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2017 ; 8
(46
): 81617-81635
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Microenvironmental regulation of the progression of oral potentially malignant
disorders towards malignancy
#MMPMID29113419
Ai R
; Tao Y
; Hao Y
; Jiang L
; Dan H
; Ji N
; Zeng X
; Zhou Y
; Chen Q
Oncotarget
2017[Oct]; 8
(46
): 81617-81635
PMID29113419
show ga
Oral potentially malignant disorders (OPMD) develop in a complex tissue
microenvironment where they grow sustainably, acquiring oral squamous cell
carcinoma (OSCC) characteristics. The malignant tumor depends on interactions
with the surrounding microenvironment to achieve loco-regional invasion and
distant metastases. Unlike abnormal cells, the multiple cell types in the tissue
microenvironment are relatively stable at the genomic level and, thus, become
therapeutic targets with lower risk of resistance, decreasing the risk of OPMD
acquiring cancer characteristics and carcinoma recurrence. However, deciding how
to disrupt the OPMD and OSCC microenvironments is itself a daunting challenge,
since their microenvironments present opposite capacities, resulting in diverse
consequences. Furthermore, recent studies revealed that tumor-associated immune
cells also participate in the process of differentiation from OPMD to OSCC,
suggesting that reeducating stromal cells may be a new strategy to prevent OPMD
from acquiring OSCC characteristics and to treat OSCC. In this review, we discuss
the characteristics of the microenvironment of OPMD and OSCC as well as new
therapeutic strategies.