Evidence map›Paper›PMID 41845337›Full record

ReviewMolecular cancer2026

The pre-metastatic niche: mechanisms, heterogeneity, and therapeutic opportunities.

Xu-Ran Zhang, Bing Wei, Bing-Hua Jiang, Wei-Hong Ren

Abstract readReview
In one paragraph

Review in Molecular cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xu-Ran ZhangThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, No.127 DongMing Rd, Zhengzhou, Henan, 450008, China.
Bing Wei *The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, No.127 DongMing Rd, Zhengzhou, Henan, 450008, China. zlyyweibing0629@zzu.edu.cn.
Bing-Hua Jiang *The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, No.127 DongMing Rd, Zhengzhou, Henan, 450008, China. binghjiang@zzu.edu.cn.
Wei-Hong Ren *Department of Clinical Laboratory, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China. ren_weihong@163.com.

Funding

the Henan Provincial Key R&D Program 251111311100the Henan Provincial Science and Technology Tackling Program 242102310039the National Natural Science Foundation of China 82174146
6 · The paper itself

Abstract

Metastasis remains the leading cause of cancer-related mortality. The concept of the pre-metastatic niche (PMN) has provided a new framework for understanding how tumors establish favorable conditions in distant organs before metastatic colonization. This review delineates the cellular and molecular hallmarks of PMN, including immune suppression, vascular/lymphatic remodeling, metabolic reprogramming, and stromal reorganization, and traces their spatiotemporal evolution from initiation to colonization. It further examines the origins of metastatic lesions, with a focus on circulating tumor cells (CTCs) and stromal stem-like cells, highlights the pivotal role of extracellular vesicles (EVs) in mediating intercellular communication, metabolic reprogramming, and therapeutic applications. Deciphering the immune and stromal determinants of PMN formation offers key mechanistic insight into organ-specific metastasis. Consequently, this review explores translational strategies targeting the PMN, such as biomarker development, spatiotemporal profiling aided by artificial intelligence (AI), and immune, metabolic, or EV-based interventions. Deciphering PMN biology is therefore poised to open new avenues for the early interception and treatment of metastasis.

Indexed as

NeoplasmsTumor MicroenvironmentAnimalsCell CommunicationExtracellular VesiclesHumansMetabolic ReprogrammingNeoplasm MetastasisNeoplastic Cells, CirculatingExtracellular vesiclesImmune remodelingMetabolic reprogrammingPre-metastatic nicheSpatiotemporal evolution

Identifiers

PMID41845337
PMCPMC13107773

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.