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[白细胞介素-17在结直肠炎症-癌症转化中的机制]

[Mechanism of IL-17 in colorectal inflammation-cancer transition].

作者信息

Li Chengjun, He Shuixiang

机构信息

Department of Gastroenterology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061,China.

Department of Gastroenterology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061,China. *Corresponding author, E-mail:

出版信息

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2022 Feb;38(2):177-182.

Abstract

Colitis associated colorectal cancer is a common intestinal malignant tumor, secondary to chronic enteritis. The persist existence of various inflammatory cells and cytokines in chronic inflammation promotes the development process of colitis-cancer transition. Interleukin 17 (IL-17) family, produced by Th17 cells, is found to be very important proinflammatory cytokines in various immune responses. In the proinflammatory response, IL-17 plays an important role in the activation and recruitment of neutrophils. Studies have shown the increased expression of IL-17 in serum and tumor tissues of patients with colorectal cancer. Th17 cells can induce the generation of immunosuppressive mediators including TGF-β, CXCR3, CCR6 and IL-6, which promotes the incidence of colorectal cancer. We summarized the role of IL-17 in the occurrence and progression of chronic colorectal inflammation to colorectal cancer, and elaborated the mechanisms by which IL-17 influences the formation of tumor microenvironment, promotes the proliferation, invasion and metastasis of tumor cells, and escapes immune surveillance.

摘要

结肠炎相关结直肠癌是一种常见的肠道恶性肿瘤,继发于慢性肠炎。慢性炎症中各种炎症细胞和细胞因子的持续存在促进了结肠炎-癌转化的发展过程。由Th17细胞产生的白细胞介素17(IL-17)家族在各种免疫反应中是非常重要的促炎细胞因子。在促炎反应中,IL-17在中性粒细胞的激活和募集中起重要作用。研究表明,结直肠癌患者血清和肿瘤组织中IL-17表达增加。Th17细胞可诱导包括转化生长因子-β(TGF-β)、CXC趋化因子受体3(CXCR3)、C-C趋化因子受体6(CCR6)和白细胞介素6(IL-6)等免疫抑制介质的产生,从而促进结直肠癌的发生。我们总结了IL-17在慢性结直肠炎症向结直肠癌发生发展中的作用,并阐述了IL-17影响肿瘤微环境形成、促进肿瘤细胞增殖、侵袭和转移以及逃避免疫监视的机制。

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