The evolution of the cancer niche during multistage carcinogenesis

Nat Rev Cancer. 2013 Jul;13(7):511-8. doi: 10.1038/nrc3536. Epub 2013 Jun 13.

Abstract

The concept of the tumour microenvironment recognizes that the interplay between cancer cells and stromal cells is a crucial determinant of cancer growth. In this Perspectives article, we propose the novel concept that the tumour microenvironment is built through rate-limiting steps during multistage carcinogenesis. Construction of a 'precancer niche' is a necessary and early step that is required for initiated cells to survive and evolve; subsequent niche expansion and maturation accompany tumour promotion and progression, respectively. As such, cancer niches represent an emergent property of a tumour that could be a robust target for cancer prevention and therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Humans
  • Neoplasms / etiology*
  • Neoplasms / pathology*
  • Neoplasms / therapy
  • Stromal Cells / physiology
  • Tumor Microenvironment / physiology*