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Tumor microenvironment and therapeutic response
Abstract
The tumor microenvironment significantly influences therapeutic response and clinical outcome. Microenvironment-mediated drug resistance can be induced by soluble factors secreted by tumor or stromal cells. The adhesion of tumor cells to stromal fibroblasts or to components of the extracellular matrix can also blunt therapeutic response. Microenvironment-targeted therapy strategies include inhibition of the extracellular ligand-receptor interactions and downstream pathways. Immune cells can both improve and obstruct therapeutic efficacy and may vary in their activation status within the tumor microenvironment; thus, re-programme of the immune response would be substantially more beneficial. The development of rational drug combinations that can simultaneously target tumor cells and the microenvironment may represent a solution to overcome therapeutic resistance.
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“Recent studies reported that alteration of tumour immune microenvironment in gastric cancer is a pivotal strategy for predicting the immunotherapeutic responses and prognosis, which might provide new treatment strategies for patients [26, 27].”
From Phosphoserine phosphatase as a prognostic biomarker in patients with gastric cancer and its potential association with immune cells (2022) · cites this paper as [26]
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Metadata
- Authors
- Wu, T., & Dai, Y.
- Affiliations
- Peking University First Hospital (CN)
- Corresponding author
- Dai, Yun
- Venue
- Cancer Letters
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 387
- Pages
- 61-68
- ISSN
- 0304-3835 (ISSN-L)
- OpenAlex
- W2265419075
- Cited by
- 1,802
- References
- 124
- Citations by year
- 2026: 76 · 2025: 179 · 2024: 238 · 2023: 344 · 2022: 382 · 2021: 316 · 2020: 191 · 2019: 48 · 2018: 20 · 2017: 5
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Letters (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- tumor microenvironment, treatment resistance, drug resistance, stromal fibroblasts, extracellular matrix, cell adhesion, immune cells, immune reprogramming, combination therapy, soluble factors
- MeSH terms
- Animals, Antineoplastic Agents, Humans, Neoplasms, Molecular Targeted Therapy, Tumor Microenvironment
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