Ravindranathan Deepak, Master Viraj A, Bilen Mehmet Asim
Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory University, Atlanta, GA 30322, USA.
Department of Urology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Biology (Basel). 2021 Apr 13;10(4):325. doi: 10.3390/biology10040325.
Chronic inflammation is considered a major risk factor for cancer formation. Inflammation within the tumor environment plays a role in its response to therapy, growth, and prognosis. Cancer associated inflammation is known to occur in the tumor microenvironment and in the systemic circulation, and is correlated with disease progression and prognosis in many cancers. Blood cells such as neutrophils, lymphocytes, platelets, and circulating proteins such as C-reactive protein, and interleukins, such as IL-6, have been associated with inflammatory responses, which contribute to tumorigenesis. Cancer has found ways to evade the immune response; a pathway that can attenuate the innate immune response is via blocking immune checkpoints. Development of monoclonal antibodies against inhibitory immune checkpoints such as cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programmed cell death protein 1 (PD-1) have given rise to immunotherapy, which has shown remarkable responses in anti-tumor activity resulting in several U.S. Federal and Drug Administration (FDA)-approved checkpoint inhibitors. Various inflammatory markers and their prognostic and predictive implications in malignancies treated with immunotherapy will be discussed in this review.
慢性炎症被认为是癌症形成的主要风险因素。肿瘤环境中的炎症在其对治疗的反应、生长和预后中发挥作用。已知癌症相关炎症发生在肿瘤微环境和全身循环中,并且与许多癌症的疾病进展和预后相关。诸如中性粒细胞、淋巴细胞、血小板等血细胞以及诸如C反应蛋白和白细胞介素(如IL-6)等循环蛋白与炎症反应相关,这些炎症反应有助于肿瘤发生。癌症已经找到了逃避免疫反应的方法;一种可以减弱先天免疫反应的途径是通过阻断免疫检查点。针对抑制性免疫检查点(如细胞毒性T淋巴细胞相关蛋白4(CTLA-4)和程序性细胞死亡蛋白1(PD-1))的单克隆抗体的开发催生了免疫疗法,该疗法在抗肿瘤活性方面显示出显著反应,从而产生了几种美国食品药品监督管理局(FDA)批准的检查点抑制剂。本综述将讨论各种炎症标志物及其在接受免疫疗法治疗的恶性肿瘤中的预后和预测意义。