Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

The Importance of The Tumor Microenvironment

Version 1 : Received: 16 June 2023 / Approved: 19 June 2023 / Online: 19 June 2023 (03:16:16 CEST)

A peer-reviewed article of this Preprint also exists.

Baghy, K.; Ladányi, A.; Reszegi, A.; Kovalszky, I. Insights into the Tumor Microenvironment—Components, Functions and Therapeutics. Int. J. Mol. Sci. 2023, 24, 17536. Baghy, K.; Ladányi, A.; Reszegi, A.; Kovalszky, I. Insights into the Tumor Microenvironment—Components, Functions and Therapeutics. Int. J. Mol. Sci. 2023, 24, 17536.

Abstract

Similarly to our healthy organs, tumor tissue also generates an ecosystem. This implies that stromal cells acquire an altered phenotype in tandem with tumor cells, thereby promoting tumor survival. Cancer cells are fueled by abnormal blood vessels, allowing them to develop and proliferate. Tumor-associated fibroblasts adapt their cytokine and chemokine production to the needs of tumor cells, alter the peritumoral stroma by generating more collagen, thereby stiffening the matrix, all promoting the epithelial-mesenchymal transition and tumor cell invasion. Chronic inflammation and the mobilization of pro-tumorigenic inflammatory cells further facilitate tumor expansion. All of these events can impede the effective administration of tumor treatment, so the successful inhibition of tumorous matrix remodeling could further enhance the success of tumor treatment. Numerous publications describe efforts to inhibit tumor matrix components, but the true breakthrough has yet to be achieved. If, on the other hand, we assume that tumorous blood vessels and inflammatory cells are residents of the tumorous stroma, then two steps forward have occurred.

Keywords

tumor microenvironment; extracellular matrix; proteoglycans; tumor-associated fibroblasts; tumor immunity; immune checkpoint inhibitors; tumor stroma; angiogenesis

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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