Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, People's Republic of China.
Chongqing Key Laboratory of Immunotherapy, Chongqing, People's Republic of China.
Radiat Oncol. 2022 Apr 1;17(1):63. doi: 10.1186/s13014-022-02038-x.
Radiotherapy is an effective regimen for cancer treatment alone or combined with chemotherapy or immunotherapy. The direct effect of radiotherapy involves radiation-induced DNA damage, and most studies have focused on this area to improve the efficacy of radiotherapy. Recently, the immunomodulatory effect of radiation on the tumour microenvironment has attracted much interest. Dying tumour cells can release multiple immune-related molecules, including tumour-associated antigens, chemokines, and inflammatory mediators. Then, immune cells are attracted to the irradiated site, exerting immunostimulatory or immunosuppressive effects. CC chemokines play pivotal roles in the trafficking process. The CC chemokine family includes 28 members that attract different immune subsets. Upon irradiation, tumour cells or immune cells can release different CC chemokines. Here, we mainly discuss the importance of CCL2, CCL3, CCL5, CCL8, CCL11, CCL20 and CCL22 in radiotherapy. In irradiated normal tissues, released chemokines induce epithelial to mesenchymal transition, thus promoting tissue injury. In the tumour microenvironment, released chemokines recruit cancer-associated cells, such as tumour-infiltrating lymphocytes, myeloid-derived suppressor cells and tumour-associated macrophages, to the tumour niche. Thus, CC chemokines have protumour and antitumour properties. Based on the complex roles of CC chemokines in the response to radiation, it would be promising to target specific chemokines to alleviate radiation-induced injury or promote tumour control.
放射治疗是一种有效的癌症治疗方法,单独使用或与化疗或免疫疗法联合使用。放射治疗的直接作用涉及辐射诱导的 DNA 损伤,大多数研究都集中在这一领域,以提高放射治疗的疗效。最近,辐射对肿瘤微环境的免疫调节作用引起了广泛关注。死亡的肿瘤细胞可以释放多种与免疫相关的分子,包括肿瘤相关抗原、趋化因子和炎症介质。然后,免疫细胞被吸引到照射部位,发挥免疫刺激或免疫抑制作用。CC 趋化因子在迁移过程中起着关键作用。CC 趋化因子家族包括 28 个成员,吸引不同的免疫亚群。照射后,肿瘤细胞或免疫细胞可以释放不同的 CC 趋化因子。在这里,我们主要讨论 CCL2、CCL3、CCL5、CCL8、CCL11、CCL20 和 CCL22 在放射治疗中的重要性。在受照射的正常组织中,释放的趋化因子诱导上皮细胞向间充质转化,从而促进组织损伤。在肿瘤微环境中,释放的趋化因子招募与癌症相关的细胞,如肿瘤浸润淋巴细胞、髓源性抑制细胞和肿瘤相关巨噬细胞,到肿瘤龛位。因此,CC 趋化因子具有促肿瘤和抗肿瘤特性。基于 CC 趋化因子在辐射反应中的复杂作用,针对特定趋化因子进行靶向治疗以减轻辐射诱导的损伤或促进肿瘤控制可能是有希望的。
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