Multifaceted roles of chemokines in tumor development. Chemokines released by tumor cells, intratumor stromal cells, such as fibroblasts, and infiltrative leukocytes can recruit different immune cell types into the TME. The population of immune cells in the TME can interfere with the outcome of tumor development. While tumor- and stromal cell–derived chemokines can directly promote the growth, proliferation and survival of tumor cells, chemokines released by tumor cells, stromal cells and leukocytes can modulate the process of angiogenesis due to their angiogenic or angiostatic activity. Furthermore, chemokines produced within the tumor can induce the release of tumor-promoting growth factors that can act in a paracrine fashion to promote tumor growth. Finally, chemokines are also involved in the migration of tumor cells to distant sites for the development of metastasis.