Beatty Gregory L
From the Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA; Division of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Am Soc Clin Oncol Educ Book. 2016;35:e168-73. doi: 10.1200/EDBK_158948.
Tumor-infiltrating myeloid cells are a prominent feature of most solid malignancies. This inflammatory immune response, driven by tumor-intrinsic signaling pathways, is a major checkpoint to therapeutic efficacy achieved with immunotherapy and standard cytotoxic therapies. To overcome therapeutic resistance mediated by cancer inflammation, ongoing clinical trials are evaluating strategies that (1) deplete myeloid cells from tumors, (2) inhibit tumor-promoting properties of myeloid cells, and (3) redirect myeloid cells with tumor-inhibitory activity.
肿瘤浸润性髓样细胞是大多数实体恶性肿瘤的一个显著特征。这种由肿瘤内在信号通路驱动的炎症性免疫反应,是免疫疗法和标准细胞毒性疗法实现治疗效果的主要障碍。为了克服癌症炎症介导的治疗抗性,正在进行的临床试验正在评估以下策略:(1)从肿瘤中清除髓样细胞;(2)抑制髓样细胞的促肿瘤特性;(3)使具有肿瘤抑制活性的髓样细胞重新定向。