Peng Chunying, Rabold Katrin, Mulder Willem J M, Jaeger Martin, Netea-Maier Romana T
Department of Internal Medicine, Division of Endocrinology, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Radboud Institute for Molecular Life Sciences (RIMLS), Radboud University Nijmegen Medical Center, 6525 GA Nijmegen, The Netherlands.
Cancers (Basel). 2021 Nov 14;13(22):5695. doi: 10.3390/cancers13225695.
Innate immune cells constitute a plastic and heterogeneous cell population of the tumor microenvironment. Because of their high tumor infiltration and close interaction with resident tumor cells, they are compelling targets for anti-cancer therapy through either ablation or functionally reprogramming. Kinase inhibitors (KIs) that target aberrant signaling pathways in tumor proliferation and angiogenesis have been shown to have additional immunological effects on myeloid cells that may contribute to a protective antitumor immune response. However, in patients with malignancies, these effects are poorly described, warranting meticulous research to identify KIs' optimal immunomodulatory effect to support developing targeted and more effective immunotherapy. As many of these KIs are currently in clinical trials awaiting approval for the treatment of several types of solid cancer, we evaluate here the information on this drug class's immunological effects and how such mechanisms can be harnessed to improve combined treatment regimens in cancer.
先天免疫细胞构成了肿瘤微环境中可塑性强且异质性的细胞群体。由于它们具有高肿瘤浸润性,并与驻留肿瘤细胞密切相互作用,因此无论是通过消融还是功能重编程,它们都是抗癌治疗的有力靶点。靶向肿瘤增殖和血管生成中异常信号通路的激酶抑制剂(KIs)已被证明对髓样细胞具有额外的免疫作用,这可能有助于产生保护性抗肿瘤免疫反应。然而,在恶性肿瘤患者中,这些作用的描述很少,需要进行细致的研究以确定激酶抑制剂的最佳免疫调节作用,以支持开发有针对性且更有效的免疫疗法。由于目前许多此类激酶抑制剂正处于临床试验阶段,等待批准用于治疗多种类型的实体癌,我们在此评估关于这类药物免疫作用的信息,以及如何利用这些机制来改进癌症联合治疗方案。