2017
DOI: 10.1186/s12935-017-0437-3
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Chemotherapy and tumor microenvironment of pancreatic cancer

Abstract: Pancreatic cancer is an extremely dismal malignance. Chemotherapy has been widely applied to treat this intractable tumor. It has exclusive tumor microenvironment (TME), characterized by dense desmoplasia and profound infiltrations of immunosuppressive cells. Interactions between stromal cells and cancer cells play vital roles to affect the biological behaviors of pancreatic cancer. Targeting the stromal components of pancreatic cancer has shown promising results. In addition to the direct toxic effects of che… Show more

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Cited by 105 publications
(91 citation statements)
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References 216 publications
(238 reference statements)
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“…These observations support targeting the TME through therapeutic intervention to decrease tumor-cell growth and motility (87,88). A dense TME has been shown in previous studies to limit therapeutic efficacy, and many dense tumors are resistant to chemotherapy (87)(88)(89)(90). It has been proposed that this is because of decreased delivery of drug to the tumor site due to transport barriers to drug delivery.…”
Section: Discussionmentioning
confidence: 59%
“…These observations support targeting the TME through therapeutic intervention to decrease tumor-cell growth and motility (87,88). A dense TME has been shown in previous studies to limit therapeutic efficacy, and many dense tumors are resistant to chemotherapy (87)(88)(89)(90). It has been proposed that this is because of decreased delivery of drug to the tumor site due to transport barriers to drug delivery.…”
Section: Discussionmentioning
confidence: 59%
“…In some cases, chemo-and radiotherapies could foster anti-tumor activity by changing the TME. Gemcitabine and 5-fluorouracil (5FU) treatments were selectively cytotoxic on MDSCs and the elimination of MDSCs increased the activity of CD8 + cells [6]. Treatment of eribulin mesylate, which is a tubulin binding drug, inhibits tumor progression by increasing the vessels density and NK cell infiltration in TME [8].…”
Section: Chemo-and Radiotherapiesmentioning
confidence: 99%
“…Given the profound crosstalk that exists between malignant cells and TME, therapies that aim to eliminate cancer cells often stimulate the remodeling of TME. Studies suggest that chemo-and radiotherapies could modulate TME to be more immunogenic and result in a synergistic tumor killing effect [6][7][8]. In contrast, during treatments, TME could protect tumor cells by creating "barriers" to prevent drug penetration or immune effector cell infiltration [9,10].…”
Section: Introductionmentioning
confidence: 99%
“…PaCa microenvironment is composed of a highly heterogeneous collection of cancer cells, extracellular matrix and various stromal, endothelial cells, inflammatory cells, immune cells (T cells, tumor-associated macrophages) and cancer stem cells that have tumor-promoting functions (25,26). Extreme desmoplastic reaction and excess stroma formation is an important charasteristic of PDAC, promoting tumor growth, progression and drug resistance (27). There is a dynamic bi-directional crosstalk between stromal and cancer cells, leading to activation of oncogenic signaling pathways and immune suppression.…”
Section: Etiology Genetics and Biology Of Pancreatic Ductal Adenocarmentioning
confidence: 99%