Orchestration of the tumor microenvironment by citrus flavonoids: from preclinical mechanisms to translational therapeutic - Scorecard - MDSpire

Orchestration of the tumor microenvironment by citrus flavonoids: from preclinical mechanisms to translational therapeutic

  • By

  • Siyao Ma

  • Xuebing Wang

  • Mingzhu Li

  • Wenping Wang

  • Yanyi Ren

  • Yue Shen

  • Ke Yang

  • Ze Zhang

  • Zitong Feng

  • Shuhan Tang

  • May 4, 2026

  • 0 min

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Clinical Scorecard: Modulation of the Tumor Microenvironment in Lung Cancer by Citrus Flavonoids: Insights from Preclinical Studies to Clinical Applications

At a Glance

CategoryDetail
Condition
Key MechanismsRegulation of oxidative stress-inflammation homeostasis, correction of lipid metabolic reprogramming, induction of pyroptosis, inhibition of epithelial-mesenchymal transition, and suppression of tumor angiogenesis.
Target Population
Care Setting

Key Highlights

  • CRP flavonoids such as nobiletin, hesperidin, and tangeretin modulate the lung cancer TME.
  • Targeting the TME can reverse immune evasion and improve treatment efficacy.
  • Emerging targets include ferroptosis and the cGAS-STING pathway.
  • CRP flavonoids have favorable toxicity profiles and potent immunomodulatory properties.
  • Current research gaps include integrative mechanisms of pathway crosstalk and the role of EMT and tumor angiogenesis suppression.

Guideline-Based Recommendations

Diagnosis

  • Utilize imaging techniques such as CT and PET scans along with histopathological evaluation for lung cancer diagnosis.

Management

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Patients diagnosed with lung cancer, particularly those resistant to standard therapies.

        CRP flavonoids may improve treatment outcomes when used alongside conventional therapies.

        Clinical Best Practices

        • Integrate CRP flavonoids in treatment plans for lung cancer patients, focusing on their multi-target effects.
        • Conduct further research to explore the multi-target effects of CRP flavonoids, particularly in relation to emerging TME regulatory nodes.

        References

        Original Source(s)

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