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从基础到临床:肝癌的肿瘤免疫微环境和当前免疫治疗策略。

From bench to bed: the tumor immune microenvironment and current immunotherapeutic strategies for hepatocellular carcinoma.

机构信息

Department of Oncology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.

出版信息

J Exp Clin Cancer Res. 2019 Sep 9;38(1):396. doi: 10.1186/s13046-019-1396-4.


DOI:10.1186/s13046-019-1396-4
PMID:31500650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6734524/
Abstract

Hepatocellular carcinoma (HCC) ranks the most common primary liver malignancy and the third leading cause of tumor-related mortality worldwide. Unfortunately, despite advances in HCC treatment, less than 40% of HCC patients are eligible for potentially curative therapies. Recently, cancer immunotherapy has emerged as one of the most promising approaches for cancer treatment. It has been proven therapeutically effective in many types of solid tumors, such as non-small cell lung cancer and melanoma. As an inflammation-associated tumor, it's well-evidenced that the immunosuppressive microenvironment of HCC can promote immune tolerance and evasion by various mechanisms. Triggering more vigorous HCC-specific immune response represents a novel strategy for its management. Pre-clinical and clinical investigations have revealed that various immunotherapies might extend current options for needed HCC treatment. In this review, we provide the recent progress on HCC immunology from both basic and clinical perspectives, and discuss potential advances and challenges of immunotherapy in HCC.

摘要

肝细胞癌 (HCC) 是最常见的原发性肝脏恶性肿瘤,也是全球肿瘤相关死亡的第三大主要原因。不幸的是,尽管 HCC 的治疗取得了进展,但只有不到 40%的 HCC 患者有资格接受潜在的根治性治疗。最近,癌症免疫疗法已成为癌症治疗最有前途的方法之一。它已被证明在许多类型的实体肿瘤中具有治疗效果,如非小细胞肺癌和黑色素瘤。作为一种与炎症相关的肿瘤,已有充分证据表明 HCC 的免疫抑制微环境可以通过多种机制促进免疫耐受和逃逸。触发更强烈的 HCC 特异性免疫反应代表了一种管理它的新策略。临床前和临床研究表明,各种免疫疗法可能为 HCC 的治疗提供更多的选择。在这篇综述中,我们从基础和临床角度提供了 HCC 免疫学的最新进展,并讨论了 HCC 免疫治疗的潜在进展和挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/eb7712e92834/13046_2019_1396_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/3bd55c4d553a/13046_2019_1396_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/1486bfb0a748/13046_2019_1396_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/54183761a6f1/13046_2019_1396_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/eb7712e92834/13046_2019_1396_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/3bd55c4d553a/13046_2019_1396_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/1486bfb0a748/13046_2019_1396_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/54183761a6f1/13046_2019_1396_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3596/6734524/eb7712e92834/13046_2019_1396_Fig4_HTML.jpg

相似文献

[1]
From bench to bed: the tumor immune microenvironment and current immunotherapeutic strategies for hepatocellular carcinoma.

J Exp Clin Cancer Res. 2019-9-9

[2]
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Ann Hepatol. 2019-4-25

[3]
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[4]
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Mol Cancer. 2019-8-29

[5]
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Expert Rev Clin Pharmacol. 2019-4-14

[6]
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[7]
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[8]
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[9]
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J Hepatol. 2020-1

[10]
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引用本文的文献

[1]
CX3CR1+ macrophages interact with HSCs to promote HCC through CD8+ T-cell suppression.

Hepatology. 2025-9-1

[2]
Genetic Variants Harbor Differential Prognostic Values Linking to Distinct Macrophage Cell Types in Hepatocellular Carcinoma.

J Hepatocell Carcinoma. 2025-8-4

[3]
Liver immunology: Biological role and clinical significance.

World J Hepatol. 2025-7-27

[4]
Identification of clusters related to programmed cell death and potential prognostic biomarkers for immunotherapy response in endometrial cancer.

Sci Rep. 2025-7-1

[5]
Genetically predicted immune cells mediates the association between hepatocellular carcinoma and inflammatory proteins: a Mendelian randomization study.

Discov Oncol. 2025-6-12

[6]
A novel oncogene, leucine-rich repeat protein 1, mediates hypoxia-induced hepatocellular carcinoma progression.

Funct Integr Genomics. 2025-6-3

[7]
Comprehensive analysis of the prognosis and tumor immune microenvironment of ubiquitin-conjugating enzyme transport-related gene UBE2C in hepatocellular carcinoma.

Discov Oncol. 2025-5-23

[8]
Identification of metabolic reprogramming-related key genes in hepatocellular carcinoma after transcatheter arterial chemoembolization treatment.

Discov Oncol. 2025-5-22

[9]
Novel immune-related prognostic models for patients with hepatocellular carcinoma after curative resection.

Hepatol Int. 2025-5-15

[10]
Integrated Analysis of Disulfidptosis-Related Genes Identifies CD2AP as a Potential Therapeutic Target for Hepatocellular Carcinoma.

Int J Mol Sci. 2025-5-7

本文引用的文献

[1]
4-1BB Delineates Distinct Activation Status of Exhausted Tumor-Infiltrating CD8 T Cells in Hepatocellular Carcinoma.

Hepatology. 2020-3

[2]
TOX transcriptionally and epigenetically programs CD8 T cell exhaustion.

Nature. 2019-6-17

[3]
Management of adverse events associated with tyrosine kinase inhibitors: Improving outcomes for patients with hepatocellular carcinoma.

Cancer Treat Rev. 2019-5-15

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Nivolumab in advanced hepatocellular carcinoma: Sorafenib-experienced Asian cohort analysis.

J Hepatol. 2019-6-7

[5]
Targeting monocyte-intrinsic enhancer reprogramming improves immunotherapy efficacy in hepatocellular carcinoma.

Gut. 2019-5-10

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Receptor-Interacting Protein Kinase 3 Deficiency Recruits Myeloid-Derived Suppressor Cells to Hepatocellular Carcinoma Through the Chemokine (C-X-C Motif) Ligand 1-Chemokine (C-X-C Motif) Receptor 2 Axis.

Hepatology. 2019-7-17

[7]
A Positive Feedback Loop Between Cancer Stem-Like Cells and Tumor-Associated Neutrophils Controls Hepatocellular Carcinoma Progression.

Hepatology. 2019-5-15

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Disruption of tumour-associated macrophage trafficking by the osteopontin-induced colony-stimulating factor-1 signalling sensitises hepatocellular carcinoma to anti-PD-L1 blockade.

Gut. 2019-3-22

[9]
Use of Expression Profiles of HBV-DNA Integrated Into Genomes of Hepatocellular Carcinoma Cells to Select T Cells for Immunotherapy.

Gastroenterology. 2019-1-31

[10]
Adoptive cell transfer therapy for hepatocellular carcinoma.

Front Med. 2019-1-18

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