Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity

Numerous studies have investigated the molecular mechanisms and signalling pathways underlying cancer metastasis, as there is still no effective treatment for this terminal stage of the disease. However, the exact processes that enable primary cancer cells to acquire a metastatic phenotype remain un...

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Main Authors: Eduardo López-Collazo, Laura Hurtado-Navarro
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1524781/full
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author Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Laura Hurtado-Navarro
Laura Hurtado-Navarro
author_facet Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Laura Hurtado-Navarro
Laura Hurtado-Navarro
author_sort Eduardo López-Collazo
collection DOAJ
description Numerous studies have investigated the molecular mechanisms and signalling pathways underlying cancer metastasis, as there is still no effective treatment for this terminal stage of the disease. However, the exact processes that enable primary cancer cells to acquire a metastatic phenotype remain unclear. Increasing attention has been focused on the fusion of cancer cells with myeloid cells, a phenomenon that may result in hybrid cells, so-called Tumour Hybrid Cells (THCs), with enhanced migratory, angiogenic, immune evasion, colonisation, and metastatic properties. This process has been shown to potentially drive tumour progression, drug resistance, and cancer recurrence. In this review, we explore the potential mechanisms that govern cancer cell fusion, the molecular mediators involved, the metastatic characteristics acquired by fusion-derived hybrids, and their clinical significance in human cancer. Additionally, we discuss emerging pharmacological strategies aimed at targeting fusogenic molecules as a means to prevent metastatic dissemination.
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-332d84dc3fad4c65947a5101c165a6cd2025-02-04T06:32:05ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15247811524781Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneityEduardo López-Collazo0Eduardo López-Collazo1Eduardo López-Collazo2Eduardo López-Collazo3Laura Hurtado-Navarro4Laura Hurtado-Navarro5The Innate Immune Response Group, IdiPAZ, La Paz University Hospital, Madrid, SpainTumour Immunology Laboratory, IdiPAZ, La Paz University Hospital, Madrid, SpainCIBER of Respiratory Diseases (CIBERES), Madrid, SpainUNIE University, Madrid, SpainThe Innate Immune Response Group, IdiPAZ, La Paz University Hospital, Madrid, SpainTumour Immunology Laboratory, IdiPAZ, La Paz University Hospital, Madrid, SpainNumerous studies have investigated the molecular mechanisms and signalling pathways underlying cancer metastasis, as there is still no effective treatment for this terminal stage of the disease. However, the exact processes that enable primary cancer cells to acquire a metastatic phenotype remain unclear. Increasing attention has been focused on the fusion of cancer cells with myeloid cells, a phenomenon that may result in hybrid cells, so-called Tumour Hybrid Cells (THCs), with enhanced migratory, angiogenic, immune evasion, colonisation, and metastatic properties. This process has been shown to potentially drive tumour progression, drug resistance, and cancer recurrence. In this review, we explore the potential mechanisms that govern cancer cell fusion, the molecular mediators involved, the metastatic characteristics acquired by fusion-derived hybrids, and their clinical significance in human cancer. Additionally, we discuss emerging pharmacological strategies aimed at targeting fusogenic molecules as a means to prevent metastatic dissemination.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1524781/fullmetastasiscell fusionmacrophagescancer cell hybridtumour hybrid cellcancer recurrence
spellingShingle Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Eduardo López-Collazo
Laura Hurtado-Navarro
Laura Hurtado-Navarro
Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
Frontiers in Immunology
metastasis
cell fusion
macrophages
cancer cell hybrid
tumour hybrid cell
cancer recurrence
title Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
title_full Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
title_fullStr Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
title_full_unstemmed Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
title_short Cell fusion as a driver of metastasis: re-evaluating an old hypothesis in the age of cancer heterogeneity
title_sort cell fusion as a driver of metastasis re evaluating an old hypothesis in the age of cancer heterogeneity
topic metastasis
cell fusion
macrophages
cancer cell hybrid
tumour hybrid cell
cancer recurrence
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1524781/full
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