR4

A more aggressive and malignant phenotype

Cervical and breast cancer

205,206

FR-positive CTCs

Show a propensity for lymph node metastasis

LUAD

210,211

CD24 and CD44

The markers of metastatic potential

Gastric and breast cancer

207,208,209

KRT-19

Enhanced organ-specific metastatic activity

Breast cancer

212,213

hMAM, Survivin, and hTERT

Enhanced organ-specific metastatic activity

Breast cancer

217

Bcl-xL

Enhanced organ-specific metastatic activity

Breast cancer

218

Microenvironment

VEGF-A/C

Activate LN lymphangiogenesis and induce lymphatic network expansion

Breast cancer

200,201,202

CXCL1 and CXCL8

Recruit neutrophils

Bladder Cancer

204

VEGF

Induce a Th2-mediated chronic inflammatory milieu

Melanoma

194

PGE2 and TGF-β

Induce the immunosuppression of dendritic cells

Ovarian tumor

196

IL-10 and TGF-β

Immunosuppressive cytokines which convert helper T cells to regulatory T cells

Colorectal Cancer

199

  1. CTCs circulating tumor cells, TNBC triple-negative breast cancer, EMT Epithelial-mesenchymal transition, LUAD lung adenocarcinoma, EVs extracellular vesicles, BBB blood‒brain barrier, BMDCs bone marrow-derived dendritic cells, TDSFs tumor-derived secreted factors, TPO thrombopoietin, MIF migration inhibitory factor, TAMs tumor-associated macrophages