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Authors' Affiliations: 1 Women's Cancers Section, Laboratory of Molecular Pharmacology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland; 2 Departments of Oncology, Pathology, and Medical Biophysics, University of Western Ontario, and London Regional Cancer Program, London, Ontario, Canada; 3 Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California; and 4 Department of Neurosurgery, M. D. Anderson Cancer Center, Houston, Texas
Requests for reprints: Patricia S. Steeg, Molecular Therapeutics Program, National Cancer Institute, Building 37, Room 1-122, 37 Convent Drive, MSC 4264, Bethesda, MD 20892. Phone: 301-402-2732; Fax: 301-402-8910; E-mail: steegp{at}mail.nih.gov.
Abstract
Metastasis to the brain is prevalent in solid tumors and lymphomas, and is associated with shortened survival. The brain is regarded as a sanctuary site for metastatic tumor cells where they exist partially protected from drugs by the blood-tumor barrier. Model systems for brain metastasis have been developed and are now yielding mechanistic insights into the roles of angiogenesis, energy metabolism, the Her-2 and Stat3 signaling pathways, and dormancy. Specific, new approaches to combat brain metastatic disease are needed.
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