New horizons in tumor microenvironment biology: challenges and opportunities.

New horizons in tumor microenvironment biology: challenges and opportunities.
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肿瘤微环境生物学的新视野:挑战与机遇

DOI:
10.1186/s12916-015-0278-7
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发表时间:
2015-03-05
期刊:
影响因子:
9.3
通讯作者:
Sun Y
Sun Y
中科院分区:
医学1区
文献类型:
--
作者:
Chen F;Zhuang X;Lin L;Yu P;Wang Y;Shi Y;Hu G;Sun Y

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肿瘤微环境(TME)越来越被认为是疾病进展多个阶段的关键因素,特别是局部耐药、免疫逃逸和远处转移,从而对临床肿瘤学一线干预措施的未来发展产生重大影响。对TME的适当理解促进了候选药物的评估和选择,以控制原发部位和转移部位的恶性肿瘤。本文综述了TME生物学的研究进展,并强调了靶向TME作为克服获得性耐药、防止转移和提高治疗效果的关键策略的前景。由于TME小生境中的良性细胞积极调节癌细胞对广泛的标准化疗和靶向药物的反应,因此应将癌症导向治疗与TME靶向治疗相结合,以实现最佳的临床结果。总体而言,提供了一系列更新的信息,以总结TME研究最近出现和快速进展的方面,并为个性化医疗的前瞻性发展提供重要的指导方针,其长期目标是为癌症患者提供治疗。
The tumor microenvironment (TME) is being increasingly recognized as a key factor in multiple stages of disease progression, particularly local resistance, immune-escaping, and distant metastasis, thereby substantially impacting the future development of frontline interventions in clinical oncology. An appropriate understanding of the TME promotes evaluation and selection of candidate agents to control malignancies at both the primary sites as well as the metastatic settings. This review presents a timely outline of research advances in TME biology and highlights the prospect of targeting the TME as a critical strategy to overcome acquired resistance, prevent metastasis, and improve therapeutic efficacy. As benign cells in TME niches actively modulate response of cancer cells to a broad range of standard chemotherapies and targeted agents, cancer-oriented therapeutics should be combined with TME-targeting treatments to achieve optimal clinical outcomes. Overall, a body of updated information is delivered to summarize recently emerging and rapidly progressing aspects of TME studies, and to provide a significant guideline for prospective development of personalized medicine, with the long term aim of providing a cure for cancer patients.
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影响因子: 21.1
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