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ZENODO
Dataset . 2026
License: CC BY
Data sources: ZENODO
ZENODO
Dataset . 2026
License: CC BY
Data sources: Datacite
ZENODO
Dataset . 2026
License: CC BY
Data sources: Datacite
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A Mechanical Infiltration Framework for Solid Tumor Reconditioning: Rethinking the Immune-Constructed Barrier

Authors: Shibah, Sami Rashid Mohammed;

A Mechanical Infiltration Framework for Solid Tumor Reconditioning: Rethinking the Immune-Constructed Barrier

Abstract

Conventional oncology models conceptualize the tumor capsule as a self-constructed shield by malignant cells. We propose a paradigm-shifting hypothesis: the solid tumor’s fibrotic barrier is primarily engineered by the host immune system as an emergency containment mechanism to restrict metastatic dissemination. This concept echoes the longstanding analogy of tumors as "wounds that do not heal," where the persistent fibrotic response mimics chronic wound healing processes driven by ongoing immune activation [Dvorak1986]. While protective, this barrier inadvertently creates a sealed biomechanical microenvironment characterized by elevated interstitial fluid pressure (IFP) and gas accumulation—key contributors to therapeutic resistance, including resistance to immunotherapy. This immune-constructed barrier also contributes to the classification of tumors as immunologically "cold," characterized by limited immune cell infiltration and poor response to immunotherapy. Here, we introduce a three-stage therapeutic protocol—decompression, infiltration and reprogramming (including immunotherapy integration), and extracorporeal purification—designed to leverage, rather than dismantle, this immune-constructed wall. By mechanically relieving internal pressure before intervention, we enable targeted drug delivery, cellular re-differentiation, and enhanced immunotherapy efficacy, while concurrent nanofilter-enhanced dialysis prevents systemic toxicity. This framework reframes solid tumor management from destruction to controlled reconditioning, with potential to convert "cold" tumors into more immunologically responsive states.

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average