Tumor microenvironment: a new treatment target for cancer
Ming-Ju Tsai1, Wei-An Chang2, Ming-Shyan Huang3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan ; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Abstract:
Recent advances in cancer therapy encounter a bottleneck. Relapsing/recurrent disease almost always developed eventually with resistance to the initially effective drugs. Tumor microenvironment has been gradually recognized as a key contributor for cancer progression, epithelial-mesenchymal transition of the cancer cells, angiogenesis, cancer metastasis, and development of drug resistance, while dysregulated immune responses and interactions between various components in the microenvironment all play important roles. Future development of anticancer treatment should take tumor microenvironment into consideration. Besides, we also discuss the limitations of current pre-clinical testing models that mainly come from the impossibility in simulating all detailed carcinogenic mechanisms in human, especially failure to create the same tumor microenvironment. With the cumulating knowledge about tumor microenvironment, the design of a novel anticancer therapy may be facilitated and may have better chance for success in cancer eradication.
Insights
Cancer therapies face resistance due to tumor microenvironment factors. Understanding these interactions is crucial for developing new, effective anticancer treatments and overcoming drug resistance.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Cancer therapies often fail due to acquired drug resistance and disease relapse.
- The tumor microenvironment (TME) significantly influences cancer progression, metastasis, and treatment resistance.
- Key TME components include immune cells, stromal cells, and extracellular matrix, which interact dynamically with cancer cells.
Purpose of the Study:
- To highlight the critical role of the tumor microenvironment in cancer progression and therapeutic resistance.
- To discuss the limitations of current preclinical cancer models in replicating the human tumor microenvironment.
- To emphasize the need for TME-targeted strategies in future cancer therapy development.
Main Methods:
- Review of current literature on tumor microenvironment and cancer therapy.
- Analysis of mechanisms by which TME components contribute to drug resistance.
- Evaluation of existing preclinical models for their ability to mimic the TME.
Main Results:
- The TME promotes cancer progression, epithelial-mesenchymal transition, angiogenesis, and metastasis.
- Dysregulated immune responses within the TME are critical for treatment failure.
- Current preclinical models inadequately simulate the complex TME, limiting translational success.
Conclusions:
- The tumor microenvironment is a pivotal factor in cancer recurrence and drug resistance.
- Future anticancer therapies must integrate TME-targeting strategies for improved efficacy.
- Advancements in understanding the TME may facilitate the design of novel, successful cancer eradication treatments.
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