In contrast to most traditional cell culture systems, spheroids represent a
unique opportunity to recapitulate aspects of cell homeostasis and as such
better reflect in vivo tumor biology. This review highlights recent sphero
id-based studies which have defined a role for intercellular adhesion in di
ctating cellular fate. Critical roles for adhesion molecules, such as the i
ntegrin and cadherin families, have been established. In addition, it appea
rs that components of the signaling pathways that control cellular prolifer
ation may also influence the cellular decision to live or die. Further comp
lexity arises from the action of soluble factors, like epidermal growth fac
tor, and three-dimensional culture systems are providing insights into how
integration of these multiple signals is achieved. Given that cellular adhe
sion may serve as a regulator of apoptosis, and in particular that correct
receptor engagement can activate signaling pathways promoting cell survival
, additional implications for our understanding of tumor biology are discus
sed. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.