The main sequence of events occurring in the TME
No. | Parameter | Initial result | Subsequent result | Reference |
---|---|---|---|---|
1 | Angiogenesis | Leaky vessels | Hypoxia | [6] |
2 | Hypoxia | Induce HIF | Increased angiogenesis | [8] |
3 | Insufficient glucose | Anaerobic glycolysis | Lactate increase | [9] |
4 | Excessive lactate | Increased acidity | Increased influx of MDSCs, TAMs, Tregs | [10] |
5 | Anaerobic glycolysis | Lactate increase | Acidity increase | [7] |
6 | Poor pericytes | Leaky vessels | Increased interstitial fluid pressure | [7] |
Items 1 and 2 would readily form a vicious cycle of angiogenesis, hypoxia, worse angiogenesis, worse hypoxia, etc. * together, these cells would significantly reduce host immunity; HIF: hypoxia-inducible factor; MDSCs: myeloid-derived suppressor cells; TAMs: tumor-associated macrophages; Tregs: regulatory T cells
The author contributed solely to the work.
The author declares no conflicts of interest in this manuscript.
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© The Author(s) 2022.