Calì B, Molon B, Viola A
Department of Biomedical Sciences, University of Padua, Padua, Italy
Venetian Institute of Molecular Medicine, Padua, Italy.
Open Biol. 2017 Apr;7(4). doi: 10.1098/rsob.170006.
Host immunity plays a central and complex role in dictating tumour progression. Solid tumours are commonly infiltrated by a large number of immune cells that dynamically interact with the surrounding microenvironment. At first, innate and adaptive immune cells successfully cooperate to eradicate microcolonies of transformed cells. Concomitantly, surviving tumour clones start to proliferate and harness immune responses by specifically hijacking anti-tumour effector mechanisms and fostering the accumulation of immunosuppressive immune cell subsets at the tumour site. This pliable interplay between immune and malignant cells is a relentless process that has been concisely organized in three different phases: elimination, equilibrium and escape. In this review, we aim to depict the distinct immune cell subsets and immune-mediated responses characterizing the tumour landscape throughout the three interconnected phases. Importantly, the identification of key immune players and molecules involved in the dynamic crosstalk between tumour and immune system has been crucial for the introduction of reliable prognostic factors and effective therapeutic protocols against cancers.
宿主免疫在决定肿瘤进展过程中发挥着核心且复杂的作用。实体瘤通常被大量与周围微环境动态相互作用的免疫细胞浸润。起初,先天免疫细胞和适应性免疫细胞成功协作以根除转化细胞的微菌落。与此同时,存活的肿瘤克隆开始增殖,并通过特异性劫持抗肿瘤效应机制以及促进肿瘤部位免疫抑制性免疫细胞亚群的积累来利用免疫反应。免疫细胞与恶性细胞之间这种灵活的相互作用是一个持续不断的过程,已被简要地分为三个不同阶段:清除、平衡和逃逸。在本综述中,我们旨在描绘在这三个相互关联的阶段中表征肿瘤格局的不同免疫细胞亚群和免疫介导反应。重要的是,识别参与肿瘤与免疫系统之间动态相互作用的关键免疫参与者和分子对于引入可靠的预后因素和有效的癌症治疗方案至关重要。