From Worms to Tumors: Conserved Strategies of Cellular Arrest and Survival Governing Dormancy

Abstract The recurrence of metastatic lesions months to years after the treatment of primary cancers remains a major contributor to cancer-related mortality, highlighting the need to better understand the mechanisms that govern dormancy and dormancy reawakening. A major hurdle is the lack of adequate in vitro and in vivo models to dissect the complex cascades that trigger tumor cell dissemination, adoption of the dormant state, or tumor cell outgrowth in the new metastatic microenvironmental niche. However, many organisms use dormancy to survive stressful environments or periods of nutrient deprivation. Of these, the dauer state of the free-living nematode Caenorhabditis elegans has unparalleled characterization. In this study, we discuss the remarkable physiologic, signaling, genomic, and metabolic similarities between dormant cancer cells and C. elegans dauers, arguing for the use of dauers as a facile model to help dissect dormancy and reawakening pathways in cancer cells.