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Systemic immune and stromal cell networks

Molecular classification
Other
01

Overview

Systemic immune and stromal cell networks represent the integrated, multi-organ communication pathways between various immune cell subsets and structural stromal cells, such as fibroblasts and endothelial cells (Nature, 2020). These networks are essential for maintaining tissue homeostasis and coordinating systemic responses to local pathological insults like tumors or infections (Cell, 2021). In chronic diseases and cancer, these networks are often co-opted to create immunosuppressive environments or drive persistent fibrosis, extending beyond the local site to involve the bone marrow, spleen, and peripheral blood (Science, 2017). Because this term describes a high-level biological framework rather than a specific protein, enzyme, or receptor, it is not considered a conventional therapeutic target. Instead, it serves as a conceptual model for identifying specific molecular nodes—such as cytokines, chemokines, or surface receptors—that can be targeted to reprogram the overall state of the system from a pathological to a homeostatic one.

Other names
Immune-stromal interactomeSystemic immune-stromal crosstalkCellular communication networksTumor-immune-stromal microenvironment
02

Mechanism of action

Not applicable; this term refers to a complex biological system of interacting cell types rather than a single druggable molecular target.

03

Biological functions

Immune responseCell-cell communicationTissue homeostasisInflammationTissue remodeling
04

Disease associations

CancerAutoimmune diseaseFibrosisChronic inflammationInfection
05

Safety considerations

Complexity of predicting systemic off-target effectsRisk of cytokine release syndrome when modulating broad networksPotential for disrupting healthy tissue homeostasis and wound healing
06

Biomarkers

Circulating cytokine profilesImmune cell subset ratios (e.g., CD8+ T-cell to Treg ratio)Stromal gene expression signaturesSoluble immune checkpoint levels

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