Neophytou Christiana M, Pierides Chryso, Christodoulou Maria-Ioanna, Costeas Paul, Kyriakou Theodora-Christina, Papageorgis Panagiotis
European University Research Centre, Nicosia, Cyprus.
Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Front Oncol. 2020 Jun 9;10:899. doi: 10.3389/fonc.2020.00899. eCollection 2020.
Myeloid cells include various cellular subtypes that are distinguished into mononuclear and polymorphonuclear cells, derived from either common myeloid progenitor cells (CMPs) or myeloid stem cells. They play pivotal roles in innate immunity since, following invasion by pathogens, myeloid cells are recruited and initiate phagocytosis and secretion of inflammatory cytokines into local tissues. Moreover, mounting evidence suggests that myeloid cells may also regulate cancer development by infiltrating the tumor to directly interact with cancer cells or by affecting the tumor microenvironment. Importantly, mononuclear phagocytes, including macrophages and dendritic cells (DCs), can have either a positive or negative impact on the efficacy of chemotherapy, radiotherapy as well as targeted anti-cancer therapies. Tumor-associated macrophages (TAMs), profusely found in the tumor stroma, can promote resistance to chemotherapeutic drugs, such as Taxol and Paclitaxel, whereas the suppression of TAMs can lead to an improved radiotherapy outcome. On the contrary, the presence of TAMs may be beneficial for targeted therapies as they can facilitate the accumulation of large quantities of nanoparticles carrying therapeutic compounds. Tumor infiltrating DCs, however, are generally thought to enhance cytotoxic therapies, including those using anthracyclines. This review focuses on the role of tumor-infiltrating and stroma myeloid cells in modulating tumor responses to various treatments. We herein report the impact of myeloid cells in a number of therapeutic approaches across a wide range of malignancies, as well as the efforts toward the elimination of myeloid cells or the exploitation of their presence for the enhancement of therapeutic efficacy against cancer.
髓系细胞包括多种细胞亚型,可分为单核细胞和多形核细胞,它们源自共同髓系祖细胞(CMPs)或髓系干细胞。它们在固有免疫中发挥关键作用,因为在病原体入侵后,髓系细胞会被招募到局部组织,启动吞噬作用并分泌炎性细胞因子。此外,越来越多的证据表明,髓系细胞还可能通过浸润肿瘤与癌细胞直接相互作用或影响肿瘤微环境来调节癌症发展。重要的是,包括巨噬细胞和树突状细胞(DCs)在内的单核吞噬细胞,对化疗、放疗以及靶向抗癌治疗的疗效可能产生正面或负面影响。大量存在于肿瘤基质中的肿瘤相关巨噬细胞(TAMs),可促进对化疗药物(如紫杉醇和多西他赛)的耐药性,而抑制TAMs可改善放疗效果。相反,TAMs的存在可能对靶向治疗有益,因为它们可促进携带治疗化合物的大量纳米颗粒的积累。然而,肿瘤浸润性DCs通常被认为可增强细胞毒性治疗,包括使用蒽环类药物的治疗。本综述重点关注肿瘤浸润性和基质髓系细胞在调节肿瘤对各种治疗反应中的作用。我们在此报告了髓系细胞在多种恶性肿瘤的一系列治疗方法中的影响,以及为消除髓系细胞或利用其存在来提高抗癌治疗疗效所做的努力。
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