Targeting the tumour stroma to improve cancer therapy.

Nat Rev Clin Oncol

The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Published: June 2018

AI Article Synopsis

  • Cancers are complex ecosystems made up of various cell types and noncellular components, including a crucial part called the tumour stroma.
  • Most cancer treatments focus solely on killing cancer cells, but the tumour stroma can help cancer cells resist these therapies, complicating treatment outcomes.
  • Combining treatments that target both cancer cells and the tumour stroma could lead to more effective therapies and better results for patients.

Article Abstract

Cancers are not composed merely of cancer cells alone; instead, they are complex 'ecosystems' comprising many different cell types and noncellular factors. The tumour stroma is a critical component of the tumour microenvironment, where it has crucial roles in tumour initiation, progression, and metastasis. Most anticancer therapies target cancer cells specifically, but the tumour stroma can promote the resistance of cancer cells to such therapies, eventually resulting in fatal disease. Therefore, novel treatment strategies should combine anticancer and antistromal agents. Herein, we provide an overview of the advances in understanding the complex cancer cell-tumour stroma interactions and discuss how this knowledge can result in more effective therapeutic strategies, which might ultimately improve patient outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960434PMC
http://dx.doi.org/10.1038/s41571-018-0007-1DOI Listing

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