髓源性抑制细胞——克服癌症免疫治疗耐药性的新治疗靶点。

Myeloid-derived suppressor cells-a new therapeutic target to overcome resistance to cancer immunotherapy.

作者信息

Chesney Jason A, Mitchell Robert A, Yaddanapudi Kavitha

机构信息

Molecular Targets Program, James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky, USA;

Department of Medicine, University of Louisville, Louisville, Kentucky, USA; and.

出版信息

J Leukoc Biol. 2017 Sep;102(3):727-740. doi: 10.1189/jlb.5VMR1116-458RRR. Epub 2017 May 25.

Abstract

Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature myeloid cells that accumulate during pathologic conditions, such as cancer. Patients diagnosed with advanced metastatic cancers have an average survival of 12-24 mo, a survival time that hasn't changed significantly in the past 30 yr. Despite some encouraging improvements in response rates and overall survival in patients receiving immunotherapies, such as immune checkpoint inhibitors, most patients will ultimately progress. MDSCs contribute to immunotherapeutic resistance by actively inhibiting antitumor T cell proliferation and cytotoxic activity as well as by promoting expansion of protumorigenic T regulatory cells, thereby, dampening the host immune responses against the tumor. In addition, MDSCs promote angiogenesis, tumor invasion, and metastasis. Thus, MDSCs are potential therapeutic targets in cases of multiple cancers. This review focuses on the phenotypic and functional characteristics of MDSCs and provides an overview of the mono- and combinatorial-therapeutic strategies that target MDSCs with an objective of enhancing the efficacy of cancer immunotherapies.

摘要

髓系来源的抑制细胞(MDSCs)是一群异质性的未成熟髓系细胞,在诸如癌症等病理状态下会积累。被诊断为晚期转移性癌症的患者平均生存期为12至24个月,这一存活时间在过去30年中并未显著改变。尽管接受免疫疗法(如免疫检查点抑制剂)的患者在缓解率和总生存期方面有一些令人鼓舞的改善,但大多数患者最终仍会病情进展。MDSCs通过积极抑制抗肿瘤T细胞增殖和细胞毒性活性以及促进促肿瘤性调节性T细胞的扩增来导致免疫治疗耐药,从而抑制宿主针对肿瘤的免疫反应。此外,MDSCs促进血管生成、肿瘤侵袭和转移。因此,MDSCs是多种癌症病例中的潜在治疗靶点。本综述聚焦于MDSCs的表型和功能特征,并概述了以提高癌症免疫治疗疗效为目标的针对MDSCs的单一和联合治疗策略。

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