Rosalind and Morris Goodman Cancer Research Centre, McGill University, Montreal, QC, Canada.
Department of Physiology, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Front Immunol. 2019 Oct 1;10:2294. doi: 10.3389/fimmu.2019.02294. eCollection 2019.
Brain tumors are among the deadliest malignancies. The brain tumor microenvironment (TME) hosts a unique collection of cells, soluble factors, and extracellular matrix components that regulate disease evolution of both primary and metastatic brain malignancies. It is established that macrophages and other myeloid cells are abundant in the brain TME and strongly correlate with aggressive phenotypes and distinct genetic signatures, while lymphoid cells are less frequent but are now known to have a pronounced effect on disease progression. Different types of brain tumors vary widely in their microenvironmental contexture, and the proportion of various stromal components impacts tumor biology. Indeed, emerging evidence suggests an intimate link between the molecular signature of tumor cells and the composition of the TME, shedding light on the mechanisms which underlie microenvironmental heterogeneity in brain cancer. In this review, we discuss the association between TME composition and the diverse molecular profiles of primary gliomas and brain metastases. We also discuss the implications of these associations on the efficacy of immunotherapy in brain malignancies. An appreciation for the causes and functional consequences of microenvironmental heterogeneity in brain cancer will be of crucial importance to the rational design of microenvironment-targeted therapies for these deadly diseases.
脑肿瘤是最致命的恶性肿瘤之一。脑肿瘤微环境(TME)中存在着独特的细胞、可溶性因子和细胞外基质成分的集合,这些成分调节原发性和转移性脑恶性肿瘤的疾病演变。已经确定,巨噬细胞和其他髓样细胞在脑 TME 中大量存在,并与侵袭性表型和独特的遗传特征强烈相关,而淋巴细胞则较少,但现在已知它们对疾病进展有明显影响。不同类型的脑肿瘤在其微环境结构上差异很大,各种基质成分的比例影响肿瘤生物学。事实上,新出现的证据表明,肿瘤细胞的分子特征与 TME 的组成之间存在密切联系,这揭示了脑癌微环境异质性的潜在机制。在这篇综述中,我们讨论了 TME 组成与原发性神经胶质瘤和脑转移瘤的不同分子谱之间的关联。我们还讨论了这些关联对脑恶性肿瘤免疫治疗疗效的影响。了解脑肿瘤微环境异质性的原因和功能后果对于合理设计针对这些致命疾病的微环境靶向治疗至关重要。