Xiangyang Wang1,#, Ying Wu2,3,#, Yutong Fu3,4, Ejakpovi Emmanuel Oghenefejiro2,3, Zakari Shaibu3, Cunxi Li5, Qi Zhou6, Liang Yin2,*
Oncology Research, Vol.34, No.10, 2026, DOI:10.32604/or.2026.087144
- 14 September 2026
Abstract Gastric cancer (GC) remains a leading cause of global cancer mortality, with progression and therapy resistance heavily influenced by the dynamic tumor microenvironment (TME). Despite advances in surgical techniques, chemotherapy, targeted therapy, and immunotherapy, overall survival for advanced disease remains poor, underscoring the need for a deeper understanding of resistance mechanisms. A hallmark of the TME is metabolic reprogramming, which sustains tumor growth and actively shapes an immunosuppressive landscape. This review aims to detail the coordinated metabolic adaptations of GC cells, cancer-associated fibroblasts (CAFs), and immune cells within the TME, focusing on nutrient competition, immunosuppressive… More >