Väyrynen Juha, Böhm Jan
Duodecim. 2016;132(2):137-44.
Immune system contributes to the pathogenesis of cancer. Immunoediting describes a process in which the immune system can recognize transformed cancer cells and establish an anti-tumor response, potentially leading to the selection of less immunogenic tumor cells. Additionally, inflammation may contribute to cancer progression by activating angiogenesis and oncogenic signaling pathways. In colorectal cancer, dense inflammatory infiltrate in tumor samples is generally associated with improved prognosis but this association is dependent on the type of immune cells and their location. In future, increased knowledge on cancer immunology is expected to benefit the diagnostics, prognostication, follow-up and treatment of cancer.
免疫系统在癌症发病机制中发挥作用。免疫编辑描述了一个过程,即免疫系统能够识别转化的癌细胞并建立抗肿瘤反应,这可能导致选择免疫原性较低的肿瘤细胞。此外,炎症可能通过激活血管生成和致癌信号通路促进癌症进展。在结直肠癌中,肿瘤样本中的密集炎症浸润通常与预后改善相关,但这种关联取决于免疫细胞的类型及其位置。未来,对癌症免疫学的更多了解有望有益于癌症的诊断、预后评估、随访及治疗。