2020
DOI: 10.3390/cells9040976
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The Osteosarcoma Microenvironment: A Complex but Targetable Ecosystem

Abstract: Osteosarcomas are the most frequent primary bone sarcomas, affecting mainly children, adolescents, and young adults, and with a second peak of incidence in elderly individuals. The current therapeutic management, a combined regimen of poly-chemotherapy and surgery, still remains largely insufficient, as patient survival has not improved in recent decades. Osteosarcomas are very heterogeneous tumors, both at the intra- and inter-tumor level, with no identified driver mutation. Consequently, efforts to improve t… Show more

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Cited by 308 publications
(291 citation statements)
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References 163 publications
(206 reference statements)
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“…Tumorigenesis and cancer progression is supported by crosstalk-signaling between OS cells and the surrounding TME, being mainly composed of stromal cells, immune cells, endothelial cells and bone cells [ 40 ]. The immune component of OS TME is predominantly represented by the presence of tumor-associated macrophages (TAMs) that may act to impede or enhance the development and progression of tumor ( Figure 1 ).…”
Section: Osteosarcoma and Macrophage Functionmentioning
confidence: 99%
“…Tumorigenesis and cancer progression is supported by crosstalk-signaling between OS cells and the surrounding TME, being mainly composed of stromal cells, immune cells, endothelial cells and bone cells [ 40 ]. The immune component of OS TME is predominantly represented by the presence of tumor-associated macrophages (TAMs) that may act to impede or enhance the development and progression of tumor ( Figure 1 ).…”
Section: Osteosarcoma and Macrophage Functionmentioning
confidence: 99%
“…However, the survival rate of patients is unsatisfactory because of potential chemoresistance, lung metastasis, or tumor relapses. Recently, increasing studies have explored new therapeutic strategies for OS such as the molecular target therapy ( Corre et al, 2020 ).…”
Section: Roles Of M 6 a In Musculoskeletal Disordementioning
confidence: 99%
“…Multiple cytokines, growth factors, chemokines as well as their receptors have been reported as significant for OS cells' proliferation. In autocrine and paracrine mode these molecules stimulate cell division and differentiation of cells including not only OS cells, but also MSCs, osteoblasts and endothelial cells [139]. In OS intratumoral interleukin 6 (IL-6), interleukin 8 (IL-8), stromal derived factor 1 SDF-1 (known also as C-X-C motif chemokine 12-CXCL12), chemokines (C-C motif) ligand 5 (CCL5) and vascular endothelial growth factor (VEGF) promote OS cell growth and angiogenesis in the tumor, as well as metastatic spread [140,141].…”
Section: Role Of Cell-cell Interactions In Osteosarcomamentioning
confidence: 99%