2021
DOI: 10.3390/cancers13010146
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Stromal Protein-Mediated Immune Regulation in Digestive Cancers

Abstract: The stromal tumor microenvironment (TME) consists of immune cells, vascular and neural structures, cancer-associated fibroblasts (CAFs), as well as extracellular matrix (ECM), and favors immune escape mechanisms promoting the initiation and progression of digestive cancers. Numerous ECM proteins released by stromal and tumor cells are crucial in providing physical rigidity to the TME, though they are also key regulators of the immune response against cancer cells by interacting directly with immune cells or en… Show more

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Cited by 21 publications
(18 citation statements)
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References 240 publications
(151 reference statements)
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“…Additionally, a few findings suggest that the NF-κB or ILK-RhoB pathways may be involved in integrin-mediated resistance (Monferran et al, 2008;Ahmed et al, 2013). The ECM proteoglycan, versican, can impact immune surveillance evasion along with hyaluronan by increasing the expression of inflammatory cytokines such as IL-6, TNFα, and NF-κB (Kang et al, 2017;Gordon-Weeks and Yuzhalin, 2020;Wight et al, 2020;Gamradt et al, 2021). Taken together, the complexity of the ECM in composition and structure as well as heterogeneity still needs to be further understood for therapeutic purposes.…”
Section: Extracellular Matrix (Ecm)mentioning
confidence: 99%
“…Additionally, a few findings suggest that the NF-κB or ILK-RhoB pathways may be involved in integrin-mediated resistance (Monferran et al, 2008;Ahmed et al, 2013). The ECM proteoglycan, versican, can impact immune surveillance evasion along with hyaluronan by increasing the expression of inflammatory cytokines such as IL-6, TNFα, and NF-κB (Kang et al, 2017;Gordon-Weeks and Yuzhalin, 2020;Wight et al, 2020;Gamradt et al, 2021). Taken together, the complexity of the ECM in composition and structure as well as heterogeneity still needs to be further understood for therapeutic purposes.…”
Section: Extracellular Matrix (Ecm)mentioning
confidence: 99%
“…TME and stromal extracellular matrix (ECM) proteins can have a immune-modulatory functions, thus contributing to the immune evasion of cancer cells [119,120]. Immune surveillance is able to monitor, detect, and destroy cancer cells; however, as tumor progresses, cancer cells develop various mechanisms of immune evasion, leading to the development and the invasiveness of the tumor.…”
Section: Immunotherapy and Tme In Gastric Cancermentioning
confidence: 99%
“…Finally, although immunotherapy can result in long-lasting and major responses, a large portion of patients, however, do not benefit from this therapeutic approach, either from the beginning (i.e., primary resistance) or progressing after an initial response (i.e., acquired resistance). TAMs can limit the efficacy of immunotherapies, playing a tumor-supportive role; moreover, they can also reprogram MSCs to a state which is ideal for immunotherapy resistance in the tumor niche [120]. Interactions between MSCs and TAMs are complex and may represent a promising target for immunotherapy; however, the molecular and cellular mechanisms underlying these interactions have not been thoroughly identified and further evidence is still warranted.…”
Section: Immunotherapy and Tme In Gastric Cancermentioning
confidence: 99%
“…But transformed cancer cells can guide stromal cell reprogramming to support tumor growth and progression [ 26 ]. Furthermore, the stromal region has immunomodulatory functions, including blocking anti-tumor immunity, promoting immune escape and shaping immune cell population [ 27 , 28 ]. In recent years, anti-tumor stromal cell therapy is expected to become an important clinical therapeutic measure like targeting immunotherapy.…”
Section: Discussionmentioning
confidence: 99%