Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Trends Cancer. 2020 May;6(5):432-441. doi: 10.1016/j.trecan.2020.02.001. Epub 2020 Mar 4.
Tumor cell plasticity exhibited as an epithelial-mesenchymal transition (EMT) has been identified as a major obstacle for the effective treatment of many cancers. This process, which involves the dedifferentiation of epithelial tumor cells towards a motile, metastatic, and mesenchymal tumor phenotype, mediates resistance to conventional therapies and small-molecule targeted therapies. In this review, we highlight current research correlating the role of tumor plasticity with resistance to current immunotherapy approaches and discuss future and ongoing combination immunotherapy strategies to reduce tumor cell plasticity-driven resistance in cancer.
肿瘤细胞的可塑性表现为上皮-间充质转化(EMT),已被确定为许多癌症有效治疗的主要障碍。这个过程涉及上皮肿瘤细胞向运动性、转移性和间充质肿瘤表型的去分化,介导了对传统治疗和小分子靶向治疗的耐药性。在这篇综述中,我们强调了当前研究将肿瘤可塑性的作用与对当前免疫治疗方法的耐药性相关联,并讨论了未来和正在进行的联合免疫治疗策略,以减少癌症中肿瘤细胞可塑性驱动的耐药性。