Foe or friend? Janus-faces of the neurovascular unit in the formation of brain metastases

Despite the potential obstacle represented by the blood-brain barrier for extravasating malignant cells, metastases are more frequent than primary tumors in the central nervous system. Not only tightly interconnected endothelial cells can hinder metastasis formation, other cells of the brain microen...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Wilhelm Imola
Fazakas Csilla
Molnár Kinga
Végh Attila Gergely
Haskó János
Krizbai István Adorján
Dokumentumtípus: Cikk
Megjelent: 2018
Sorozat:JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM 38 No. 4
doi:10.1177/0271678X17732025

mtmt:3277912
Online Access:http://publicatio.bibl.u-szeged.hu/20544
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520 3 |a Despite the potential obstacle represented by the blood-brain barrier for extravasating malignant cells, metastases are more frequent than primary tumors in the central nervous system. Not only tightly interconnected endothelial cells can hinder metastasis formation, other cells of the brain microenvironment (like astrocytes and microglia) can also be very hostile, destroying the large majority of metastatic cells. However, malignant cells that are able to overcome these harmful mechanisms may benefit from the shielding and even support provided by cerebral endothelial cells, astrocytes and microglia, rendering the brain a sanctuary site against anti-tumor strategies. Thus, cells of the neurovascular unit have a Janus-faced attitude towards brain metastatic cells, being both destructive and protective. In this review, we present the main mechanisms of brain metastasis formation, including those involved in extravasation through the brain vasculature and survival in the cerebral environment. 
700 0 1 |a Fazakas Csilla  |e aut 
700 0 1 |a Molnár Kinga  |e aut 
700 0 1 |a Végh Attila Gergely  |e aut 
700 0 1 |a Haskó János  |e aut 
700 0 1 |a Krizbai István Adorján  |e aut 
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