“…2,3 HCC is not an isolated part; it closely interacts with the TME, which has not only tumor cells but also cancer-associated fibroblasts (CAFs), hepatic stellate cells, endothelial cells, and tumor-associated macrophages. 4 The CAFs are especially one of the major components in the TME and have numerous influences during tumor development. Previous reports demonstrated that activated CAFs by tumor cells secrete cell cytokines, including transforming growth factor-β1, platelet-derived growth factor, fibroblast growth factor, and stromal cell-derived factor 1, and then activated CAFs secretion of chemokine CCL2, CXCL8, and interleukin-6, which is beneficial to tumor cell proliferation, invasion, metastasis, epithelial-to-mesenchymal transition (EMT), tumor angiogenesis, and multidrug resistance.…”