Vasculogenic mimicry
A phenomenon where cancer cells form blood vessel-like structures
Vasculogenic mimicry is a process by which aggressive cancer cells form vessel-like networks, allowing tumors to obtain nutrients and oxygen independently of traditional blood vessels. This phenomenon is particularly noted in melanoma, but has also been observed in other types of cancer.
Discovery and Definition
Vasculogenic mimicry was first described in 1999 by Maniotis et al., who observed that aggressive melanoma cells could form patterned networks resembling blood vessels. Unlike traditional angiogenesis, where new blood vessels are formed from pre-existing ones, vasculogenic mimicry involves the formation of these structures by tumor cells themselves.
Mechanism
The mechanism of vasculogenic mimicry involves the expression of genes typically associated with endothelial cells by tumor cells. These cancer cells can form extracellular matrix-rich channels that facilitate the flow of blood and nutrients. Key signaling pathways implicated in this process include the VEGF and Notch pathways.
Clinical Significance
Vasculogenic mimicry is associated with poor prognosis in cancer patients. It is often linked to increased tumor aggressiveness, metastasis, and resistance to conventional therapies. Understanding this process is crucial for developing new therapeutic strategies targeting these unique vascular structures.
Research and Implications
Research into vasculogenic mimicry is ongoing, with studies focusing on its role in various cancers, including breast cancer and glioblastoma. Targeting the molecular pathways involved in vasculogenic mimicry holds potential for novel cancer treatments.
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Contributors: Prab R. Tumpati, MD