Abstract
Hematogenous and lymph node metastasis of melanoma cells is a major cause of death in the United States and Canada. Melanoma cells have a propensity for spreading to lymph nodes via the lymphatics. However, little is known about regional growth patterns of draining lymph node metastases arising from dermal melanomas. In a mouse model, by 10–14 days following intradermal injection, melanoma cells were replicating as discrete, evenly spaced lymph node metastases. When the injection site was excised at 4 days post intradermal injection, neither primary dermal tumors nor lymph node metastases were observed, indicating that metastasizing cells did not come directly from the initial injection and that the primary dermal tumor was required for lymph node metastases. While 23.1% of melanoma cells were proliferating in the lymph node, only 0.9% of these cells were undergoing apoptosis. We never observed metastasizing cancer cells replicating in blood or lymphatic vessels. When melanoma cells undergo hematogenous metastasis after portal vein injection, they are initially arrested in the liver by size constraints. However, they extravasate as an active process involving pseudopodial projections; during this process the vasculature remains intact. The metastasizing cells can then migrate to preferred sites for replication. In the lung, after intravenous injection, melanoma cells become arrested by size constraint at sites directly proportional to the available lung volume. By 10 days post injection, cancer cell replication preferentially occurs at the lung surface with 80% coverage. The vast majority of single, extravasated melanoma cells in the lung and liver are dormant. However, metastatic efficiency and dormancy of melanoma cells can vary widely with the melanoma cell line injected and/or the organ involved. The percentage of inoculated cells that remain as single, dormant cells at 2 weeks post inoculation is tenfold higher for B16F1 cells in liver compared with B16F10 cells in the lung. In contrast, metastatic efficiency of B16 F10 cells in lung is >500-fold higher than for B16F1 cells in liver.
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Morris, V.L., Percy, D.B., Lizardo, M.M., Chambers, A.F., MacDonald, I.C. (2013). Dormancy and Metastasis of Melanoma Cells to Lymph Nodes, Lung and Liver. In: Hayat, M. (eds) Tumor Dormancy, Quiescence, and Senescence, Volume 1. Tumor Dormancy and Cellular Quiescence and Senescence, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5958-9_6
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