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Updated: Jun 2, 2026

Studying the Effects of Tumor-Secreted Paracrine Ligands on Macrophage Activation using Co-Culture with Permeable Membrane Supports
Published on: November 28, 2019
Interventions that induce modifications in the tumor microenvironment
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
Abstract:
Non-surgical cancer therapeutic strategies have focused primarily on direct killing of cancer cells by chemotherapy and/or radiation therapy. However, it is becoming increasingly clear that the efficacy of these therapies can be significantly influenced by the tumor microenvironment. The microenvironment poses both obstacles and opportunities for new therapeutic interventions. New developments in this area are the topic of this review.
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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