Interventions that induce modifications in the tumor microenvironment

E J Bernhard1

  • 1Radiotherapy Development Branch, Radiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute/National Institutes of Health, 6130 Executive Boulevard, Rockville, MD 20892-7440, United States. bernhardej@mail.nih.gov

Insights

This review explores how the tumor microenvironment impacts cancer therapies. Understanding these interactions offers new therapeutic opportunities beyond direct cancer cell killing.

Area of Science:

  • Oncology
  • Cancer Biology
  • Immunology

Background:

  • Traditional cancer therapies like chemotherapy and radiation primarily aim to directly eliminate cancer cells.
  • Emerging evidence highlights the significant role of the tumor microenvironment (TME) in modulating treatment efficacy.
  • The TME presents complex challenges and novel avenues for therapeutic development.

Purpose of the Study:

  • To review current understanding of the tumor microenvironment's influence on non-surgical cancer therapies.
  • To identify obstacles and opportunities within the TME for novel therapeutic strategies.
  • To discuss recent advancements in targeting the TME for improved cancer treatment.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of research on cellular and non-cellular components of the TME.
  • Synthesis of findings related to therapeutic resistance and sensitivity influenced by the TME.

Main Results:

  • The TME, comprising various cells and extracellular matrix components, significantly affects treatment outcomes.
  • Specific TME characteristics can promote therapeutic resistance or enhance sensitivity.
  • Targeting the TME offers potential to overcome limitations of conventional therapies.

Conclusions:

  • The tumor microenvironment is a critical determinant of non-surgical cancer therapy success.
  • Modulating the TME presents a promising strategy for developing more effective cancer treatments.
  • Future research should focus on TME-targeted therapies to improve patient outcomes.

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