Tumor microenvironment and cellular senescence: Understanding therapeutic resistance and harnessing strategies

Hanxin Liu1, Huifang Zhao1, Yu Sun2

  • 1Department of Pharmacology, Institute of Aging Medicine, Binzhou Medical University, Yantai, Shandong, 264003, China.

Seminars in Cancer Biology
|November 20, 2021
PubMed

Insights

Therapy-induced senescence (TIS) in the tumor microenvironment (TME) fuels cancer resistance and relapse. Targeting senescent cells (senotherapy) offers a promising strategy to overcome treatment resistance and improve oncology outcomes.

Area of Science:

  • Oncology
  • Cancer Biology
  • Immunology

Background:

  • The tumor microenvironment (TME) significantly influences cancer malignancy and therapeutic resistance through intercellular communication.
  • Soluble factors, immune evasion, and extracellular matrix remodeling within the TME contribute to treatment resistance.
  • Therapy-induced senescence (TIS) is a common off-target effect of cancer treatments, paradoxically promoting tumor progression.

Purpose of the Study:

  • To review the composition and functions of the TME in supporting treatment resistance.
  • To explore the role of TIS and the senescence-associated secretory phenotype (SASP) in tumor relapse and metastasis.
  • To discuss senotherapy as a strategy to target senescent cells and overcome therapeutic barriers.

Main Methods:

  • Literature review of TME components and their roles in cancer.
  • Analysis of mechanisms by which TIS and SASP contribute to treatment resistance.
  • Discussion of senotherapeutic approaches and their translational potential.

Main Results:

  • TIS, characterized by SASP, promotes cancer cell resistance, repopulation, relapse, and metastasis.
  • Senescent cells in the TME create a pro-inflammatory environment that hinders treatment efficacy.
  • Targeting senescent cells presents a viable strategy to counteract treatment-induced resistance.

Conclusions:

  • The TME plays a critical role in cancer progression and resistance, with TIS being a key driver of post-treatment relapse.
  • Senotherapy offers a promising therapeutic avenue to eliminate senescent cells and improve clinical oncology outcomes.
  • Further research and clinical translation of senotherapeutic strategies are crucial for overcoming cancer treatment barriers.

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