2020
DOI: 10.1155/2020/6283796
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Cellular and Extracellular Components in Tumor Microenvironment and Their Application in Early Diagnosis of Cancers

Abstract: Tumors are surrounded by complex environmental components, including blood and lymph vessels, fibroblasts, endothelial cells, immune cells, cytokines, extracellular vesicles, and extracellular matrix. All the stromal components together with the tumor cells form the tumor microenvironment (TME). In addition, extracellular physical and chemical factors, including extracellular pH, hypoxia, elevated interstitial fluid pressure, and fibrosis, are closely associated with tumor progression, metastasis, immunosuppre… Show more

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Cited by 93 publications
(82 citation statements)
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References 125 publications
(159 reference statements)
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“…The TME is composed of stromal cells, ECM components, immune cells, vasculature, other cell types, and various signaling entities, including exosomes [15]. The crosstalk between cancer cells and other TME components drives tumor progression and metastasis [16].…”
Section: The Tme Regulates Tumor Metastasismentioning
confidence: 99%
“…The TME is composed of stromal cells, ECM components, immune cells, vasculature, other cell types, and various signaling entities, including exosomes [15]. The crosstalk between cancer cells and other TME components drives tumor progression and metastasis [16].…”
Section: The Tme Regulates Tumor Metastasismentioning
confidence: 99%
“…Low-back pain is a common global health burden, with an estimated annual cost of $500 billion in the United States (Dieleman et al, 2016;Manchikanti et al, 2014). It is often associated with degenerative disc disease, which is characterised by degeneration of the NP, the central gelatinous tissue of the IVD (Vergroesen et al, 2015). Given its avascular nature, the IVD poses a challenging microenvironment, with low levels of oxygen and glucose, which can exacerbate during IVD degeneration (Buckley et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…This results in a more hostile microenvironment due to limited nutrient transport, such as oxygen and glucose, as well as accumulation of metabolic by-products, such as LacA. This change in microenvironment results in increased acidity within the IVD, with values as low as 5.7-6.8 (severe to mild degenerated disc) (Diamant et al, 1968;Nachemson, 1969), which affects cellular gene expression, proliferation and cell viability (Naqvi and Buckley, 2016;Razaq et al, 2003;Wuertz et al, 2009), leading to an imbalance in matrix anabolism and catabolism. Acidic microenvironments affect cells through different intracellular pathways.…”
Section: Introductionmentioning
confidence: 99%
“…EV are detected in the tumour microenvironment (TME), and emerging evidence suggests that they play a role in facilitating tumourigenesis by regulating different processes, including tumour growth, angiogenesis, immunity, and metastasis formation. Circulating EV have also been exploited as liquid biopsies and recognized as biomarkers for early detection, diagnosis, treatment and response to treatment in cancer patients [5][6][7].…”
Section: Introductionmentioning
confidence: 99%