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刺激和动员免疫系统增强抗肿瘤免疫的机制。

The Mechanism of Stimulating and Mobilizing the Immune System Enhancing the Anti-Tumor Immunity.

机构信息

Department of Thoracic Surgery, Yantian District People's Hospital, Shenzhen, China.

Guangdong Key Laboratory for Research and Development of Natural Drugs, Guangdong Medical University, Zhanjiang, China.

出版信息

Front Immunol. 2021 Jun 10;12:682435. doi: 10.3389/fimmu.2021.682435. eCollection 2021.


DOI:10.3389/fimmu.2021.682435
PMID:34194437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8237941/
Abstract

Cancer immunotherapy is a kind of therapy that can control and eliminate tumors by restarting and maintaining the tumor-immune cycle and restoring the body's normal anti-tumor immune response. Although immunotherapy has great potential, it is currently only applicable to patients with certain types of tumors, such as melanoma, lung cancer, and cancer with high mutation load and microsatellite instability, and even in these types of tumors, immunotherapy is not effective for all patients. In order to enhance the effectiveness of tumor immunotherapy, this article reviews the research progress of tumor microenvironment immunotherapy, and studies the mechanism of stimulating and mobilizing immune system to enhance anti-tumor immunity. In this review, we focused on immunotherapy against tumor microenvironment (TME) and discussed the important research progress. TME is the environment for the survival and development of tumor cells, which is composed of cell components and non-cell components; immunotherapy for TME by stimulating or mobilizing the immune system of the body, enhancing the anti-tumor immunity. The checkpoint inhibitors can effectively block the inhibitory immunoregulation, indirectly strengthen the anti-tumor immune response and improve the effect of immunotherapy. We also found the checkpoint inhibitors have brought great changes to the treatment model of advanced tumors, but the clinical treatment results show great individual differences. Based on the close attention to the future development trend of immunotherapy, this study summarized the latest progress of immunotherapy and pointed out a new direction. To study the mechanism of stimulating and mobilizing the immune system to enhance anti-tumor immunity can provide new opportunities for cancer treatment, expand the clinical application scope and effective population of cancer immunotherapy, and improve the survival rate of cancer patients.

摘要

癌症免疫疗法是一种通过重新启动和维持肿瘤免疫循环,恢复机体正常抗肿瘤免疫反应,从而控制和消除肿瘤的疗法。虽然免疫疗法具有巨大的潜力,但目前仅适用于某些类型的肿瘤患者,如黑色素瘤、肺癌和具有高突变负荷和微卫星不稳定性的肿瘤,即使在这些类型的肿瘤中,免疫疗法也不是对所有患者都有效。为了提高肿瘤免疫疗法的效果,本文综述了肿瘤微环境免疫疗法的研究进展,研究了刺激和动员免疫系统增强抗肿瘤免疫的机制。在这篇综述中,我们重点讨论了针对肿瘤微环境(TME)的免疫疗法,并讨论了重要的研究进展。TME 是肿瘤细胞生存和发展的环境,由细胞成分和非细胞成分组成;通过刺激或动员机体免疫系统来治疗 TME,增强抗肿瘤免疫力。检查点抑制剂能有效地阻断抑制性免疫调节,间接增强抗肿瘤免疫反应,提高免疫治疗效果。我们还发现,检查点抑制剂给晚期肿瘤的治疗模式带来了巨大变化,但临床治疗结果显示出很大的个体差异。基于对免疫疗法未来发展趋势的密切关注,本研究总结了免疫疗法的最新进展,并指出了新的方向。研究刺激和动员免疫系统增强抗肿瘤免疫力的机制可为癌症治疗提供新的机会,扩大癌症免疫疗法的临床应用范围和有效人群,提高癌症患者的生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a448/8237941/68d97f2b83cb/fimmu-12-682435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a448/8237941/5a718ba0fedc/fimmu-12-682435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a448/8237941/68d97f2b83cb/fimmu-12-682435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a448/8237941/5a718ba0fedc/fimmu-12-682435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a448/8237941/68d97f2b83cb/fimmu-12-682435-g002.jpg

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