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突破障碍:基于 T 细胞的癌症免疫疗法的进展。

Pushing Past the Blockade: Advancements in T Cell-Based Cancer Immunotherapies.

机构信息

Department of Pathology, Duke University Medical Center, Durham, NC, United States.

Duke Medical School, Duke University Medical Center, Durham, NC, United States.

出版信息

Front Immunol. 2021 Nov 18;12:777073. doi: 10.3389/fimmu.2021.777073. eCollection 2021.


DOI:10.3389/fimmu.2021.777073
PMID:34868044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8636733/
Abstract

Successful cancer immunotherapies rely on a replete and functional immune compartment. Within the immune compartment, T cells are often the effector arm of immune-based strategies due to their potent cytotoxic capabilities. However, many tumors have evolved a variety of mechanisms to evade T cell-mediated killing. Thus, while many T cell-based immunotherapies, such as immune checkpoint inhibition (ICI) and chimeric antigen receptor (CAR) T cells, have achieved considerable success in some solid cancers and hematological malignancies, these therapies often fail in solid tumors due to tumor-imposed T cell dysfunctions. These dysfunctional mechanisms broadly include reduced T cell access into and identification of tumors, as well as an overall immunosuppressive tumor microenvironment that elicits T cell exhaustion. Therefore, novel, rational approaches are necessary to overcome the barriers to T cell function elicited by solid tumors. In this review, we will provide an overview of conventional immunotherapeutic strategies and the various barriers to T cell anti-tumor function encountered in solid tumors that lead to resistance. We will also explore a sampling of emerging strategies specifically aimed to bypass these tumor-imposed boundaries to T cell-based immunotherapies.

摘要

成功的癌症免疫疗法依赖于丰富和功能正常的免疫环境。在免疫环境中,T 细胞由于其强大的细胞毒性能力,通常是免疫策略的效应臂。然而,许多肿瘤已经进化出多种机制来逃避 T 细胞介导的杀伤。因此,虽然许多基于 T 细胞的免疫疗法,如免疫检查点抑制(ICI)和嵌合抗原受体(CAR)T 细胞,在一些实体瘤和血液恶性肿瘤中取得了相当大的成功,但这些疗法在实体瘤中往往失败,因为肿瘤引起了 T 细胞功能障碍。这些功能障碍的机制包括 T 细胞进入和识别肿瘤的能力降低,以及整体免疫抑制的肿瘤微环境,导致 T 细胞衰竭。因此,需要新的、合理的方法来克服实体瘤引起的 T 细胞功能障碍。在这篇综述中,我们将概述传统的免疫治疗策略,以及实体瘤中遇到的各种阻碍 T 细胞抗肿瘤功能的障碍,从而导致耐药性。我们还将探讨一些新兴策略,这些策略专门旨在绕过这些肿瘤施加的 T 细胞免疫治疗的界限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/814eb6d61fb5/fimmu-12-777073-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/6dab3ebb7890/fimmu-12-777073-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/b22176ddc213/fimmu-12-777073-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/b724fdd71e40/fimmu-12-777073-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/814eb6d61fb5/fimmu-12-777073-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/6dab3ebb7890/fimmu-12-777073-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/b22176ddc213/fimmu-12-777073-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/b724fdd71e40/fimmu-12-777073-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8673/8636733/814eb6d61fb5/fimmu-12-777073-g004.jpg

相似文献

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[2]
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[3]
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[4]
Coordinated single-cell tumor microenvironment dynamics reinforce pancreatic cancer subtype.

Nat Commun. 2023-8-26

[5]
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本文引用的文献

[1]
Sequential Phase II clinical trials evaluating CRLX101 as monotherapy and in combination with bevacizumab in recurrent ovarian cancer.

Gynecol Oncol. 2021-9

[2]
CD4 T-Cell Exhaustion: Does It Exist and What Are Its Roles in Cancer?

Clin Cancer Res. 2021-11-1

[3]
TIM-3 restrains anti-tumour immunity by regulating inflammasome activation.

Nature. 2021-7

[4]
Combined tumor-directed recruitment and protection from immune suppression enable CAR T cell efficacy in solid tumors.

Sci Adv. 2021-6

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Cancers (Basel). 2021-5-15

[6]
Metabolic reprogramming of terminally exhausted CD8 T cells by IL-10 enhances anti-tumor immunity.

Nat Immunol. 2021-6

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Nat Commun. 2021-5-11

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SynNotch CAR circuits enhance solid tumor recognition and promote persistent antitumor activity in mouse models.

Sci Transl Med. 2021-4-28

[9]
SynNotch-CAR T cells overcome challenges of specificity, heterogeneity, and persistence in treating glioblastoma.

Sci Transl Med. 2021-4-28

[10]
Transient rest restores functionality in exhausted CAR-T cells through epigenetic remodeling.

Science. 2021-4-2

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