Neural regulations of the tumor microenvironment

FASEB Bioadv. 2021 Sep 12;4(1):29-42. doi: 10.1096/fba.2021-00066. eCollection 2022 Jan.

Abstract

The identification of nerves in the tumor microenvironment has ushered in a new area of research in cancer biology. Numerous studies demonstrate the presence of various types of peripheral nerves (sympathetic, parasympathetic, sensory) within the tumor microenvironment; moreover, an increased density of nerves in the tumor microenvironment correlates with worse prognosis. In this review, we address the current understanding of nerve-mediated alterations of the tumor microenvironment and how they impact disease through a variety of processes, including direct nerve-cancer cell communication, alteration of the infiltrative immune population, and alteration of stromal components.

Keywords: cancer; immune escape; neuro‐immune communication; tumor innervation; tumor microenvironment.