4.8 Review

Remodeling tumor microenvironment with natural products to overcome drug resistance

Journal

FRONTIERS IN IMMUNOLOGY
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2022.1051998

Keywords

tumor microenvironment; natural products; drug resistance; cancer stem cells; p53; traditional Chinese medicine

Categories

Funding

  1. National Natural Science Foundation of China [81502582]
  2. Fundamental Research Funds for the Central Universities [N182004002]
  3. Natural Science Foundation of Liaoning Province [2021-MS-104, 2022-YGJC-39]
  4. Fundamental Scientific Research Fund of Liaoning Provincial Education Department [LJKQZ2021002]
  5. Liaoning Revitalization Talents Program, Key technologies research in major disease control and prevention [XLYC2007098]

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Natural products play a significant role in cancer treatment by modulating the tumor microenvironment to activate immune responses against cancer, and they have the potential to overcome drug resistance.
With cancer incidence rates continuing to increase and occurrence of resistance in drug treatment, there is a pressing demand to find safer and more effective anticancer strategy for cancer patients. Natural products, have the advantage of low toxicity and multiple action targets, are always used in the treatment of cancer prevention in early stage and cancer supplement in late stage. Tumor microenvironment is necessary for cancer cells to survive and progression, and immune activation is a vital means for the tumor microenvironment to eliminate cancer cells. A number of studies have found that various natural products could target and regulate immune cells such as T cells, macrophages, mast cells as well as inflammatory cytokines in the tumor microenvironment. Natural products tuning the tumor microenvironment via various mechanisms to activate the immune response have immeasurable potential for cancer immunotherapy. In this review, it highlights the research findings related to natural products regulating immune responses against cancer, especially reveals the possibility of utilizing natural products to remodel the tumor microenvironment to overcome drug resistance.

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