Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics of West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, China.
Department of Orthopeadics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
J Hematol Oncol. 2022 May 18;15(1):61. doi: 10.1186/s13045-022-01282-8.
Immunotherapies like the adoptive transfer of gene-engineered T cells and immune checkpoint inhibitors are novel therapeutic modalities for advanced cancers. However, some patients are refractory or resistant to these therapies, and the mechanisms underlying tumor immune resistance have not been fully elucidated. Immunosuppressive cells such as myeloid-derived suppressive cells, tumor-associated macrophages, tumor-associated neutrophils, regulatory T cells (Tregs), and tumor-associated dendritic cells are critical factors correlated with immune resistance. In addition, cytokines and factors secreted by tumor cells or these immunosuppressive cells also mediate the tumor progression and immune escape of cancers. Thus, targeting these immunosuppressive cells and the related signals is the promising therapy to improve the efficacy of immunotherapies and reverse the immune resistance. However, even with certain success in preclinical studies or in some specific types of cancer, large perspectives are unknown for these immunosuppressive cells, and the related therapies have undesirable outcomes for clinical patients. In this review, we comprehensively summarized the phenotype, function, and potential therapeutic targets of these immunosuppressive cells in the tumor microenvironment.
免疫疗法,如基因工程 T 细胞的过继转移和免疫检查点抑制剂,是治疗晚期癌症的新方法。然而,一些患者对这些治疗方法有抗药性或耐药性,肿瘤免疫抵抗的机制尚未完全阐明。髓源性抑制细胞、肿瘤相关巨噬细胞、肿瘤相关中性粒细胞、调节性 T 细胞(Tregs)和肿瘤相关树突状细胞等免疫抑制细胞是与免疫抵抗相关的关键因素。此外,肿瘤细胞或这些免疫抑制细胞分泌的细胞因子和因子也介导癌症的肿瘤进展和免疫逃逸。因此,靶向这些免疫抑制细胞及其相关信号是提高免疫治疗效果和逆转免疫抵抗的有前途的治疗方法。然而,即使在临床前研究或某些特定类型的癌症中取得了一定的成功,这些免疫抑制细胞的大前景仍不明确,相关治疗对临床患者的结果并不理想。在这篇综述中,我们全面总结了这些免疫抑制细胞在肿瘤微环境中的表型、功能和潜在的治疗靶点。
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