2018
DOI: 10.1007/s11684-018-0663-7
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Complex interplay between tumor microenvironment and cancer therapy

Abstract: Tumor microenvironment (TME) is comprised of cellular and non-cellular components that exist within and around the tumor mass. The TME is highly dynamic and its importance in different stages of cancer progression has been well recognized. A growing body of evidence suggests that TME also plays pivotal roles in cancer treatment responses. TME is significantly remodeled upon cancer therapies, and such change either enhances the responses or induces drug resistance. Given the importance of TME in tumor progressi… Show more

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Cited by 44 publications
(41 citation statements)
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References 149 publications
(132 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: 60%
“…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: 60%
“…CRCs require interaction with many different host immune cell populations for their growth and survival, including regulatory T cells (Treg) and myeloid-derived suppressor cells (MDSC), mast cells, and tumor associated macrophages (TAM) [55]. Recent studies suggest that a substantial portion of the effects attributed to EGFR antagonist treatment may be based on indirect effects beyond cancer cells [40,41,42,55,56,57,58,59,60,61,62].…”
Section: Contribution Of Tumor Microenvironment To Acquired Resistmentioning
confidence: 99%
“…Another reason to pay attention to Notch-Wnt interactions is that both pathways are activated by tumor therapy, and this activation contributes to therapy resistance. Thus, both chemo- and radiotherapy lead to enhanced production of Notch and Wnt ligands in the tumor stroma (for review see [112]). Paclitaxel and cisplatin remodel the tumor microenvironment leading to enhanced Jagged1 expression in the tumor stroma, which may elicit increased Notch activation in the tumor proper [113].…”
Section: Notch and Wnt Signaling In Breast Cancermentioning
confidence: 99%