PMID- 33806300 OWN - NLM STAT- MEDLINE DCOM- 20210426 LR - 20210426 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 5 DP - 2021 Mar 4 TI - How Cells Communicate with Each Other in the Tumor Microenvironment: Suggestions to Design Novel Therapeutic Strategies in Cancer Disease. LID - 10.3390/ijms22052550 [doi] LID - 2550 AB - Connexin- and pannexin (Panx)-formed hemichannels (HCs) and gap junctions (GJs) operate an interaction with the extracellular matrix and GJ intercellular communication (GJIC), and on account of this they are involved in cancer onset and progression towards invasiveness and metastatization. When we deal with cancer, it is not correct to omit the immune system, as well as neglecting its role in resisting or succumbing to formation and progression of incipient neoplasia until the formation of micrometastasis, nevertheless what really occurs in the tumor microenvironment (TME), which are the main players and which are the tumor or body allies, is still unclear. The goal of this article is to discuss how the pivotal players act, which can enhance or contrast cancer progression during two important process: "Activating Invasion and Metastasis" and the "Avoiding Immune Destruction", with a particular emphasis on the interplay among GJIC, Panx-HCs, and the purinergic system in the TME without disregarding the inflammasome and cytokines thereof derived. In particular, the complex and contrasting roles of Panx1/P2X7R signalosome in tumor facilitation and/or inhibition is discussed in regard to the early/late phases of the carcinogenesis. Finally, considering this complex interplay in the TME between cancer cells, stromal cells, immune cells, and focusing on their means of communication, we should be capable of revealing harmful messages that help the cancer growth and transform them in body allies, thus designing novel therapeutic strategies to fight cancer in a personalized manner. FAU - Zefferino, Roberto AU - Zefferino R AUID- ORCID: 0000-0001-9398-7139 AD - Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy. FAU - Piccoli, Claudia AU - Piccoli C AD - Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy. FAU - Di Gioia, Sante AU - Di Gioia S AUID- ORCID: 0000-0001-7246-5622 AD - Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy. FAU - Capitanio, Nazzareno AU - Capitanio N AD - Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy. FAU - Conese, Massimo AU - Conese M AUID- ORCID: 0000-0003-3465-6641 AD - Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy. LA - eng PT - Journal Article PT - Review DEP - 20210304 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Connexins) RN - 0 (Cytokines) RN - 0 (Inflammasomes) RN - 8L70Q75FXE (Adenosine Triphosphate) SB - IM MH - Adenosine Triphosphate/metabolism MH - Animals MH - Cell Communication/immunology/*physiology MH - Connexins/physiology MH - Cytokines/immunology MH - Epithelial-Mesenchymal Transition/physiology MH - Gap Junctions/physiology MH - Humans MH - Immunity, Innate MH - Inflammasomes/immunology MH - Models, Biological MH - Neoplasm Invasiveness/pathology/physiopathology MH - Neoplasm Metastasis/pathology/physiopathology MH - Neoplasms/pathology/physiopathology/*therapy MH - Tumor Escape MH - Tumor Microenvironment/immunology/*physiology PMC - PMC7961918 OTO - NOTNLM OT - connexin OT - cytokines OT - epithelial-mesenchymal transition OT - gap junction intercellular communication OT - hemichannels OT - immune system OT - inflammasome OT - pannexin OT - purinergic system OT - tumor microenvironment COIS- The authors declare no conflict of interest. EDAT- 2021/04/04 06:00 MHDA- 2021/04/27 06:00 PMCR- 2021/03/04 CRDT- 2021/04/03 01:23 PHST- 2021/01/31 00:00 [received] PHST- 2021/02/25 00:00 [revised] PHST- 2021/02/26 00:00 [accepted] PHST- 2021/04/03 01:23 [entrez] PHST- 2021/04/04 06:00 [pubmed] PHST- 2021/04/27 06:00 [medline] PHST- 2021/03/04 00:00 [pmc-release] AID - ijms22052550 [pii] AID - ijms-22-02550 [pii] AID - 10.3390/ijms22052550 [doi] PST - epublish SO - Int J Mol Sci. 2021 Mar 4;22(5):2550. doi: 10.3390/ijms22052550.