Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions

Neuroblastoma (NB) is the most common pediatric tumor malignancy that originates from the neural crest and accounts for more than 15% of all the childhood deaths from cancer. The neuroblastoma cancer research has long been focused on the role of MYCN oncogene amplification and the contribution of ot...

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Main Author: Shweta Joshi
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/8/2057
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author Shweta Joshi
author_facet Shweta Joshi
author_sort Shweta Joshi
collection DOAJ
description Neuroblastoma (NB) is the most common pediatric tumor malignancy that originates from the neural crest and accounts for more than 15% of all the childhood deaths from cancer. The neuroblastoma cancer research has long been focused on the role of MYCN oncogene amplification and the contribution of other genetic alterations in the progression of this malignancy. However, it is now widely accepted that, not only tumor cells, but the components of tumor microenvironment (TME), including extracellular matrix, stromal cells and immune cells, also contribute to tumor progression in neuroblastoma. The complexity of different components of tumor stroma and their resemblance with surrounding normal tissues pose huge challenges for therapies targeting tumor microenvironment in NB. Hence, the detailed understanding of the composition of the TME of NB is crucial to improve existing and future potential immunotherapeutic approaches against this childhood cancer. In this review article, I will discuss different components of the TME of NB and the recent advances in the strategies, which are used to target the tumor microenvironment in neuroblastoma.
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spelling doaj.art-5b766c38036c46a0956ce831831e0d872023-11-20T07:57:22ZengMDPI AGCancers2072-66942020-07-01128205710.3390/cancers12082057Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future DirectionsShweta Joshi0Department of Pediatrics, Division of Pediatric Hematology-Oncology, Moores Cancer Center, University of California San Diego, La Jolla, CA 92093-0815, USANeuroblastoma (NB) is the most common pediatric tumor malignancy that originates from the neural crest and accounts for more than 15% of all the childhood deaths from cancer. The neuroblastoma cancer research has long been focused on the role of MYCN oncogene amplification and the contribution of other genetic alterations in the progression of this malignancy. However, it is now widely accepted that, not only tumor cells, but the components of tumor microenvironment (TME), including extracellular matrix, stromal cells and immune cells, also contribute to tumor progression in neuroblastoma. The complexity of different components of tumor stroma and their resemblance with surrounding normal tissues pose huge challenges for therapies targeting tumor microenvironment in NB. Hence, the detailed understanding of the composition of the TME of NB is crucial to improve existing and future potential immunotherapeutic approaches against this childhood cancer. In this review article, I will discuss different components of the TME of NB and the recent advances in the strategies, which are used to target the tumor microenvironment in neuroblastoma.https://www.mdpi.com/2072-6694/12/8/2057tumor microenvironmentneuroblastomaimmunosuppressionhypoxiaextracellular matrixmetastasis
spellingShingle Shweta Joshi
Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
Cancers
tumor microenvironment
neuroblastoma
immunosuppression
hypoxia
extracellular matrix
metastasis
title Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
title_full Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
title_fullStr Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
title_full_unstemmed Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
title_short Targeting the Tumor Microenvironment in Neuroblastoma: Recent Advances and Future Directions
title_sort targeting the tumor microenvironment in neuroblastoma recent advances and future directions
topic tumor microenvironment
neuroblastoma
immunosuppression
hypoxia
extracellular matrix
metastasis
url https://www.mdpi.com/2072-6694/12/8/2057
work_keys_str_mv AT shwetajoshi targetingthetumormicroenvironmentinneuroblastomarecentadvancesandfuturedirections