2020
DOI: 10.3390/ijms21155250
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Modulating the Crosstalk between the Tumor and Its Microenvironment Using RNA Interference: A Treatment Strategy for Hepatocellular Carcinoma

Abstract: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy with one of the highest mortality rates among solid cancers. It develops almost exclusively in the background of chronic liver inflammation, which can be caused by viral hepatitis, chronic alcohol consumption or an unhealthy diet. Chronic inflammation deregulates the innate and adaptive immune responses that contribute to the proliferation, survival and migration of tumor cells. The continuous communication between the tumor and its mic… Show more

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Cited by 15 publications
(15 citation statements)
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References 152 publications
(169 reference statements)
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“…The modulations in the status of TME affect an array of cells that include immune cells (resident and migratory), endothelial cells, hepatic stellate cells, and others. This leads to the differentiation of cells into those that support tumor development and progression: tumor-associated macrophages (TAMs), tumor-associated neutrophils (TANs), and cancer-associated fibroblasts (CAFs) [ 3 ]. The changes in the phenotypic and secretory profile of cells of TME result from the change in the transcriptome and/or an altered protein function in the cells accompanied by dysregulation of the complex signaling pathways in the cells.…”
Section: Introductionmentioning
confidence: 99%
“…The modulations in the status of TME affect an array of cells that include immune cells (resident and migratory), endothelial cells, hepatic stellate cells, and others. This leads to the differentiation of cells into those that support tumor development and progression: tumor-associated macrophages (TAMs), tumor-associated neutrophils (TANs), and cancer-associated fibroblasts (CAFs) [ 3 ]. The changes in the phenotypic and secretory profile of cells of TME result from the change in the transcriptome and/or an altered protein function in the cells accompanied by dysregulation of the complex signaling pathways in the cells.…”
Section: Introductionmentioning
confidence: 99%
“…In recent years, more and more research has focused on the importance of the tumor microenvironment in driving malignancy, including in digestive system tumors ( 9 12 ). Most of the previous studies have only focused on tumor cells themselves and their internal mechanisms, but mutual communication and regulation exist between tumor cells and other components of their microenvironment ( 13 15 ). Through paracrine mechanisms, tumor cells could reprogram their surrounding immune and stromal microenvironments into a “pro-tumor” microenvironment.…”
Section: Introductionmentioning
confidence: 99%
“…RNAi technology has gained wide acceptance as a tool for knocking down specific cellular transcripts; hence it has been valuable for elucidation of molecular pathways, factors involved in diseases, and potential treatments [ 1 , 2 , 3 , 4 ]. However, many issues must be addressed before this technology can be used in clinical practice, including off-target effects, the requirement for multiple rounds of transfection to achieve effective knockdown, the limited ability to target nuclear transcripts, and the costs associated with making chemical modifications in siRNA or generating viral vectors for shRNA [ 1 , 5 , 6 , 7 , 8 ].…”
Section: Introductionmentioning
confidence: 99%