there are studies show reciprocal interaction between cancer cell and stroma mediated by extracellular vesicles ( cancer cell release microvesicles affect stromal cells which in turn release microvesicles affect cancer cell) at primary tumor enviroment, in addition cancer cell release extracellular vesicles play a role in pre-metastatic niche formation .
but is there reciprocal interaction between primary tumor and pre-metastaticniche mediated by these vesicles ( i mean do cells in premetastatic niche also release extracellular vesicles affect primary tumor ?)