Cancer‑associated fibroblasts under therapy‑induced senescence in the tumor microenvironment (Review)

Qiuhua Zhang1, Yijie Lou1, Hao Fang1

  • 1Department of Oncology, First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, P.R. China.

Insights

Cancer-associated fibroblasts (CAFs) can become senescent due to cancer treatments, promoting tumor growth. Targeting these senescent CAFs with senolytics may enhance cancer therapy effectiveness.

Area of Science:

  • Oncology
  • Cell Biology
  • Cancer Research

Background:

  • The tumor microenvironment (TME) significantly influences cancer progression and therapeutic resistance.
  • Cancer-associated fibroblasts (CAFs) are key cellular components within the TME, driving cancer cell invasion, metastasis, and treatment failure.
  • Standard cancer therapies can induce senescence in both cancer cells and stromal cells, leading to a pro-inflammatory senescence-associated secretory phenotype (SASP).

Purpose of the Study:

  • To review current data on cancer treatment-induced senescence in CAFs.
  • To assess the impact of senescent CAFs on tumor formation and progression.
  • To explore the potential of senolytic therapies targeting CAFs for improved cancer treatment outcomes.

Main Methods:

  • Literature review of existing research on CAFs, senescence, and the TME.
  • Analysis of data linking anticancer treatments to CAF senescence.
  • Evaluation of the role of senescent CAFs in tumor development and response to therapy.

Main Results:

  • Anticancer treatments can induce a senescence-like state in CAFs.
  • Senescence-like CAFs contribute to tumor progression through various mechanisms.
  • Senescent CAFs and their SASP are implicated in therapeutic resistance and metastasis.

Conclusions:

  • Senescence in CAFs is a critical factor in cancer progression and treatment resistance.
  • Targeting senescent CAFs with senolytic drugs presents a promising therapeutic strategy.
  • Combining senolytics with conventional cancer therapies may enhance treatment efficacy and offer new research avenues.

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