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How Metastasis Is An Complex Process

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Metastasis is an extraordinarily complex process. A sequence of steps is executed by a cancer cell to successfully form distant colonies at a secondary site. Typically, cancer cells escape from the primary tumour, break through basement membrane and invade surrounding tissues, encounter the circulatory system and/or lymphatics and travel to distant sites. Finally, they are arrested in small capillaries while being able to grow and form new tumours.[1] Tumour cells acting through this multistep metastatic cascade need to acquire some communicational skills and for that reason they seem to have numerous interactions with the extracellular matrix (ECM).
Matrix metalloproteinases (MMPs) comprise a family of proteolytic enzymes that possess the capability to control ECM remodelling and degradation, both being active events in tumour invasion. Consequently, their expression and activity have been extensively studied in various human cancers. [2] Furthermore, enhanced MMP expression and activity imply poor prognosis and risk of recurrence. [3] Hence, MMPs have been considered as promising therapeutic targets for cancer following the discovery through which their aberrant up-regulation was proved to be engaged in cancer cell invasion and motility.
MMPs group is comprised of 24 enzymes that have been identified to degrade ECM and basement membrane as well as release of bioactive molecules. However, individual MMPs have been found to have pro-metastatic as well as anti-metastatic

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