2022
DOI: 10.20517/2394-5079.2021.140
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Tumor microenvironment and immunology of cholangiocarcinoma

Abstract: Cholangiocarcinoma (CCA), an aggressive tumor originating from both intra- and extra-hepatic biliary cells, represents an unmet need in liver oncology, as treatment remains largely unsatisfactory. A typical feature of CCA is the presence of a complex tumor microenvironment (TME) composed of neoplastic cells, a rich inflammatory infiltrate, and cancer-associated fibroblasts and desmoplastic matrix that makes it extremely chemoresistant to traditional chemotherapeutic drugs. In this review, we describe the cell … Show more

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Cited by 3 publications
(2 citation statements)
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“…Observational investigations, combining CTLA-4 inhibitors (i.e., Tremelimumab) and TACE for patients with advanced HCC and hepatitis C, have exhibited a resultant reduction in viral load and an increase in intratumoral CD8+ cells from tumor biopsies [93]. A phase 1 clinical trial is underway using Tremelinumab in combination with radiofrequency ablation or TACE [94]. PD-1 inhibitors, such as Lenvatinib, are also being explored for unresectable HCC.…”
Section: Combining Image-guided Therapies With Immunotherapymentioning
confidence: 99%
“…Observational investigations, combining CTLA-4 inhibitors (i.e., Tremelimumab) and TACE for patients with advanced HCC and hepatitis C, have exhibited a resultant reduction in viral load and an increase in intratumoral CD8+ cells from tumor biopsies [93]. A phase 1 clinical trial is underway using Tremelinumab in combination with radiofrequency ablation or TACE [94]. PD-1 inhibitors, such as Lenvatinib, are also being explored for unresectable HCC.…”
Section: Combining Image-guided Therapies With Immunotherapymentioning
confidence: 99%
“…Tumor microenvironment (TME), is mainly composed of tumor cells, and surrounding immune and in ammatory cells, cancer-associated broblasts, and nearby interstitial tissues, as well as microvessels, various cytokines and chemokines [4]. It is a complex integrated system that tumor cells and their microenvironment interact with each other to promote the occurrence of tumors.…”
Section: Introductionmentioning
confidence: 99%