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Peripheral nerve remodeling in the tumor microenvironment: neuro-immune crosstalk, molecular mechanisms, and precision therapeutic - PubMed

3 hours ago
  • #Cancer Therapeutics
  • #Neuro-Immune Crosstalk
  • #Tumor Microenvironment
  • The nervous system within the tumor microenvironment influences tumor development and metastasis, while tumors remodel neural structures to support their growth.
  • Neuro-immune crosstalk involves interactions between neural cells, immune cells, and cancer cells, including Schwann cells presenting antigens and signaling with immune cells.
  • Molecular mechanisms include sympathetic norepinephrine promoting T cell exhaustion and parasympathetic acetylcholine suppressing immune responses via α7 nicotinic receptors.
  • Immune cell-derived neurotrophins like NGF and BDNF create feedback loops that enhance tumor-neural-immune interactions and immune evasion.
  • Precision therapeutic strategies target this axis, such as β-adrenergic blockers, neurotrophin inhibition, denervation, and combinations with immunotherapy.