Non-small-cell lung cancer (NSCLC) treatment landscape is evolving rapidly with targeted therapies and immunotherapeutic approaches, but some patients still experience limited responses.
Research emphasizes the crucial role of the tumor microenvironment (TME) in driving NSCLC progression, metastasis, and therapeutic resistance.
TME comprises diverse cellular and non-cellular components, influencing cancer behavior and treatment outcomes through intricate cross-talk with tumor cells.
Spatial niches within the TME exhibit distinct features like immune-infiltrated zones and immune-excluded regions, affecting therapy responses differently.
Inflammation and immunosuppression balance plays a key role in NSCLC progression, with TME shifts promoting immune evasion post-tumor establishment.
Patient-specific factors such as aging, sex, and socioeconomic status influence NSCLC-TME interactions, requiring personalized therapeutic considerations.
Therapeutic strategies for NSCLC now focus on integrating immune modulation and TME remodeling to overcome resistance mechanisms and enhance treatment efficacy.
Targeting the extracellular matrix (ECM) and cancer-associated fibroblasts (CAFs) within the TME presents promising avenues to improve drug delivery and immune responses.
Understanding pre-metastatic niches and secondary microenvironments is crucial in limiting metastatic progression and developing targeted interventions.
Therapeutic resistance in NSCLC arises from diverse mechanisms involving both tumor cell adaptations and TME-mediated influences, necessitating dynamic treatment approaches.