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Updated: Aug 13, 2025

Using Microarrays to Interrogate Microenvironmental Impact on Cellular Phenotypes in Cancer
Published on: May 21, 2019
Bodywide ecological interventions on cancer
Guido Kroemer1,2,3, Jennifer L McQuade4, Miriam Merad5
1Equipe labellisée par la Ligue contre le Cancer, Université de Paris Cité, Sorbonne Université, Institut Universitaire de France, Inserm U1138, Centre de Recherche des Cordeliers, Paris, France. Kroemer@orange.fr.
Cancer progression is influenced by systemic host factors beyond the tumor microenvironment. A whole-body approach is needed to improve cancer control and patient quality of life.
Area of Science:
- Oncology
- Systems Biology
- Cancer Research
Background:
- Traditional cancer research focuses on tumor cells and their microenvironment.
- Tumor progression is also influenced by systemic host factors including vascular, lymphatic, and nervous systems.
- Host factors like aging, co-morbidities, and co-medications significantly impact cancer development and treatment response.
Purpose of the Study:
- To advocate for a comprehensive, whole-body 'ecological' perspective in cancer research and therapy.
- To highlight the importance of understanding host-tumor interactions for developing novel cancer interventions.
- To propose systemic, bodywide strategies for improved tumor control and patient quality of life.
Main Methods:
- This perspective synthesizes current knowledge on host-tumor communication pathways.
- It reviews the role of metabolites, neuroendocrine, pro-inflammatory, and immune circuitries in cancer.
- It discusses the impact of aging, co-morbidities, and co-medications on cancer patient outcomes.
Main Results:
- Systemic factors and long-range communication networks significantly influence cancer trajectory.
- Host-derived metabolites and microbiota play a crucial role in mediating tumor progression.
- Aging and co-morbidities profoundly affect cancer development and therapeutic efficacy.
Conclusions:
- A shift towards a whole-body 'ecological' exploration of cancer is essential.
- Understanding the intricate host-tumor relationship will enable rational, systemic interventions.
- This approach promises to enhance both tumor control and the quality of life for cancer patients.
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