Abstract

Colorectal cancer remains one of the most important health challenges in our society. The development of cancer immunotherapies has fostered the need to better understand the anti-tumor immune mechanisms at play in the tumor microenvironment and the strategies by which the tumor escapes them. In this review, we provide an overview of the molecular interactions that regulate tumor inflammation. We particularly discuss immunomodulatory cell-cell interactions, cell-soluble factor interactions, cell-extracellular matrix interactions and cell-microbiome interactions. While doing so, we highlight relevant examples of tumor immunomodulation in colorectal cancer.

Highlights

  • Colorectal cancer is the second leading cause of cancer-related deaths in the world, accounting for nearly 1 million deaths in 2020

  • Whereas the majority of primary colorectal cancers can be eradicated through surgical resection, only a minority of patients diagnosed with metastatic CRC can be cured by surgery

  • We present multiple key of molecular occurring in the colorectal present multiple key molecular interactions occurring in the colorectal tumor microenvimicroenvironment (TME) that strongly modulate tumor inflammation

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Summary

Introduction

Colorectal cancer is the second leading cause of cancer-related deaths in the world, accounting for nearly 1 million deaths in 2020. Cancer of intestinal epithelial cells (IECs) to a benign adenoma, before progressing to malignancy cells actively remodel their microenvironment by interacting with immune cells, stromal upon of genetic and epigenetic aberrations. The primary tumor growthcells alters actively remodel microenvironment byintratumoral interacting with immuneofcells, stromal the integrity of their the gut barrier, leading to infiltration bacteria andcells other and the extracellular matrix (ECM). Cancer cells must undergo phenotypic changes that allow them to exit their cell cluster organization, acquire the capacity to penetrate blood or lymphatic vessels, and survive into circulation This process is referred as epithelial-to-mesenchymal transition (EMT), reflecting the loss of epithelial cell characteristics and the acquisition of a mesenchymal cell phenotype with enhanced invasive behavior.

CRC Consensus Molecular Subgroups (CMS) and Associated Immune Landscapes
Immunomodulatory Cell-Cell Interactions in the TME
Direct Cell-Cell Receptor Interactions
Induction of Apoptosis via Fas/FasL and TRAIL/TRAIL-R Interactions
Detection of the Lack of MHC I and of Oncogenic Stress by NK Cells
Trogocytosis
Immune Cell Recruitment in the TME
Indirect Cell-Cell Receptor Interactions
Antibody-Mediated Cell-Cell Interactions
Indirect
Other Immunomodulatory Cell-Cell Interactions
Tumor Efferocytosis
Immunomodulatory Soluble Factors in the TME
Cytokines
Chemokines
TNF Superfamily (TNFSF)
CSF Superfamily
TGF-β Superfamily
Other Cell-Secreted Soluble Signaling Proteins
Proteases and Protease Inhibitors
Receptor Shedding in the TME
Immunomodulation by Nucleic Acids in the TME
Immunomodulation by Depletion of Amino Acids in the TME
Reactive Oxygen and Nitrogen Species (ROS and RNS)
ECM-Mediated Tumor Immunomodulation
The ECM as an Immunomodulatory Biomechanical
The ECM as a Reservoir of Immunomodulatory Proteins
Direct ECM Signaling to Immunoreceptors
Indirect ECM-Mediated Immunomodulation via Anti-Microbial Activities
The Emergent Role of the Cell Glycocalyx in Cancer Immunity
Microbiome-Mediated Tumor Immunomodulation
Intestinal Microbiota and Gut Immune Homeostasis
Pro- and Anti-Tumorigenic Microbial Inflammation
PRR Activation
Short-Chain Fatty Acids (SCFAs)
Microbial Toxins
Bacterial Adhesins
Findings
Conclusions

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