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Even after potentially “curative” surgery to remove primary tumors, metastatic disease often still develops and leads to death. The process by which metastatic cells from a primary tumor find a home in a metastatic niche is not a passive one. Several factors delineate and “prepare” a metastatic niche to receive and nurture metastatic tumor cells. For example, circulating monocytes home to an area and attach to it via a chemokine receptor, CCR2. The monocytes begin changing the molecular environment to make it welcoming and nurturing to circulating metastatic cells: They create the niche.
A multi-institutional team demonstrated, in mice, that low doses of drugs that change gene expression patterns (epigenetic therapy) can alter the ability of…