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.

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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