Evidence map›Paper›PMID 41116947›Full record

ReviewCureus2025

Tumor Microenvironment and Its Role in Cancer Progression: An Integrative Review.

Khalaf Mohamed Almazrouei, Vartika Mishra, Hetal Pandya, Kumar Sambhav, Sainath Narayan Bhavsar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Khalaf Mohamed AlmazroueiDepartment of College Health Sciences, Abu Dhabi University, Abu Dhabi, ARE.
Vartika MishraDepartment of Pathology, Ruxmaniben Deepchand Gardi Medical College, Madhya Pradesh Medical Science University, Ujjain, IND.
Hetal PandyaDepartment of General Medicine, Dr. N. D. Desai Faculty of Medical Science and Research Centre, Dharamsinh Desai University, Nadiad, IND.
Kumar SambhavDepartment of Anatomy, All India Institute of Medical Sciences, Bilaspur, Bilaspur, IND.
Sainath Narayan BhavsarDepartment of Engineering Sciences and Humanities, Thakur College of Engineering and Technology, Mumbai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumor microenvironment (TME) plays a crucial role in cancer progression, metastasis, immune evasion, and treatment resistance. However, the current literature often studies its components separately. This review offers an integrated view of the dynamic interactions among fibroblasts, immune and vascular cells, the extracellular matrix, cytokines, exosomes, and microbiota within the TME. It discusses classical mechanisms such as epithelial-mesenchymal transition, stromal remodeling, and metabolic rewiring alongside emerging paradigms like microbiome-driven immunomodulation and exosome-mediated therapy resistance. Spatial heterogeneity and the temporal evolution of the tumor niche are examined using recent advances in single-cell and spatial transcriptomics, 3D bioprinting, and patient-derived organoid models. Key findings emphasize the microbiome's influence on immune responses and the role of exosomes in transferring resistance traits and regulating intercellular signaling. By connecting molecular insights with clinical perspectives, the review explores translational strategies targeting the TME, including checkpoint inhibitors, stromal modulators, anti-angiogenic agents, and engineered CAR-T therapies. This comprehensive view highlights the importance of considering cancer as a complex, evolving ecosystem rather than just a cell-autonomous disease and provides a foundational framework for precision oncology approaches aimed at disrupting harmful TME interactions to improve therapeutic effectiveness and patient outcomes.

Indexed as

cancer progressionimmune evasionprecision oncologystromal remodelingtumor microenvironment

Identifiers

PMID41116947
PMCPMC12535698

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.