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Tumor microenvironment (TME) modulation refers to therapeutic strategies aimed at altering the complex ecosystem surrounding a tumor to improve cancer treatment outcomes. The TME consists of cancer cells, stromal tissue (including blood vessels, immune cells, fibroblasts), signaling molecules, and the extracellular matrix (ECM). This environment supports tumor growth and invasion and is a major contributor to resistance against current therapies. TME modulation is not a single molecular target but an umbrella term encompassing diverse strategies aimed at reprogramming cellular/molecular interactions around tumors. These interventions seek to disrupt pro-tumoral signals while enhancing anti-tumoral immunity—ultimately improving patient outcomes across multiple cancer types.
Multiple mechanisms, including: - Immune cell reprogramming - Cytokine/chemokine axis targeting - ECM remodeling - Vascular normalization
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