The inflammatory pathogenesis of colorectal cancer

Nat Rev Immunol. 2021 Oct;21(10):653-667. doi: 10.1038/s41577-021-00534-x. Epub 2021 Apr 28.

Abstract

The mutational landscape of colorectal cancer (CRC) does not enable predictions to be made about the survival of patients or their response to therapy. Instead, studying the polarization and activation profiles of immune cells and stromal cells in the tumour microenvironment has been shown to be more informative, thus making CRC a prototypical example of the importance of an inflammatory microenvironment for tumorigenesis. Here, we review our current understanding of how colon cancer cells interact with their microenvironment, comprised of immune cells, stromal cells and the intestinal microbiome, to suppress or escape immune responses and how inflammatory processes shape the immune pathogenesis of CRC.

Publication types

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

MeSH terms

  • Animals
  • Cell Transformation, Neoplastic*
  • Colorectal Neoplasms / complications*
  • Colorectal Neoplasms / immunology
  • Colorectal Neoplasms / pathology*
  • Gastrointestinal Microbiome
  • Humans
  • Inflammation / complications*
  • Inflammation / immunology*
  • Inflammation / pathology
  • Stromal Cells
  • Tumor Microenvironment