The Interplay of the Extracellular Matrix and Stromal Cells as a Drug Target in Stroma-Rich Cancers
Open accessAbstract
The tumor microenvironment (TME) is a complex neighborhood that consists of immune cells, fibroblasts, pericytes, adipocytes, endothelial and neuronal cells, and the extracellular matrix proteins. TME also consists of physical factors, such as oxygen availability, changing pH, interstitial fluid pressure, and tissue stiffness. As cancer progresses, the physical properties and the cells in the TME change significantly, impacting the efficacy of the therapies and modulating drug resistance. This has led to the development of several new treatments targeting the TME. This review focuses on recent advances on the role of TME in drug resistance, with a particular focus on the ongoing clinical trials aiming at disrupting the TME- and the extracellular matrix-mediated protection against therapies.
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In TGCTs, the relationship between malignant cells and the surrounding TME plays an important role in disruption of immune balance.
“In TGCTs, the relationship between malignant cells and the surrounding tumor microenvironment (TME) seems to play an important role in the disruption of this balance [16,17,18,19].”
From The Immune Landscape and Immunotherapeutic Strategies in Platinum-Refractory Testicular Germ Cell Tumors (2024) · cites this paper as [17]
The “Immune cells and the TME” section describes how tumor-cell and stromal signals recruit immunosuppressive cells, supporting the general link between tumor–microenvironment interactions and disrupted immune responses. It does not establish that link specifically in TGCTs; the searches for TGCTs and testicular germ cell tumors found no such discussion in our copy. (LLM, conf=0.85)
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- Authors
- Kozlova, N., Grossman, J. E., Iwanicki, M. P., & Muranen, T.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Stevens Institute of Technology (US)
- Corresponding author
- Muranen, Taru
- Venue
- Trends in Pharmacological Sciences
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 41
- Issue
- 3
- Pages
- 183-198
- ISSN
- 0165-6147 (ISSN-L)
- PMC
- PMC8812124
- OpenAlex
- W3003803008
- Cited by
- 73
- References
- 14
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 8 · 2023: 10 · 2022: 7 · 2021: 16 · 2020: 6
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Pharmacological Sciences (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Susan G. Komen (18547665)
- National Cancer Institute
- American Cancer Society (#RSG-19-0201-CSM)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Keywords
- tumor microenvironment, extracellular matrix, cancer-associated fibroblasts, stromal cells, drug resistance, TME-targeted therapy, clinical trials, tissue stiffness, interstitial fluid pressure, tumor hypoxia, interstitial pH
- MeSH terms
- Pharmaceutical Preparations, Extracellular Matrix, Humans, Neoplasms, Stromal Cells, Tumor Microenvironment
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