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. 2022 Mar 10;127(2):173–184. doi: 10.1038/s41416-022-01768-9

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Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 2 — Upregulation of genes related to hypoxia (HIF-1a, INP3, CAIX and VEGF), EMT (SNAIL, TWIST, EpCAM, Vimentin and E-cadherin), cancer stem cells (Nanog, OCT4, SOX2 and CD133) and immune cell function in the tumour microenvironment remodels CTCs and primes these cells for escape from primary tumour site.