2021
DOI: 10.1038/s41591-021-01233-9
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Intratumoral heterogeneity in cancer progression and response to immunotherapy

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Cited by 416 publications
(255 citation statements)
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“…This variability in response to the intensity for each MM cell line did not affect the significance of our results on the melanoma cells when compared to those observed on normal fibroblasts or those obtained with D6 or curcumin itself. Oppositely, this may highlight the necessity of “targeted treatments” accordingly in the different molecular features among the same tumor (tumor heterogeneity), reflecting the propensity for precision medicine for treating cancer, which is recently gaining ground [ 43 ].…”
Section: Discussionmentioning
confidence: 99%
“…This variability in response to the intensity for each MM cell line did not affect the significance of our results on the melanoma cells when compared to those observed on normal fibroblasts or those obtained with D6 or curcumin itself. Oppositely, this may highlight the necessity of “targeted treatments” accordingly in the different molecular features among the same tumor (tumor heterogeneity), reflecting the propensity for precision medicine for treating cancer, which is recently gaining ground [ 43 ].…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, the makeup of antigen presenting cells as a crucial factor for efficient immune activation has been insufficiently described. Ideally, all the information should be decoded in a spatiotemporal context (19). As a relevant example, tertiary lymphoid structures (TLS) in human cancer, which are highly organized cellular aggregates resembling lymph nodes, have recently emerged as key sites for the generation of antitumor immunity with a prominent impact on disease outcome and immunotherapeutic response (118)(119)(120)(121).…”
Section: Outstanding Questions and Future Prospectsmentioning
confidence: 99%
“…Extensive studies have been focused on dissecting the cellular and molecular mechanisms underlying the immune response of UBC, in order to identify clinical biomarkers to predict ICI treatment efficacy, and to design novel single or combination trials of more effective regimens (15)(16)(17). Accumulative evidence suggests that tumor cells and the associated nontumor constituents in UBC microenvironment interact to modulate cancer immunogenicity and immunotherapeutic outcomes (18)(19)(20). Therefore, a comprehensive characterization of diverse cell types and states in the context of UBC oncogenesis and treatment is of paramount importance.…”
Section: Introductionmentioning
confidence: 99%
“…It is now clear that most tumors are complex ecosystems that emerge and evolve under robust selective pressure from their microenvironment (TME), which involves immunological, trophic, metabolic, and therapeutic factors. Such pressure promotes the differentiation of both malignant and nonmalignant (i.e., endothelial, stromal, and immune) cells of the TME, culminating in disparate degrees of intratumoral heterogeneity, and resulting in disease progression and resistance to specific treatment [ 43 , 44 ]. Progressing tumors tend to acquire driver mutations that favor some degree of genetic instability, and immunoescape (for example, loss of major histocompatibility complex (MHC) class I-coding genes or capacity to release suppressive cytokines) [ 45 ].…”
Section: The Various Trp Metabolic Pathways and Metabolites In The Rementioning
confidence: 99%