1. Departments of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA;
J Cancer. 2013;4(1):36-44. doi: 10.7150/jca.5046. Epub 2012 Dec 15.
The complexity of the tumor immunoenvironment is underscored by the emergence and discovery of different subsets of immune effectors and regulatory cells. Tumor-induced polarization of immune cell differentiation and function makes this unique environment even more intricate and variable. Dendritic cells (DCs) represent a special group of cells that display different phenotype and activity at the tumor site and exhibit differential pro-tumorigenic and anti-tumorigenic functions. DCs play a key role in inducing and maintaining the antitumor immunity, but in the tumor environment their antigen-presenting function may be lost or inefficient. DCs might be also polarized into immunosuppressive/tolerogenic regulatory DCs, which limit activity of effector T cells and support tumor growth and progression. Although various factors and signaling pathways have been described to be responsible for abnormal functioning of DCs in cancer, there are still no feasible therapeutic modalities available for preventing or reversing DC malfunction in tumor-bearing hosts. Thus, better understanding of DC immunobiology in cancer is pivotal for designing novel or improved therapeutic approaches that will allow proper functioning of DCs in patients with cancer.
肿瘤免疫微环境的复杂性体现在不同免疫效应细胞和调节细胞亚群的出现和发现。肿瘤诱导的免疫细胞分化和功能的极化使得这个独特的环境更加复杂和多变。树突状细胞(DCs)是一种特殊的细胞群,在肿瘤部位表现出不同的表型和活性,并表现出不同的促瘤和抗肿瘤功能。DCs 在诱导和维持抗肿瘤免疫中发挥着关键作用,但在肿瘤环境中,它们的抗原呈递功能可能会丧失或低效。DCs 也可能极化成为免疫抑制/耐受调节性 DCs,抑制效应 T 细胞的活性,促进肿瘤生长和进展。尽管已经描述了各种因素和信号通路导致 DC 在癌症中的异常功能,但目前仍没有可行的治疗方法可用于预防或逆转荷瘤宿主中 DC 的功能障碍。因此,更好地了解癌症中的 DC 免疫生物学对于设计新的或改进的治疗方法至关重要,这些方法将允许 DC 在癌症患者中正常发挥作用。