Table 1 Experimental evidence of secondary metastasis in breast cancer

From: Bone serves as a transfer station for secondary dissemination of breast cancer

From (primary metastasis site)

To (secondary metastasis site)

Experimental evidence

References

Bone

Bone

The probability of secondary bone metastasis from an earlier bone metastasis was established by genomic sequencing and an evolutionary analysis.

9

Lung, liver

Metastases in lung and liver were observed in mice with intratibial injection of breast cancer cells.

71,72,73

Bone, lung, liver, brain

In a xenograft model, treatment of mice with BP coupled with trastuzumab eliminated bone micrometastases and prevented multiorgan secondary seeding from bone lesions.

74

Bone, lung, liver, kidney, brain

Bone microenvironment was demonstrated to invigorate metastatic seeds for further multiorgan dissemination using a parabiosis model and an evolving barcode system.

16

Lung

Liver

The probability of linear progression from an earlier lung metastasis to a subsequent liver metastasis was evaluated by genomic sequencing and an evolutionary analysis.

9

Bone, brain

Cancer cells were observed disseminating to bone marrow and brain from lung metastases generated in mice with tail vein injection of cancer cells.

75

Liver, brain

Secondary seeding from the lungs to liver and brain was presented by bioinformatics analysis based on the SEER (Surveillance, Epidemiology, and End Results) database.

76

Axillary lymph node

Bone, brain, liver, skin, colon

The probability of secondary seeding in distant organs from axillary lymph node metastases was established by genomic sequencing and an evolutionary analysis.

9

Skin

Bone

The probability of a subsequent bone metastasis from an earlier skin metastasis was established by genomic sequencing and an evolutionary analysis.

9

Ovarian

Adrenal gland

Horizontal cross-seeding of an ovarian metastasis to an adrenal gland was observed in a genome-wide phylogenetic analysis.

10