Research progress on the molecular mechanisms of hepatic metastasis in lung cancer: a narrative review

Ann Palliat Med. 2021 Apr;10(4):4806-4822. doi: 10.21037/apm-20-1675. Epub 2021 Mar 24.

Abstract

The liver is one of the most common sites of metastatic spread of lung cancer, and the process of metastasis is regulated by many factors. A number of genes, including multiple tumor suppressor 1 (mts1), p120 catenin, and CT45A1, increase the possibility of hepatic metastasis in lung cancer, whereas Tip30/CC3, CUL5, and SOCS3 expression in lung tumors inhibit tumor metastasis. microRNAs (miRNAs), such as miRNA-126, miRNA-338, and miRNA-218, can affect the metastasis of lung cancer cells to the liver. The D114-Notch signaling pathway can inhibit liver metastasis in small cell lung cancer. Serum tumor markers cytokeratin 19 fragment antigen 21-1 and neuron-specific enolase (NSE) are closely related to the risk of hepatic metastasis in lung cancer. Based on previously published literature, we found that the metastasis and invasion of lung cancer to the liver are determined by molecular factors. Therefore, the selective identification and intervention of these erroneous signals can predict early lung cancer metastasis to the liver. In this review article, we describe the mechanisms and influencing factors (genes, signal pathways, chemicals, proteins, miRNAs) of hepatic metastasis in lung cancer. We hope to provide a summary of the evidence for the mechanisms by which related genes or proteins affect the malignancy of liver metastasis from lung cancer so that doctors and researchers can improve treatment options.

Keywords: Hepatic metastasis; genes; lung cancer; proteins; signaling pathways.

Publication types

  • Review

MeSH terms

  • Antigens, Neoplasm
  • Biomarkers, Tumor
  • Cullin Proteins
  • Humans
  • Liver Neoplasms* / genetics
  • Lung Neoplasms* / genetics
  • MicroRNAs* / genetics
  • Neoplasm Metastasis / genetics
  • Small Cell Lung Carcinoma*

Substances

  • Antigens, Neoplasm
  • Biomarkers, Tumor
  • CT45A1 protein, human
  • CUL5 protein, human
  • Cullin Proteins
  • MIRN218 microRNA, human
  • MIRN338 microRNA, human
  • MicroRNAs