Dituri Francesco, Mazzocca Antonio, Giannelli Gianluigi, Antonaci Salvatore
Department of Emergency and Organ Transplantation, Section of Internal Medicine, Allergology and Clinical Immunology, University of Bari Medical School, 70124 Bari, Italy.
Clin Dev Immunol. 2011;2011:947858. doi: 10.1155/2011/947858. Epub 2011 Oct 20.
The immunological surveillance of tumors relies on a specific recognition of cancer cells and their associate antigens by leucocytes of innate and adaptive immune responses. However, a dysregulated cytokine release can lead to, or be associated with, a failure in cell-cell recognition, thus, allowing cancer cells to evade the killing system. The phosphatidylinositol 3-kinase (PI3K) pathway regulates multiple cellular processes which underlie immune responses against pathogens or malignant cells. Conversely, there is accumulating evidence that the PI3K pathway is involved in the development of several malignant traits of cancer cells as well as their escape from immunity. Herein, we review the counteracting roles of PI3K not only in antitumor immune response but also in the mechanisms that cancer cells use to avoid leukocyte attack. In addition, we discuss, from antitumor immunological point of view, the potential benefits and disadvantages arising from use of anticancer pharmacological agents targeting the PI3K pathway.
肿瘤的免疫监视依赖于先天性和适应性免疫反应的白细胞对癌细胞及其相关抗原的特异性识别。然而,细胞因子释放失调可导致细胞间识别失败或与之相关,从而使癌细胞逃避杀伤系统。磷脂酰肌醇3-激酶(PI3K)途径调节多种细胞过程,这些过程是针对病原体或恶性细胞的免疫反应的基础。相反,越来越多的证据表明,PI3K途径参与了癌细胞几种恶性特征的发展以及它们对免疫的逃避。在此,我们综述了PI3K不仅在抗肿瘤免疫反应中的对抗作用,也包括癌细胞用于避免白细胞攻击的机制。此外,我们从抗肿瘤免疫学角度讨论了使用靶向PI3K途径的抗癌药物所产生的潜在益处和弊端。