Zhang Li, Wang Fazhan, Yao Xiaohan, Ma Shengnan, Zhang Lijing, Qin Zhihai
Medical Research Center, Department of Endocrinology and Metabolism, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou 450052, Henan, China.
Sheng Wu Gong Cheng Xue Bao. 2020 Dec 25;36(12):2741-2754. doi: 10.13345/j.cjb.200174.
Metastasis is the leading cause of mortality for cancer patients, and lymphatic metastasis is one of the main ways of tumor metastasis. The role of CCL21 and its receptor CCR7 in lymphatic metastasis has been increasingly concerned in recent years. CCR7 is mainly expressed by both dendritic cells and T cells for immune responses. CCL21, the chemokine ligand for CCR7, secreted from lymphatic endothelial cells binds CCR7 and recruits immune cells toward lymphatic vessels and lymphatic nodes. CCR7 expressed tumor cells can also metastasize to lymphatic system by the similar way as immune cells. Targeting CCL21/CCR7 axis to inhibit lymphatic metastasis but remain potent anti-tumor immune response has increasingly become a spot light of tumor immunotherapy. In this review, we summarize the role of CCL21/CCR7 axis in lymphatic metastasis, as well as preclinical trials and clinical trials in targeting CCL21/CCR7 axis for tumor metastasis therapy, hoping to accelerate the progress on tumor metastasis therapy by targeting CCL21/CCR7 axis.
转移是癌症患者死亡的主要原因,而淋巴转移是肿瘤转移的主要途径之一。近年来,CCL21及其受体CCR7在淋巴转移中的作用越来越受到关注。CCR7主要由树突状细胞和T细胞表达以参与免疫反应。CCL21是CCR7的趋化因子配体,由淋巴管内皮细胞分泌,它与CCR7结合并将免疫细胞招募至淋巴管和淋巴结。表达CCR7的肿瘤细胞也可通过与免疫细胞类似的方式转移至淋巴系统。靶向CCL21/CCR7轴以抑制淋巴转移同时保持有效的抗肿瘤免疫反应,已日益成为肿瘤免疫治疗的焦点。在本综述中,我们总结了CCL21/CCR7轴在淋巴转移中的作用,以及针对CCL21/CCR7轴进行肿瘤转移治疗的临床前试验和临床试验,希望通过靶向CCL21/CCR7轴加速肿瘤转移治疗的进展。