Abstract
Tumor-associated inflammation is a frequently observed phenomenon considered to be one of the major hallmarks of neoplastic disease progression. Recent data show that inflammatory processes around malignancies are able to both support and suppress neoplastic progression depending on the phase of tumor progression or the cytokine context of ongoing immunological processes in the tumor microenvironment. Recent concepts of malignancy-associated inflammation and its impact on dendritic cell functions suggest that the net effect of inflammation on the balance between tumor growth and dendritic cell-controlled immunity is continuously changing over time, as inflammatory signals are frequently re-interpreted along with cancer progression. Initially, inflammation sustains malignant conversion and supports survival of tumor cells in cryptic cancers; however, it also allows their recognition by dendritic cells via damage-associated molecular patterns. In progressing cancers, inflammation contributes to malignant invasion, angiogenesis, and metastasis formation. In addition, via suppressing dendritic cell activation, maturation, and disrupting communication between dendritic cells and NK or T cells, it also corrupts antitumor immune responses launched by both the innate and adaptive immune systems. On the other hand, upon appropriate stimulation of specific toll-like receptors, tumor-infiltrating myeloid and plasmacytoid dendritic cells can be successfully activated, leading to harsh inflammatory reactions ultimately resulting in rapid rejection of tumor cells. Thus, ubiquitous presence of inflammation around tumors can be exploited not only for early detection of cryptic malignant lesions but also for inducing dendritic cell-mediated rejection of established malignancies.
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Pos, Z., Sabatino, M., Spivey, T., Liu, H., Falus, A., Marincola, F.M. (2009). Tumor-Associated Inflammation and Impact on Dendritic Cell Function. In: Salter, R., Shurin, M. (eds) Dendritic Cells in Cancer. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88611-4_11
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