Part 1 of this Collection, ‘Recent Updates on Epigenetics in Tumor Microenvironment’, comprises papers reporting cutting-edge techniques and characterization of different factors deregulated in various human cancers, along with novel strategies for targeted delivery of antitumor therapeutics to the TME. Part 2, ‘Epigenetic events within tumor microenvironment: putative cancer therapeutic targets’, focuses on the epigenetic regulation through non-coding RNAs, methylation and acetylation, leading to dysregulated cellular growth and proliferation within the TME. Combined, the Collection provides a comprehensive snapshot of recent progress in our understanding of tumor progression from an epigenetic perspective1,2,3,4,5,6,7,8.

The role of immune cells, in particular, has been a hot topic of research in the context of the TME9,10. This is because the interactions between various cell types in the vicinity of a growing tumor create an environment that can be conducive to its continued growth. This often occurs through ‘corruption’ of immune cells which, instead of blocking tumor growth, actually start supporting it. Tumor-associated macrophages (TAMs) are a classic example of this phenomenon which, as their name suggests, associate with, and support the growth of, a tumor, instead of performing their ‘normal’ duty as macrophages to eradicate tumor cells11. Reports on TAMs describe their role in oral squamous cell carcinoma12 as well as the implications of relative abundance of M1 type macrophages favoring a TME supporting tumor progression13. The Collection also features an article on myeloid-derived suppressor cells (MDSCs)14 with focus on the levels of arginase 1 in gastric cancer patients. MDSCs are the cells that play a role in escape from immune surveillance, thus facilitating tumor progression.

Epigenetic changes mediated by non-coding RNAs are the focus of many studies in modern day cancer research. Not very long ago, non-coding RNAs were considered junk RNA15, but numerous investigations over last few decades have made it very apparent that non-coding RNAs play an important role in the regulation of cancer progression, drug resistance, and metastasis. Among the non-coding RNAs, micro RNAs (miRNAs) are the most widely studied subtype, followed by long non-coding RNAs (lncRNAs) and the circular RNAs (circRNAs). Accordingly, this Collection features a number of reports on miRNAs and their role in epigenetic regulation within TME. The miRNA activity explored in these reports ranges from interactions of miRNAs with transcription factors16, to regulation of drug response by miRNAs17,18,19, and an interesting role of miRNAs in novel anticancer activity of anesthetic propofol20. Even the exosome-mediated miRNA transfer is explored and reported for its effects on cancer cell invasion and therapy resistance21. The reports on lncRNAs MALAT1 in osteosarcoma22, CHRF in ovarian cancer23, and circRNA 101,237 in lung cancer24 exemplify the growing interest in epigenetic regulation through lncRNAs and circRNAs.

Methylation and acetylation are the commonly thought of as the classic epigenetic changes, and play a profound role in regulation and expression of genes. In support of this, a number of articles in the Collection touch upon these epigenetic events. One report suggests Ornithine Decarboxylase 1 as a putative master epigenetic regulator that triggers genome-wide epigenetic aberrations in urothelial cancer25, while another report touches upon the implications of promoter methylation of TP73 in hepatocellular and gastrointestinal cancer cell models26. Methylation has also been evaluated for its role in response to targeted therapies27. Further, not only gene methylation, but methylation of miRNA promoters also impacts cancer prognosis28, thus adding multiple layers to the epigenetic regulation in cancer progression. There is also a report suggesting that the simultaneous targeting of both methylation and acetylation could be an effective strategy to counter immunosuppressive TME29.

In addition to the identification and characterization of epigenetic events within TME for their possible diagnostic, prognostic, and therapeutic importance, it would be ideal to utilize this knowledge for novel treatment strategies. One report touches upon this topic through generation and characterization of a novel nanoparticle that is shown to exert therapeutic effects through epigenetic modulations in an osteosarcoma model30. In a nutshell, this Collection includes papers focused on a diverse range of topics, with each study helping us to understand the TME and the associated epigenetic regulation a little better, and progressing us towards an overarching goal of improving the diagnosis, prognosis, and treatment of cancer patients. Readers are encouraged to browse the entire Collection to appreciate the diversity and depth of topics covered.