Molecular pathways: involving microenvironment damage responses in cancer therapy resistance

Yu Sun1, Peter S Nelson

  • 1Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, Washington 91809, USA.

Insights

Genotoxic cancer treatments activate benign cells in the tumor microenvironment. These cells release factors promoting tumor growth and treatment resistance, impacting cancer therapy outcomes.

Area of Science:

  • Oncology
  • Cancer Biology
  • Tumor Microenvironment Research

Background:

  • Cancer therapies like radiation and chemotherapy damage DNA, influencing tumor cell behavior.
  • The tumor microenvironment, comprising extracellular matrix, benign cells, and soluble factors, dynamically modulates tumor responses.
  • Benign cells within the tumor microenvironment play a critical role in cancer progression and treatment response.

Purpose of the Study:

  • To investigate how genotoxic cancer treatments affect benign cells within the tumor microenvironment.
  • To elucidate the signaling pathways and secreted factors involved in the tumor microenvironment's response to DNA-damaging agents.
  • To understand how these microenvironmental changes impact cancer cell phenotypes, such as treatment resistance and repopulation.

Main Methods:

  • Review of emerging data on damage response programs in benign tumor microenvironment constituents.
  • Analysis of signaling pathways, including nuclear factor kappa B (NF-κB).
  • Identification of key secreted factors (e.g., IL-6, IL-8, HGF) and their role in promoting pro-tumorigenic phenotypes.

Main Results:

  • Genotoxic treatments activate conserved damage response programs in benign tumor microenvironment cells.
  • These activated cells transmit damage signals via pathways like NF-κB.
  • A proangiogenic and proinflammatory microenvironment is generated, characterized by factors promoting tumor cell resistance and repopulation.

Conclusions:

  • Genotoxic stress in cancer treatment induces a pro-tumorigenic response from the tumor microenvironment.
  • Understanding these microenvironment-mediated survival signals is crucial for developing effective combinatorial cancer therapies.
  • Future strategies should consider the interplay between malignant cells, the tumor microenvironment, and treatment dynamics.

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