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Interstitial fluid flow in cancer: implications for disease progression and treatment
Journal article   Open access   Peer reviewed

Interstitial fluid flow in cancer: implications for disease progression and treatment

Jennifer M. Munson and Adrian C. Shieh
Cancer management and research, v 6(1), pp 317-328
01 Jan 2014
PMID: 25170280
url
https://doi.org/10.2147/cmar.s65444View
Published, Version of Record (VoR)CC BY-NC V4.0 Open
url
https://doi.org/10.2147/CMAR.S65444View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Oncology Science & Technology
As cancer progresses, a dynamic microenvironment develops that creates and responds to cellular and biophysical cues. Increased intratumoral pressure and corresponding increases in interstitial flow from the tumor bulk to the healthy stroma is an observational hallmark of progressing cancers. Until recently, the role of interstitial flow was thought to be mostly passive in the transport and dissemination of cancer cells to metastatic sites. With research spanning the past decade, we have seen that interstitial flow has a promigratory effect on cancer cell invasion in multiple cancer types. This invasion is one mechanism by which cancers can resist therapeutics and recur, but the role of interstitial flow in cancer therapy is limited to the understanding of transport of therapeutics. Here we outline the current understanding of the role of interstitial flow in cancer and the tumor microenvironment through cancer progression and therapy. We also discuss the current role of fluid flow in the treatment of cancer, including drug transport and therapeutic strategies. By stating the current understanding of interstitial flow in cancer progression, we can begin exploring its role in therapeutic failure and treatment resistance.

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190 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
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