Benesova Iva, Kalkusova Katerina, Kwon Yea Seo, Taborska Pavla, Stakheev Dmitry, Krausova Katerina, Smetanova Jitka, Ozaniak Andrej, Bartunkova Jirina, Smrž Daniel, Strizova Zuzana Ozaniak
Department of Immunology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague 5, Czech Republic.
Third Department of Surgery, First Faculty of Medicine, Charles University and University Hospital Motol, Prague 5, Czech Republic.
Int J Oncol. 2025 Oct;67(4). doi: 10.3892/ijo.2025.5785. Epub 2025 Aug 8.
Over the course of the last 10 years, clinical oncology has seen significant changes. Although there has been much interest in targeting cancer cells with immunotherapy, the initial enthusiasm has waned as clinical trial results have not met the initial expectations, especially for solid tumors. As a result, research efforts are now shifting towards the study of other cells in the tumor microenvironment. Cancer‑associated fibroblasts (CAFs) are one of the main adversarial cell types that help cancer cells to resist oncological treatment. However, although CAFs have been extensively studied in different types of carcinomas, their role in sarcomas remains poorly understood. Despite this topic being of especial importance, to the best of the authors' knowledge, no literature review currently addresses and summarizes the up‑to‑date knowledge on the role of CAFs in sarcomas. The present review article aimed to address this literature gap by summarizing our current understanding of CAFs in carcinomas and integrating this information with what is currently known about CAFs in sarcomas. The review also suggested novel approaches for targeting CAFs, and outlines new avenues for identifying novel therapeutic targets, which may markedly impact future research in this field.
在过去10年中,临床肿瘤学发生了重大变化。尽管免疫疗法靶向癌细胞引起了广泛关注,但随着临床试验结果未达到最初预期,尤其是对实体瘤而言,最初的热情已经消退。因此,研究工作目前正转向肿瘤微环境中其他细胞的研究。癌症相关成纤维细胞(CAFs)是帮助癌细胞抵抗肿瘤治疗的主要对抗细胞类型之一。然而,尽管CAFs在不同类型的癌中已得到广泛研究,但其在肉瘤中的作用仍知之甚少。尽管这个话题特别重要,但据作者所知,目前尚无文献综述阐述和总结关于CAFs在肉瘤中作用的最新知识。本综述文章旨在通过总结我们目前对癌中CAFs的理解,并将这些信息与目前已知的肉瘤中CAFs的情况相结合,来填补这一文献空白。该综述还提出了靶向CAFs的新方法,并概述了识别新治疗靶点的新途径,这可能会对该领域未来的研究产生显著影响。