Academic Journal

Integrins and the Metastasis-like Dissemination of Acute Lymphoblastic Leukemia to the Central Nervous System

التفاصيل البيبلوغرافية
العنوان: Integrins and the Metastasis-like Dissemination of Acute Lymphoblastic Leukemia to the Central Nervous System
المؤلفون: Signe Modvig, Jenani Jeyakumar, Hanne Marquart, Claus Christensen
المصدر: Cancers ; Volume 15 ; Issue 9 ; Pages: 2504
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2023
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: integrin, acute lymphoblastic leukemia, immune surveillance, CNS, metastasis
الوصف: Acute lymphoblastic leukemia (ALL) disseminates with high prevalence to the central nervous system (CNS) in a process resembling aspects of the CNS surveillance of normal immune cells as well as aspects of brain metastasis from solid cancers. Importantly, inside the CNS, the ALL blasts are typically confined within the cerebrospinal fluid (CSF)-filled cavities of the subarachnoid space, which they use as a sanctuary protected from both chemotherapy and immune cells. At present, high cumulative doses of intrathecal chemotherapy are administered to patients, but this is associated with neurotoxicity and CNS relapse still occurs. Thus, it is imperative to identify markers and novel therapy targets specific to CNS ALL. Integrins represent a family of adhesion molecules involved in cell-cell and cell-matrix interactions, implicated in the adhesion and migration of metastatic cancer cells, normal immune cells, and leukemic blasts. The ability of integrins to also facilitate cell-adhesion mediated drug resistance, combined with recent discoveries of integrin-dependent routes of leukemic cells into the CNS, have sparked a renewed interest in integrins as markers and therapeutic targets in CNS leukemia. Here, we review the roles of integrins in CNS surveillance by normal lymphocytes, dissemination to the CNS by ALL cells, and brain metastasis from solid cancers. Furthermore, we discuss whether ALL dissemination to the CNS abides by known hallmarks of metastasis, and the potential roles of integrins in this context.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Tumor Microenvironment; https://dx.doi.org/10.3390/cancers15092504
DOI: 10.3390/cancers15092504
الاتاحة: https://doi.org/10.3390/cancers15092504
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.C1017BBD
قاعدة البيانات: BASE