The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer

The development of hepatic metastases is the leading cause of mortality in gastrointestinal (GI) cancers and substantial research efforts have been focused on elucidating the intricate mechanisms by which tumor cells successfully migrate to, invade, and ultimately colonize the liver parenchyma. Rece...

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Main Authors: Austin R. Dosch, Mary P. Martos, Samara Singh, Karishma Kodia, Nipun B. Merchant, Nagaraj S. Nagathihalli
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Gastro Hep Advances
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772572324001328
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author Austin R. Dosch
Mary P. Martos
Samara Singh
Karishma Kodia
Nipun B. Merchant
Nagaraj S. Nagathihalli
author_facet Austin R. Dosch
Mary P. Martos
Samara Singh
Karishma Kodia
Nipun B. Merchant
Nagaraj S. Nagathihalli
author_sort Austin R. Dosch
collection DOAJ
description The development of hepatic metastases is the leading cause of mortality in gastrointestinal (GI) cancers and substantial research efforts have been focused on elucidating the intricate mechanisms by which tumor cells successfully migrate to, invade, and ultimately colonize the liver parenchyma. Recent evidence has shown that perturbations in myeloid biology occur early in cancer development, characterized by the initial expansion of specific innate immune populations that promote tumor growth and facilitate metastases. This review summarizes the pathophysiology underlying the proliferation of myeloid cells that occurs with incipient neoplasia and explores the role of innate immune-host interactions, specifically granulocytes and neutrophil extracellular traps, in promoting hepatic colonization by tumor cells through the formation of the “premetastatic niche”. We further summarize the role of additional myeloid subpopulations such as monocytes and macrophages, dendritic cells, platelets, and eosinophils on promoting disease metastases in GI cancers. Lastly, we describe burgeoning therapeutic approaches aimed at targeting specific myeloid populations to reduce liver metastases and highlight the inherent challenges that exist in studying the efficacy of these treatments in preclinical models. As the inception and outgrowth of liver metastases are primary drivers of prognosis in GI malignancies; further research into the complex mechanisms involved in this critical process is urgently needed.
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publishDate 2025-01-01
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series Gastro Hep Advances
spelling doaj-art-bc6dfa1b3d8c44b391891f57915b14502025-01-18T05:05:33ZengElsevierGastro Hep Advances2772-57232025-01-0141100538The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal CancerAustin R. Dosch0Mary P. Martos1Samara Singh2Karishma Kodia3Nipun B. Merchant4Nagaraj S. Nagathihalli5Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, Florida; Correspondence: Address correspondence to: Austin R. Dosch, MD, PhD, Department of Surgery, University of Miami Miller School of Medicine, 1550 NW 10th Ave., FOX140L, Miami, Florida 33136.Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FloridaDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FloridaDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FloridaDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FloridaDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FloridaThe development of hepatic metastases is the leading cause of mortality in gastrointestinal (GI) cancers and substantial research efforts have been focused on elucidating the intricate mechanisms by which tumor cells successfully migrate to, invade, and ultimately colonize the liver parenchyma. Recent evidence has shown that perturbations in myeloid biology occur early in cancer development, characterized by the initial expansion of specific innate immune populations that promote tumor growth and facilitate metastases. This review summarizes the pathophysiology underlying the proliferation of myeloid cells that occurs with incipient neoplasia and explores the role of innate immune-host interactions, specifically granulocytes and neutrophil extracellular traps, in promoting hepatic colonization by tumor cells through the formation of the “premetastatic niche”. We further summarize the role of additional myeloid subpopulations such as monocytes and macrophages, dendritic cells, platelets, and eosinophils on promoting disease metastases in GI cancers. Lastly, we describe burgeoning therapeutic approaches aimed at targeting specific myeloid populations to reduce liver metastases and highlight the inherent challenges that exist in studying the efficacy of these treatments in preclinical models. As the inception and outgrowth of liver metastases are primary drivers of prognosis in GI malignancies; further research into the complex mechanisms involved in this critical process is urgently needed.http://www.sciencedirect.com/science/article/pii/S2772572324001328Tumor microenvironmentHepatic metastasesGranulocytesNeutrophil extracellular traps (NETs)Colorectal cancerPancreatic cancer
spellingShingle Austin R. Dosch
Mary P. Martos
Samara Singh
Karishma Kodia
Nipun B. Merchant
Nagaraj S. Nagathihalli
The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
Gastro Hep Advances
Tumor microenvironment
Hepatic metastases
Granulocytes
Neutrophil extracellular traps (NETs)
Colorectal cancer
Pancreatic cancer
title The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
title_full The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
title_fullStr The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
title_full_unstemmed The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
title_short The Role of Myeloid Cells on the Development of Hepatic Metastases in Gastrointestinal Cancer
title_sort role of myeloid cells on the development of hepatic metastases in gastrointestinal cancer
topic Tumor microenvironment
Hepatic metastases
Granulocytes
Neutrophil extracellular traps (NETs)
Colorectal cancer
Pancreatic cancer
url http://www.sciencedirect.com/science/article/pii/S2772572324001328
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