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通过抗癌疗法选择性抑制髓源性抑制细胞来恢复抗肿瘤免疫。

Restoration of antitumor immunity through selective inhibition of myeloid derived suppressor cells by anticancer therapies.

机构信息

Centre Georges François Leclerc, Dijon, France.

出版信息

Curr Mol Med. 2011 Jul;11(5):365-72. doi: 10.2174/156652411795976574.

Abstract

Accumulating evidence suggests that the success of some anticancer therapies not only relies on their direct cytotoxicity on tumor cells but also on their ability to promote anticancer immune responses. However, immunosuppressive cells such as Myeloid Derived Suppressor Cells (MDSC) that are generated during tumor progression blunt antitumor immune responses and thus represent a major obstacle to the clinical implementation of immunotherapy protocols. We have recently identified 5-Fluorouracil (5-FU) as an anticancer agent that selectively induced MDSC apoptotic cell death in vitro and in vivo. The elimination of MDSC by 5-FU increased IFNγ secretion by tumor specific CD8(+) T cells infiltrating the tumor and promoted T-cell dependent antitumor responses in vivo, suggesting that some anticancer therapies can reverse tumor-mediated immunosuppression. Here, we review the molecular pathways leading to the induction of MDSC in cancer and discuss how different anticancer agents successfully target these cells in vivo, thereby restoring potent anticancer immunity.

摘要

越来越多的证据表明,一些抗癌疗法的成功不仅依赖于其对肿瘤细胞的直接细胞毒性,还依赖于其促进抗癌免疫反应的能力。然而,在肿瘤进展过程中产生的免疫抑制细胞,如髓源抑制细胞(MDSC),会削弱抗肿瘤免疫反应,因此成为免疫治疗方案临床实施的主要障碍。我们最近发现,5-氟尿嘧啶(5-FU)是一种抗癌药物,它可以在体外和体内选择性诱导 MDSC 细胞凋亡。5-FU 消除 MDSC 可增加浸润肿瘤的肿瘤特异性 CD8(+)T 细胞分泌 IFNγ,并促进体内 T 细胞依赖性抗肿瘤反应,这表明一些抗癌疗法可以逆转肿瘤介导的免疫抑制。在这里,我们综述了导致癌症中 MDSC 诱导的分子途径,并讨论了不同的抗癌药物如何在体内成功靶向这些细胞,从而恢复有效的抗癌免疫。

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