Dissemond J, Grabbe S
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen.
Hautarzt. 2006 Aug;57(8):690-6. doi: 10.1007/s00105-005-1007-5.
Malignant melanoma is still the most frequent cause of death due to skin cancer with a rising incidence and mortality. Despite continued progress in understanding the pathophysiology of tumor progression and metastasis, curative therapeutic options are still missing for metastatic melanoma. The ability of a malignant melanoma to metastasize is partially derived from the capacity to avoid destruction by an intact immune system. Thus, a better understanding of the immunological processes that lead to the escape of melanoma cells from immune recognition could help to develop preventive strategies or effective new therapies. Therefore, an analysis of the MHC class I pathway and molecules involved in peptide loading of the MHC class I molecules could provide an important clue to future immune-based melanoma therapies, and might also help to select patients who could be expected to profit from T-cell-based immunotherapy. In this review article, we report on current data and concepts about the generation of MHC class I peptide complexes in human malignant melanoma.
恶性黑色素瘤仍然是皮肤癌导致死亡的最常见原因,其发病率和死亡率呈上升趋势。尽管在理解肿瘤进展和转移的病理生理学方面不断取得进展,但转移性黑色素瘤仍缺乏治愈性治疗选择。恶性黑色素瘤转移的能力部分源于其避免被完整免疫系统破坏的能力。因此,更好地理解导致黑色素瘤细胞逃避免疫识别的免疫过程,有助于制定预防策略或开发有效的新疗法。因此,对MHC I类途径以及参与MHC I类分子肽负载的分子进行分析,可能为未来基于免疫的黑色素瘤治疗提供重要线索,也可能有助于选择有望从基于T细胞的免疫治疗中获益的患者。在这篇综述文章中,我们报告了关于人类恶性黑色素瘤中MHC I类肽复合物生成的当前数据和概念。