PMID- 34691029 OWN - NLM STAT- MEDLINE DCOM- 20220107 LR - 20231102 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - The Therapeutic Potential of Tackling Tumor-Induced Dendritic Cell Dysfunction in Colorectal Cancer. PG - 724883 LID - 10.3389/fimmu.2021.724883 [doi] LID - 724883 AB - Colorectal cancer (CRC) is the third most diagnosed malignancy and the second leading cause of cancer-related deaths worldwide. Locally advanced and metastatic disease exhibit resistance to therapy and are prone to recurrence. Despite significant advances in standard of care and targeted (immuno)therapies, the treatment effects in metastatic CRC patients have been modest. Untreatable cancer metastasis accounts for poor prognosis and most CRC deaths. The generation of a strong immunosuppressive tumor microenvironment (TME) by CRC constitutes a major hurdle for tumor clearance by the immune system. Dendritic cells (DCs), often impaired in the TME, play a critical role in the initiation and amplification of anti-tumor immune responses. Evidence suggests that tumor-mediated DC dysfunction is decisive for tumor growth and metastasis initiation, as well as for the success of immunotherapies. Unravelling and understanding the complex crosstalk between CRC and DCs holds promise for identifying key mechanisms involved in tumor progression and spread that can be exploited for therapy. The main goal of this review is to provide an overview of the current knowledge on the impact of CRC-driven immunosuppression on DCs phenotype and functionality, and its significance for disease progression, patient prognosis, and treatment response. Moreover, present knowledge gaps will be highlighted as promising opportunities to further understand and therapeutically target DC dysfunction in CRC. Given the complexity and heterogeneity of CRC, future research will benefit from the use of patient-derived material and the development of in vitro organoid-based co-culture systems to model and study DCs within the CRC TME. CI - Copyright (c) 2021 Subtil, Cambi, Tauriello and de Vries. FAU - Subtil, Beatriz AU - Subtil B AD - Department of Cell Biology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands. FAU - Cambi, Alessandra AU - Cambi A AD - Department of Cell Biology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands. FAU - Tauriello, Daniele V F AU - Tauriello DVF AD - Department of Cell Biology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands. FAU - de Vries, I Jolanda M AU - de Vries IJM AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20211006 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM MH - Animals MH - Cells, Cultured MH - Colorectal Neoplasms/*immunology/pathology MH - Dendritic Cells/*immunology/pathology MH - Humans MH - Immunotherapy/*methods MH - Organ Culture Techniques MH - Tumor Microenvironment/drug effects/*immunology PMC - PMC8527179 OTO - NOTNLM OT - cancer immunity OT - dendritic cell defects OT - immunosuppression OT - immunotherapy OT - metastatic colorectal cancer OT - patient-derived organoids OT - tumor microenvironment COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/10/26 06:00 MHDA- 2022/01/08 06:00 PMCR- 2021/01/01 CRDT- 2021/10/25 06:25 PHST- 2021/06/14 00:00 [received] PHST- 2021/09/14 00:00 [accepted] PHST- 2021/10/25 06:25 [entrez] PHST- 2021/10/26 06:00 [pubmed] PHST- 2022/01/08 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.724883 [doi] PST - epublish SO - Front Immunol. 2021 Oct 6;12:724883. doi: 10.3389/fimmu.2021.724883. eCollection 2021.