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Advances in Bone Metastasis Research: From Mechanisms to Therapy

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Metastasis".

Deadline for manuscript submissions: 25 September 2026 | Viewed by 1117

Special Issue Editor


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Guest Editor
Institute of Cancer and Genetics, Cardiff University School of Medicine, Heath Park, Cardiff, UK
Interests: cancer; bone metastasis; angiogenesis; targeted therapy; precision medicine

Special Issue Information

Dear Colleagues,

Bone is a predominant site of metastasis for prostate, breast, and lung, and melanoma cancers. Metastatic spread to the skeleton leads to severe complications, including pain, fractures, and spinal cord compression, which drastically diminish patient quality of life and survival.

This Special Issue addresses the pressing challenge of preventing and treating bone metastasis by showcaing the latest advancements in the field. We examine the "vicious cycle" of metastasis, with a focus on the molecular mechanisms underlying tumor cell homing, dormancy, and bone lesion formation.

The scope encompasses the bone metastatic niche, tumor–stroma interactions, and key molecular drivers. In parallel, the clinical dimension covers novel imaging, predictive biomarkers, therapeutic interventions, and the management of skeletal-related events. Through this integrated biological and clinical perspective, the Issue aims to provide a comprehensive platform to advance progress against bone-metastatic disease.

This Special Issue welcomes reviews as well as original research articles, which should be submitted by 25 September 2026.

Dr. Ye Lin
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bone metastasis
  • tumour microenvironment
  • biomarker
  • targeted therapy
  • detection
  • palliative care

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Published Papers (1 paper)

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Review

22 pages, 938 KB  
Review
The Lymphatic–Bone Axis in Cancer Metastasis
by Ahlim Lee, James Rhee, Rajeev Malhotra, Jang Hee Han and Kangsan Roh
Cancers 2026, 18(6), 892; https://doi.org/10.3390/cancers18060892 - 10 Mar 2026
Viewed by 816
Abstract
Bone metastasis is a devastating complication of advanced osteotropic malignancies, notably breast, prostate, lung carcinomas, and malignant melanoma, and remains a primary driver of mortality. Historical paradigms have conceptualized skeletal dissemination almost exclusively as a hematogenous process wherein circulating tumor cells colonize receptive [...] Read more.
Bone metastasis is a devastating complication of advanced osteotropic malignancies, notably breast, prostate, lung carcinomas, and malignant melanoma, and remains a primary driver of mortality. Historical paradigms have conceptualized skeletal dissemination almost exclusively as a hematogenous process wherein circulating tumor cells colonize receptive bone marrow niches. However, this model fails to reconcile why lymph node metastasis consistently serves as a potent predictor of bone involvement even though therapeutic lymphadenectomy rarely prevents distant spread. This discordance suggests that lymph nodes function not merely as passive reservoirs but as active ‘evolutionary gateways’ that sculpt bone-tropic metastatic clones. In this review, we introduce the Lymphatic–Bone Axis, a framework integrating lymphatic biology into models of bone metastasis. We synthesize emerging evidence elucidating how the lymph node microenvironment primes tumor cells through CCR7-CXCR4 switching, induction of osteomimicry programs, and metabolic reprogramming that favors survival within the bone marrow. We also discuss preclinical data demonstrating direct intranodal intravasation via high endothelial venules (HEVs), providing a rapid route into the systemic circulation that bypasses the thoracic duct. Beyond consolidating current knowledge, we outline a research agenda for dissecting this axis, including longitudinal single-cell transcriptomic mapping and functional assessments of lymph node-derived tumor cells. Finally, we consider translational implications, highlighting why bone-targeted agents alone may prove insufficient once cells are conditioned within lymphatic niches. By mechanistically linking lymphatic priming to skeletal colonization, this review informs the rational design of multimodal therapeutic approaches that jointly target lymphatic transit and the bone microenvironment. Full article
(This article belongs to the Special Issue Advances in Bone Metastasis Research: From Mechanisms to Therapy)
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