Abstract:Collagen Ⅵ is a extracellular matrix that is highly expressed in numerous tumors and associated with poor clinical outcomes. Many studies indicate that collagen Ⅵ is involved in tumor vascular remodeling and tumor metastasis. And that collagen Ⅵ promotes tumor growth by interacting with other components of ECM, stimulating signal transduction and promoting tumor metabolism reprogramming. We found that collagen Ⅵ was able to participate in tumor immune escape by attenuating tumor response to PDL-1 inhibitors Ⅵa TGF-β pathway or upregulating PDL-1/PD-1 receptor. In addition, collagen Ⅵ plays an important role in chemotherapy. All these findings make clear that collagen Ⅵ is a stimulative factor in tumor progression and strongly support a role for collagen Ⅵ as a new potential biomarker for cancer diagnosis and targets for cancer treatment.