“…Tumor immunotherapy is rapidly becoming a promising cancer treatment strategy through anti-tumor immune response (ACIR) that reflects the recognition, proliferation, and activation of immune cells, effector T cellsâ migration and infiltration to the tumor tissue, ultimately targeting, fighting and elimination of cancer cells without destroying healthy cells. 124 Despite the human immune system is strong, the TME will still evade the immune system in many ways through reprogramming, for example, activating immune checkpoint proteins, polarizing macrophages for tumorigenic macrophages, neutralizing cytotoxic CD8 + T cells, highly expressing Indoleamine 2.3-Dioxygenase (IDO), weakening T cell activity, etc. 125 , 126 Moreover, highly heterogeneous and hypoxic TME also inhibits antigen uptake and presentation, promoting the release of immunosuppressive cytokines from tumors and stromal cells, which restricts the tumor infiltration of T cells to result in the inhibition of ACIR.…”