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Cited by 513

The DOI matches its Crossref record; 490 of the 490 references it cites were found in a registry or an index.

Aspects of the Tumor Microenvironment Involved in Immune Resistance and Drug Resistance

Open access
Khalaf, Khalil, Hana, Doris, Chou, Jadzia Tin-Tsen, Singh, Chandpreet, Mackiewicz, Andrzej, Kaczmarek, Mariusz·2021·Frontiers in Immunology

Abstract

The tumor microenvironment (TME) is a complex and ever-changing “rogue organ” composed of its own blood supply, lymphatic and nervous systems, stroma, immune cells and extracellular matrix (ECM). These complex components, utilizing both benign and malignant cells, nurture the harsh, immunosuppressive and nutrient-deficient environment necessary for tumor cell growth, proliferation and phenotypic flexibility and variation. An important aspect of the TME is cellular crosstalk and cell-to-ECM communication. This interaction induces the release of soluble factors responsible for immune evasion and ECM remodeling, which further contribute to therapy resistance. Other aspects are the presence of exosomes contributed by both malignant and benign cells, circulating deregulated microRNAs and TME-specific metabolic patterns which further potentiate the progression and/or resistance to therapy. In addition to biochemical signaling, specific TME characteristics such as the hypoxic environment, metabolic derangements, and abnormal mechanical forces have been implicated in the development of treatment resistance. In this review, we will provide an overview of tumor microenvironmental composition, structure, and features that influence immune suppression and contribute to treatment resistance.

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Metadata

Authors
Khalaf, K., Hana, D., Chou, J. T.-T., Singh, C., Mackiewicz, A., & Kaczmarek, M.
Venue
Frontiers in Immunology
Published
2021-05-27
Volume
12
Pages
656364-656364
ISSN
1664-3224 (ISSN-L)
OpenAlex
W3170943164
Cited by
513
References
490
FWCI
24.87
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Aspects of the Tumor Microenvironment Involved in Immune Resistance and Drug Resistance. https://app.cochat.ai/papers/10.3389/fimmu.2021.656364
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Khalaf, K., Hana, D., Chou, J. T.-T., Singh, C., Mackiewicz, A., & Kaczmarek, M. (2021). Aspects of the Tumor Microenvironment Involved in Immune Resistance and Drug Resistance. Frontiers in Immunology. https://doi.org/10.3389/fimmu.2021.656364

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