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对涉及操纵不变自然杀伤T细胞作为未来癌症治疗中一种有前景方法的临床试验的简要综述。

A brief review of clinical trials involving manipulation of invariant NKT cells as a promising approach in future cancer therapies.

作者信息

Waldowska Małgorzata, Bojarska-Junak Agnieszka, Roliński Jacek

机构信息

Chair and Department of Clinical Immunology, Medical University of Lublin, Poland.

出版信息

Cent Eur J Immunol. 2017;42(2):181-195. doi: 10.5114/ceji.2017.69361. Epub 2017 Aug 8.

Abstract

In the recent years researchers have put a lot of emphasis on the possible immunotherapeutic strategies able to target tumors. Many studies have proven that the key role in recognition and eradication of cancer cells, both for mice and humans, is being conducted by the invariant natural killer T-cells (NKT). This small subpopulation of lymphocytes can kill other cells, either directly or indirectly, through the natural killer cells' (NK) activation. They can also swiftly release cytokines, causing the involvement of elements of the innate and acquired immune system. With the discovery of -galactosylceramide (-GalCer) - the first known agonist for iNKT cells - and its later subsequent analogs, it became possible to effectively stimulate iNKT cells, hence to keep control over the tumor progression. This article refers to the current knowledge concerning iNKT cells and the most important aspects of their antitumor activity. It also highlights the clinical trials that aim at increasing the amount of iNKT cells in general and in the microenvironment of the tumor. For sure, the iNKT-based immunotherapeutic approach holds a great potential and is highly probable to become a part of the cancer immunotherapy in the future.

摘要

近年来,研究人员非常重视能够靶向肿瘤的潜在免疫治疗策略。许多研究已经证明,无论是在小鼠还是人类中,恒定自然杀伤T细胞(NKT)在识别和清除癌细胞方面发挥着关键作用。这一小部分淋巴细胞可以直接或间接地通过激活自然杀伤细胞(NK)来杀死其他细胞。它们还能迅速释放细胞因子,促使先天免疫系统和获得性免疫系统的成分参与进来。随着首个已知的iNKT细胞激动剂α-半乳糖神经酰胺(α-GalCer)及其后续类似物的发现,有效刺激iNKT细胞并进而控制肿瘤进展成为可能。本文介绍了有关iNKT细胞的现有知识及其抗肿瘤活性的最重要方面。它还强调了旨在总体上以及在肿瘤微环境中增加iNKT细胞数量的临床试验。可以肯定的是,基于iNKT细胞的免疫治疗方法具有巨大潜力,很有可能在未来成为癌症免疫治疗的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447b/5573892/492d5bbbbcae/CEJI-42-30446-g001.jpg

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