4.6 Review

Targeting CAFs to overcome anticancer therapeutic resistance

Journal

TRENDS IN CANCER
Volume 8, Issue 7, Pages 527-555

Publisher

CELL PRESS
DOI: 10.1016/j.trecan.2022.03.001

Keywords

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Categories

Funding

  1. National Key Research and Development Program of China [2016YFC1302300]
  2. Natural Science Foundation of China [81621004, 81720108029, 81930081, 91940305, 81874226, 81803020, 82050410363, 82072930]
  3. Guangdong Science and Technology Department [2017B030314026, 2020B1212060018, 2020B1212030004]
  4. Clinical Innovation Research Program of Guangzhou Regenerative Medicine and Health Guangdong Laboratory [2018GZR0201004]
  5. Guangzhou Science Technology and Innovation Commission [201803040015]
  6. Guangdong Province Outstanding Youth Award [2021B1515020066]
  7. FountainValley Life Sciences Fund of the University of Chinese Academy of Sciences Education Foundation

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This article discusses the role of cancer-associated fibroblasts (CAFs) in anticancer therapeutic resistance in the tumor microenvironment. It explores the origin, heterogeneity, and function of CAFs, as well as their potential use as biomarkers. The article also reviews current breakthroughs in targeting CAFs to overcome therapeutic resistance.
The view of cancer as a tumor cell-centric disease is now replaced by our understanding of the interconnection and dependency of tumor stroma. Cancer associated fibroblasts (CAFs), the most abundant stromal cells in the tumor microenvironment (TME), are involved in anticancer therapeutic resistance. As we unearth more solid evidence on the link between CAFs and tumor progression, we gain insight into the role of CAFs in establishing resistance to cancer therapies. Herein, we review the origin, heterogeneity, and function of CAFs, with a focus on how CAF subsets can be used as biomarkers and can contribute to therapeutic resistance in cancer. We also depict current breakthroughs in targeting CAFs to overcome anticancer therapeutic resistance and discuss emerging CAF-targeting modalities.

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