PMID- 31422113 OWN - NLM STAT- MEDLINE DCOM- 20200629 LR - 20200629 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 148 DP - 2019 Oct TI - Strategies of targeting pathological stroma for enhanced antitumor therapies. PG - 104401 LID - S1043-6618(19)30681-4 [pii] LID - 10.1016/j.phrs.2019.104401 [doi] AB - Cancer associated fibroblasts (CAFs) and the derived stromal components constitute specific pathological stroma in desmoplastic tumors, which not only hinder the distribution of drugs/nano-agents in tumors but also reduce the sensibility of tumor cells to standard therapeutics. Consequently, pathological stroma has gradually been termed potential target for antitumor therapy. However, opposite outcomes have been observed to occur with the same strategy in different tumor models and no general principles have been adopted due to the heterogeneity and adaptivity of dynamic stroma, in which case diversified strategies for antitumor therapies are urgent. In this review, we summarize the origins and characterizations of pathological stroma and describe their critical influence on tumor's responsiveness to oncotherapy. The design of combinational antitumor strategies and stroma targeting drug delivery systems (DDSs) are also discussed in detail. Collectively, the main purpose of this review is to improve our understanding of the roles of stroma in tumor progression and provide new insights for targeting pathological stroma. CI - Copyright (c) 2019 Elsevier Ltd. All rights reserved. FAU - Zhu, Yun AU - Zhu Y AD - Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, 210008, People's Republic of China; Ocean College, Zhejiang University, 1 Zheda Road, Zhoushan, 316021, People's Republic of China. FAU - Yu, Fangying AU - Yu F AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Tan, Yanan AU - Tan Y AD - Ocean College, Zhejiang University, 1 Zheda Road, Zhoushan, 316021, People's Republic of China. FAU - Yuan, Hong AU - Yuan H AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Hu, Fuqiang AU - Hu F AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China; Ocean College, Zhejiang University, 1 Zheda Road, Zhoushan, 316021, People's Republic of China. Electronic address: hufq@zju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190815 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Antineoplastic Agents) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology/*therapeutic use MH - Cancer-Associated Fibroblasts/drug effects/pathology MH - Disease Progression MH - Drug Delivery Systems/methods MH - Humans MH - Neoplasms/*drug therapy/*pathology MH - Tumor Microenvironment/drug effects OTO - NOTNLM OT - CAFs OT - Combinational therapies OT - Drug delivery system OT - Stroma OT - Tumor microenvironment EDAT- 2019/08/20 06:00 MHDA- 2020/07/01 06:00 CRDT- 2019/08/19 06:00 PHST- 2019/04/16 00:00 [received] PHST- 2019/07/24 00:00 [revised] PHST- 2019/08/13 00:00 [accepted] PHST- 2019/08/20 06:00 [pubmed] PHST- 2020/07/01 06:00 [medline] PHST- 2019/08/19 06:00 [entrez] AID - S1043-6618(19)30681-4 [pii] AID - 10.1016/j.phrs.2019.104401 [doi] PST - ppublish SO - Pharmacol Res. 2019 Oct;148:104401. doi: 10.1016/j.phrs.2019.104401. Epub 2019 Aug 15.