
Heterogeneity of cancer-associated fibroblasts in esophageal cancer and targeted therapy
Xu Xinyao, Zhao Lina, Lu Jiayu, Zhang Xuxu, Zheng Chunlong, Li Jiahe, Li Wei, Lu Qiang
Heterogeneity of cancer-associated fibroblasts in esophageal cancer and targeted therapy
Esophageal cancer(EC) is a highly invasive malignant tumor characterized by late identification,a high recurrence rate,and poor prognosis. The progression of EC is closely associated with the tumor microenvironment(TME). Cancer-associated fibroblasts(CAFs),as a key component of the TME,are recruited and reprogrammed in response to cancer cell secretions,cell contact signals,mechanical stress,and physiological stress,thereby exhibiting heterogeneity. Currently,the heterogeneity of CAFs suggests the need to develop targeted therapeutic approaches to overcome the complexity of the TME and treatment resistance. Future research will focus on a deeper understanding of the heterogeneity of CAFs and how to translate this knowledge into the advantages of clinical treatment. New treatment strategies can be designed by identifying and functionally manipulating the specific subgroups of CAFs. To clarify the complexity of CAFs in EC and their potential as therapeutic targets,this article summarizes the recent research advances in the origin and heterogeneity of CAFs and the role of CAFs in targeted therapy.
esophageal cancer / cancer-associated fibroblasts / heterogeneity / chemotherapy
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