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CAFs orchestrates tumor immune microenvironment-A new target in cancer therapy?
Chunxue Zhang1, Yuxiang Fei2, Hui Wang1
1School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, China.
Abstract:
Cancer immunotherapy has opened a new landscape in cancer treatment, however, the poor specificity and resistance of most targeted therapeutics have limited their therapeutic efficacy. In recent years, the role of CAFs in immune regulation has been increasingly noted as more evidence has been uncovered regarding the link between cancer-associated fibroblasts (CAFs) and the evolutionary process of tumor progression. CAFs interact with immune cells to shape the tumor immune microenvironment (TIME) that favors malignant tumor progression, a crosstalk process that leads to the failure of cancer immunotherapies. In this review, we outline recent advances in the immunosuppressive function of CAFs, highlight the mechanisms of CAFs-immune cell interactions, and discuss current CAF-targeted therapeutic strategies for future study.
Insights
Cancer-associated fibroblasts (CAFs) hinder effective cancer immunotherapy by promoting tumor progression. Understanding CAFs
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Cancer immunotherapy shows promise but faces challenges due to poor specificity and therapeutic resistance.
- Cancer-associated fibroblasts (CAFs) play a crucial role in regulating the tumor immune microenvironment (TIME).
- CAFs contribute to tumor progression and immune evasion, impacting treatment outcomes.
Purpose of the Study:
- To review recent advances in understanding the immunosuppressive functions of CAFs.
- To highlight the mechanisms by which CAFs interact with immune cells.
- To discuss current therapeutic strategies targeting CAFs for cancer treatment.
Main Methods:
- Literature review of recent studies on CAFs and cancer immunology.
- Analysis of mechanisms underlying CAF-immune cell crosstalk.
- Evaluation of current and emerging CAF-targeted therapies.
Main Results:
- CAFs actively shape the TIME to favor tumor progression.
- CAF-immune cell interactions lead to immunosuppression, hindering immunotherapy.
- Targeting CAFs presents a potential strategy to overcome treatment resistance.
Conclusions:
- CAFs are key regulators of the tumor immune microenvironment and a significant barrier to effective cancer immunotherapy.
- Further research into CAF-immune cell interactions is crucial for developing novel therapeutic approaches.
- Targeting CAFs offers a promising avenue for enhancing the efficacy of cancer treatments.
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