在T细胞炎症性和非T细胞炎症性肿瘤微环境背景下的肿瘤逃逸机制。

Mechanisms of tumor escape in the context of the T-cell-inflamed and the non-T-cell-inflamed tumor microenvironment.

作者信息

Spranger Stefani

机构信息

Department of Pathology, The University of Chicago, GCIS W423H, Chicago, IL 60637, USA

出版信息

Int Immunol. 2016 Aug;28(8):383-91. doi: 10.1093/intimm/dxw014. Epub 2016 Mar 17.

Abstract

Checkpoint blockade therapy has been proven to be highly active across many cancer types but emerging evidence indicates that the therapeutic benefit is limited to a subset of patients in each cancer entity. The presence of CD8(+) T cells within the tumor microenvironment or the invasive margin of the tumor, as well as the up-regulation of PD-L1, have emerged to be the most predictive biomarkers for clinical benefit in response to checkpoint inhibition. Although the up-regulation of immune inhibitory mechanisms is one mechanism of immune escape, commonly used by T-cell-inflamed tumors, exclusion of an anti-tumor specific T-cell infiltrate displays another even more potent mechanism of immune escape. This review will contrast the mechanisms of immunogenic, T-cell-inflamed, and the novel concept of non-immunogenic, non-T-cell-inflamed, adaptive immune escape.

摘要

检查点阻断疗法已被证明在多种癌症类型中具有高度活性,但新出现的证据表明,治疗益处仅限于每个癌症实体中的一部分患者。肿瘤微环境或肿瘤浸润边缘中CD8(+) T细胞的存在,以及PD-L1的上调,已成为预测检查点抑制临床获益的最具预测性的生物标志物。尽管免疫抑制机制的上调是T细胞炎性肿瘤常用的免疫逃逸机制之一,但排除抗肿瘤特异性T细胞浸润则显示出另一种甚至更强有力的免疫逃逸机制。本综述将对比免疫原性、T细胞炎性以及非免疫原性、非T细胞炎性适应性免疫逃逸的机制。

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