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癌症中的凝血与炎症:治疗的局限与展望。

Coagulation and inflammation in cancer: Limitations and prospects for treatment.

机构信息

Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India.

Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India.

出版信息

Biochim Biophys Acta Rev Cancer. 2022 May;1877(3):188727. doi: 10.1016/j.bbcan.2022.188727. Epub 2022 Apr 1.

Abstract

The development of so-called immune checkpoint inhibitors (ICIs), which target specific molecular processes of tumour growth, has had a transformative effect on cancer treatment. Widespread use of antibody-based medicines to inhibit tumour cell immune evasion by modulating T cell responses is becoming more common. Despite this, response rates are still low, and secondary resistance is an issue that arises often. In addition, a wide range of serious adverse effects is triggered by enhancing the immunological response. As a result of an increased mortality rate, a higher prevalence of thrombotic complications is connected with an increased incidence of immunological reactions, complement activation, and skin toxicity. This suggests that the tumour microenvironment's interaction between coagulation and inflammation is important at every stage of the tumour's life cycle. The coagulation system's function in tumour formation is the topic of this review. By better understanding the molecular mechanisms in which tumour cells circulate, plasmatic coagulation and immune system cells are engaged, new therapy options for cancer sufferers may be discovered.

摘要

所谓免疫检查点抑制剂(ICIs)的发展,针对肿瘤生长的特定分子过程,对癌症治疗产生了变革性的影响。越来越多地广泛使用基于抗体的药物通过调节 T 细胞反应来抑制肿瘤细胞的免疫逃逸。尽管如此,反应率仍然很低,继发耐药性是经常出现的问题。此外,增强免疫反应会引发广泛的严重不良反应。由于死亡率增加,与免疫反应、补体激活和皮肤毒性的发生率增加相关的血栓并发症更为普遍。这表明在肿瘤生命周期的每个阶段,凝血和炎症之间的肿瘤微环境相互作用都很重要。本综述探讨了凝血系统在肿瘤形成中的作用。通过更好地了解肿瘤细胞循环中涉及的分子机制,以及血浆凝血和免疫系统细胞的参与,可能会为癌症患者发现新的治疗选择。

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