Engineering stromal heterogeneity in cancer

Adv Drug Deliv Rev. 2021 Aug:175:113817. doi: 10.1016/j.addr.2021.05.027. Epub 2021 Jun 2.

Abstract

Based on our exponentially increasing knowledge of stromal heterogeneity from advances in single-cell technologies, the notion that stromal cell types exist as a spectrum of unique subpopulations that have specific functions and spatial distributions in the tumor microenvironment has significant impact on tumor modeling for drug development and personalized drug testing. In this Review, we discuss the importance of incorporating stromal heterogeneity and tumor architecture, and propose an overall approach to guide the reconstruction of stromal heterogeneity in vitro for tumor modeling. These next-generation tumor models may support the development of more precise drugs targeting specific stromal cell subpopulations, as well as enable improved recapitulation of patient tumors in vitro for personalized drug testing.

Keywords: Cancer-associated fibroblasts; Hydrogel; In vitro models; Microfluidics; Stromal heterogeneity; Tumor microenvironment; Tumor-associated macrophages; Tumoral niches.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Extracellular Matrix / pathology
  • Humans
  • Neoplasms / pathology*
  • Stromal Cells / pathology*
  • Tissue Engineering / methods*
  • Tumor Microenvironment