“…Importantly, targeting CAFs and associated responses by sonic hedgehog signaling inhibition has shown to reduce solid stress and IFP in tumor models, enhancing the activity of cytotoxic agents like taxol and 5′-fluorouracil (5′-FU) [ 146 , 154 , 155 , 156 ]. However, this strategy has failed in clinical trials and preclinical studies have shown that excessive depletion of CAFs might fuel tumor progression [ 157 , 158 , 159 ]. In addition to their role in solid stress accumulation, CAFs along with other stromal components promote the establishment of an immunosuppressive TME via the release of various immunosuppressive ligands such as TGF-β, CXCL12, IL-6, CXCL-1, G-SCF, and others which can impede intratumoral cytotoxic T cell infiltration and activity and enhance the recruitment of MDSCs, neutrophils and M2-like TAMs [ 160 ].…”