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Tumor Microenvironment as a Therapeutic Target in Melanoma Treatment
Naji Kharouf1,2, Thomas W Flanagan3, Sofie-Yasmin Hassan4
1Biomaterials and Bioengineering, Institut National de la Santé et de la Recherche Médicale, Université de Strasbourg, Unité Mixte de Recherche 1121, 67000 Strasbourg, France.
Abstract:
The role of the tumor microenvironment in tumor growth and therapy has recently attracted more attention in research and drug development. The ability of the microenvironment to trigger tumor maintenance, progression, and resistance is the main cause for treatment failure and tumor relapse. Accumulated evidence indicates that the maintenance and progression of tumor cells is determined by components of the microenvironment, which include stromal cells (endothelial cells, fibroblasts, mesenchymal stem cells, and immune cells), extracellular matrix (ECM), and soluble molecules (chemokines, cytokines, growth factors, and extracellular vesicles). As a solid tumor, melanoma is not only a tumor mass of monolithic tumor cells, but it also contains supporting stroma, ECM, and soluble molecules. Melanoma cells are continuously in interaction with the components of the microenvironment. In the present review, we focus on the role of the tumor microenvironment components in the modulation of tumor progression and treatment resistance as well as the impact of the tumor microenvironment as a therapeutic target in melanoma.
Insights
The tumor microenvironment significantly impacts melanoma growth and treatment resistance. Targeting these microenvironment components offers a promising therapeutic strategy for melanoma.
Area of Science:
- Oncology
- Cancer Biology
Background:
- The tumor microenvironment (TME) plays a critical role in tumor progression, maintenance, and therapeutic resistance.
- Components of the TME, including stromal cells, extracellular matrix (ECM), and soluble molecules, influence tumor cell behavior.
- Melanoma, a solid tumor, involves complex interactions between tumor cells and their surrounding microenvironment.
Purpose of the Study:
- To review the multifaceted roles of TME components in modulating melanoma progression.
- To explore how the TME contributes to treatment resistance in melanoma.
- To discuss the potential of targeting the TME as a therapeutic strategy for melanoma.
Main Methods:
- Literature review of existing research on the tumor microenvironment in melanoma.
- Synthesis of evidence on the interactions between melanoma cells and TME components.
- Analysis of therapeutic strategies targeting the TME in melanoma.
Main Results:
- The TME is crucial for melanoma cell survival, proliferation, and metastasis.
- Specific TME components, such as immune cells and extracellular matrix, promote tumor growth and immune evasion.
- The TME is a significant factor in melanoma's resistance to conventional therapies.
Conclusions:
- Understanding the TME's role is essential for developing effective melanoma treatments.
- Targeting the TME holds promise for overcoming treatment resistance and improving patient outcomes.
- Further research into TME modulation could lead to novel therapeutic approaches for melanoma.
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