Oxidative stress in cancer: from tumor and microenvironment remodeling to therapeutic frontiers

Xisong Liang1,2,3, Jiadi Weng1,2,3,4, Zhongyi You1,2,3,4

  • 1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, 410008, P. R. China.

Molecular Cancer
|August 23, 2025
PubMed

Insights

Oxidative stress, an imbalance in reactive oxygen species (ROS), is key in cancer. Targeting this network offers new therapeutic strategies, especially when combined with immunotherapy and nanomedicine for better cancer treatment.

Area of Science:

  • Oncology
  • Cellular Biology
  • Cancer Therapeutics

Background:

  • Oxidative stress, characterized by redox signaling dysregulation and macromolecular damage from elevated reactive oxygen species (ROS), is a critical hallmark of cancer.
  • It significantly influences tumor cell growth and the tumor microenvironment, making it a key target for cancer therapy development.
  • Challenges in targeting oxidative stress arise from its complex and heterogeneous regulation across different cancers.

Purpose of the Study:

  • To comprehensively understand the oxidative stress network within tumor cells and its role in cancer.
  • To review current therapeutic strategies targeting oxidative stress in cancer.
  • To highlight emerging clinical applications and the potential of oxidative stress-based approaches, particularly in combination therapies.

Main Methods:

  • Review of existing literature on oxidative stress generation and regulation in cancer.
  • Analysis of the roles of oxidative stress in tumor cells and the tumor microenvironment.
  • Summarization of current and emerging therapeutic strategies, including combinations with immunotherapy and nanomedicine.

Main Results:

  • Oxidative stress networks are integral to cancer biology, affecting tumor cells and their microenvironment.
  • Current therapeutic strategies targeting oxidative stress show promise but face challenges due to cancer heterogeneity.
  • Combinations of oxidative stress-targeting therapies with immunotherapy and nanomedicine offer synergistic advantages.

Conclusions:

  • Oxidative stress is a crucial target for cancer therapy, with significant implications for cancer biology.
  • Integrating oxidative stress-targeting approaches with immunotherapy and nanomedicine presents a promising avenue for enhanced cancer treatment.
  • Future research should focus on overcoming therapeutic resistance and developing platforms for combined therapies to achieve cancer elimination.

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