University of Pittsburgh Cancer Institute and Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
J Allergy Clin Immunol. 2010 Feb;125(2 Suppl 2):S272-83. doi: 10.1016/j.jaci.2009.09.045. Epub 2010 Jan 12.
Immune responses to tumor-associated antigens (TAs) are often detectable in tumor-bearing hosts, but they fail to eliminate malignant cells or prevent the development of metastases. Patients with cancer generate robust immune responses to infectious agents (bacteria and viruses) perceived as a "danger signal" but only ineffective weak responses to TAs, which are considered as "self." This fundamental difference in responses to self versus nonself is further magnified by the ability of tumors to subvert the host immune system. Tumors induce dysfunction and apoptosis in CD8(+) antitumor effector cells and promote expansion of regulatory T cells, myeloid-derived suppressor cells, or both, which downregulate antitumor immunity, allowing tumors to escape from the host immune system. The tumor escape is mediated by several distinct molecular mechanisms. Recent insights into these mechanisms encourage expectations that a more effective control of tumor-induced immune dysfunction will be developed in the near future. Novel strategies for immunotherapy of cancer are aimed at the protection and survival of antitumor effector cells and also of central memory T cells in the tumor microenvironment.
肿瘤相关抗原 (TAs) 的免疫反应通常在肿瘤宿主中可检测到,但它们未能消除恶性细胞或防止转移的发展。癌症患者对被视为“危险信号”的感染因子(细菌和病毒)产生强烈的免疫反应,但对被视为“自身”的 TAs 仅产生无效的弱反应。这种对自我与非自我反应的根本差异进一步被肿瘤削弱宿主免疫系统的能力放大。肿瘤诱导 CD8(+) 抗肿瘤效应细胞的功能障碍和凋亡,并促进调节性 T 细胞、髓源性抑制细胞或两者的扩增,下调抗肿瘤免疫,使肿瘤逃脱宿主免疫系统的控制。肿瘤逃避是由几种不同的分子机制介导的。对这些机制的最新了解,让人期待在不久的将来能够更好地控制肿瘤诱导的免疫功能障碍。癌症免疫治疗的新策略旨在保护和维持肿瘤微环境中的抗肿瘤效应细胞和中央记忆 T 细胞的存活。