[肿瘤微环境中的免疫细胞构成]

[Immune cell contexture in the tumor microenvironment].

作者信息

Fujii Shin-Ichiro

机构信息

Laboratory for Immunotherapy, RIKEN Center for Integrative Medical Sciences (IMS).

RIKEN Program for Drug Discovery and Medical Technology Platforms (DMP).

出版信息

Rinsho Ketsueki. 2020;61(9):1424-1432. doi: 10.11406/rinketsu.61.1424.

Abstract

Antitumor immune response is generally suppressed in different ways in many types of tumors. In fact, a variety of immunosuppressive cells, such as regulatory T cells, myeloid-derived suppressor cells, and tumor-associated macrophages, surround the tumor modulate antigen-presenting cells and effector T cells. The strategy to abreact the immunosuppressive conditions is necessary for a successful immunotherapy against cancers. Particularly, the improvement of the tumor microenvironment (TME) from this point is important for cancer immunotherapy. The checkpoint blockade as the representative success of the cancer immunotherapy can reactive the suppressed T cells. However, the efficacy of this treatment is limited. Therefore, it is necessary to evaluate the TME to establish more valid cancer immunotherapies. In addition, we need to pay attention to the relation of the therapy to immune responses. When tumor cells are killed by the antitumor agents, such as anticancer drugs, it is important that the cell death guides a secondary immune response by the antigen-presenting cells, particularly dendritic cells. Here, we discuss how the positive and negative effects by immune regulatory cells or stimulatory cells influence the subsequent immune dynamics in the TME. This will also lead to the development of new therapies to activate immunosuppressive conditions in the TME.

摘要

在许多类型的肿瘤中,抗肿瘤免疫反应通常以不同方式受到抑制。事实上,多种免疫抑制细胞,如调节性T细胞、髓源性抑制细胞和肿瘤相关巨噬细胞,环绕在肿瘤周围,调节抗原呈递细胞和效应T细胞。消除免疫抑制状态的策略对于成功的癌症免疫治疗是必要的。特别是,从这一点改善肿瘤微环境(TME)对于癌症免疫治疗很重要。作为癌症免疫治疗代表性成功案例的检查点阻断可以激活被抑制的T细胞。然而,这种治疗的疗效是有限的。因此,有必要评估TME以建立更有效的癌症免疫治疗方法。此外,我们需要关注治疗与免疫反应的关系。当肿瘤细胞被抗肿瘤药物等抗癌剂杀死时,细胞死亡通过抗原呈递细胞,特别是树突状细胞引发二次免疫反应是很重要的。在此,我们讨论免疫调节细胞或刺激细胞的正负效应如何影响TME中随后的免疫动态。这也将导致开发新的疗法来激活TME中的免疫抑制状态。

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