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免疫疗法时代针对癌症相关炎症的研究

Targeting cancer-related inflammation in the era of immunotherapy.

作者信息

Nakamura Kyohei, Smyth Mark J

机构信息

Immunology in Cancer and Infection Laboratory, QIMR Berghofer Medical, Research Institute, Herston, QLD, Australia.

School of Medicine, University of Queensland, Herston, QLD, Australia.

出版信息

Immunol Cell Biol. 2017 Apr;95(4):325-332. doi: 10.1038/icb.2016.126. Epub 2017 Jan 10.

Abstract

Recent advances in cancer immunotherapy, particularly immune checkpoint blockade therapy have dramatically changed the therapeutic strategy against advanced malignancies. Still, only a subset of patients shows a good response to any single therapy. Moreover, it remains largely unsolved how we can maintain durable clinical responses, or how we can successfully treat a broader range of cancers by immunotherapy. Growing evidence suggests that the major barrier to more successful cancer immunotherapy is the tumour microenvironment (TME), where chronic inflammation has a predominant role in tumour survival and proliferation, angiogenesis and immunosuppression. Over the past decades, our understanding of cancer-related inflammation has significantly evolved, and now we have various therapeutic options tailored to the TME. These therapeutic strategies include inhibiting inflammatory mediators or their downstream signalling molecules, blocking the recruitment of myeloid cells, modulating immunosuppressive functions in myeloid cells and re-educating the TME. In this review, we discuss the role of cancer-related inflammation as a potential target in the era of immunotherapy.

摘要

癌症免疫疗法的最新进展,尤其是免疫检查点阻断疗法,极大地改变了针对晚期恶性肿瘤的治疗策略。然而,只有一部分患者对任何单一疗法表现出良好反应。此外,如何维持持久的临床反应,或者如何通过免疫疗法成功治疗更广泛类型的癌症,在很大程度上仍未得到解决。越来越多的证据表明,更成功的癌症免疫疗法的主要障碍是肿瘤微环境(TME),其中慢性炎症在肿瘤存活、增殖、血管生成和免疫抑制中起主要作用。在过去几十年中,我们对癌症相关炎症的理解有了显著进展,现在我们有了各种针对肿瘤微环境的治疗选择。这些治疗策略包括抑制炎症介质或其下游信号分子、阻断髓样细胞的募集、调节髓样细胞中的免疫抑制功能以及重塑肿瘤微环境。在这篇综述中,我们讨论癌症相关炎症在免疫疗法时代作为潜在靶点的作用。

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