针对肿瘤微环境和 T 细胞代谢的有效癌症免疫治疗。
Targeting the tumor microenvironment and T cell metabolism for effective cancer immunotherapy.
机构信息
Leeds Institute of Medical Research at St James's, University of Leeds, Wellcome Trust Brenner Building, St James's University Hospital, Leeds, LS9 7TF, UK.
出版信息
Eur J Immunol. 2019 Aug;49(8):1147-1152. doi: 10.1002/eji.201848058. Epub 2019 Jul 9.
The successful implementation of immunotherapies has provided new impetus in the fight against cancer. Antibody-mediated blockade of immune checkpoint molecules PD-1/PD-L1 and CTLA-4 has had a dramatic impact upon the treatment of previously intractable cancers such as malignant melanoma, while adoptive cell therapies using chimeric antigen receptor-bearing T cells have proven highly efficacious in B cell leukemia. Furthermore, significant progress has been made in understanding the mechanisms by which tumors evade or become resistant to these immunotherapies. In this regard, approaches to broaden the applicability and enhance the efficacy of immunotherapies increasingly include modulation of tumor and immune cell metabolism. In this mini-review, we highlight the most recent studies describing novel approaches and targets for the manipulation of the tumor microenvironment and T cell metabolism and describe how these approaches are being combined with current immunotherapies in preclinical studies.
免疫疗法的成功实施为抗击癌症提供了新的动力。抗体介导的免疫检查点分子 PD-1/PD-L1 和 CTLA-4 的阻断对恶性黑色素瘤等以前难以治疗的癌症的治疗产生了巨大影响,而嵌合抗原受体 T 细胞的过继细胞疗法已被证明在 B 细胞白血病中非常有效。此外,人们在理解肿瘤逃避或对这些免疫疗法产生耐药性的机制方面取得了重大进展。在这方面,扩大免疫疗法的适用性和增强其疗效的方法越来越多地包括调节肿瘤和免疫细胞代谢。在这篇迷你综述中,我们重点介绍了描述肿瘤微环境和 T 细胞代谢操纵的新方法和靶点的最新研究,并描述了这些方法如何与目前的免疫疗法结合在临床前研究中。