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Tumor Discovery                                                          Cell-cell communication in cancer



                                                                 Cancer cells engage in complex interactions with
                                                               neighboring cancerous and stromal cells through direct
                                                               cell-to-cell contact and paracrine signaling. Long-range
                                                               communication with distant organ sites is facilitated by
                                                               extracellular vesicles, exosomes and signaling molecules
                                                               such  as  cytokines,  hormones,  and  growth  factors.  These
                                                               signaling events are crucial for cancer cell survival,
                                                               metastasis, and immune evasion. To effectively combat
                                                               cancer initiation, progression, and metastasis, it is essential
                                                               to understand how cancer cells communicate within their
                                                               microenvironment and with distant organ sites.
                                                                 As cancer evolves and evades treatment, therapies
                                                               must  also  adapt.  New  research,  particularly  on  cell-
                                                               to-cell communication, is continually enhancing our
                                                               understanding of how to treat and manage this devastating
                                                               disease.

                                                               Acknowledgments
                                                               None.
                                                               Funding

                                                               None.
                                                               Conflict of interest

                                                               The authors declare they have no competing interests.
                                                               Author contributions

                                                               Conceptualization: Chen Yeh
                                                               Writing – original draft: Chen Yeh
                                                               Writing – review & editing: All authors
            Figure  4.  A  list of  advanced technologies used to analyze  cell-to-cell   Ethics approval and consent to participate
            communication and signal transduction in the complex tumor
            microenvironment. Researchers usually combine multiple technologies   Not applicable.
            to minimize limitations and improve accuracy.
                                                               Consent for publication
            raloxifene, which block the estrogen signals that promote   Not applicable.
                                   38
            breast cancer cell growth.  Additionally, aromatase
            inhibitors such as letrozole, anastrozole, and exemestane   Availability of data
            work  by  blocking  estrogen  production.   Research  is   Not applicable.
                                              39
            increasingly focusing on metastasis due to the scarcity of
            drugs targeting these metastatic steps and the limited options   References
            for closely monitoring the metastasis process in patients.
                                                               1.   Su J, Song Y, Zhu Z, et al. Cell-cell communication: New
            6. Conclusion                                         insights and clinical implications.  Signal Transduct Target
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            Volume 4 Issue 2 (2025)                         97                                doi: 10.36922/td.8323
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