研究经典型霍奇金淋巴瘤中微环境相互作用和药物活性的当前及新出现的方法
Current and Emerging Approaches to Study Microenvironmental Interactions and Drug Activity in Classical Hodgkin Lymphoma.
作者信息
Casagrande Naike, Borghese Cinzia, Aldinucci Donatella
机构信息
Molecular Oncology Unit, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy.
出版信息
Cancers (Basel). 2022 May 14;14(10):2427. doi: 10.3390/cancers14102427.
Classic Hodgkin lymphoma is characterized by a few tumor cells surrounded by a protective and immunosuppressive tumor microenvironment (TME) composed by a wide variety of noncancerous cells that are an active part of the disease. Therefore, new techniques to study the cHL-TME and new therapeutic strategies targeting specifically tumor cells, reactivating the antitumor immunity, counteracting the protective effects of the TME, were developed. Here, we describe new methods used to study the cell composition, the phenotype, and the spatial distribution of Hodgkin and Reed-Sternberg (HRS) cells and of noncancerous cells in tumor tissues. Moreover, we propose a classification, with increasing complexity, of the in vitro functional studies used to clarify the interactions leading not only to HRS cell survival, growth and drug resistance, but also to the immunosuppressive tumor education of monocytes, T lymphocytes and fibroblasts. This classification also includes new 3-dimensional (3D) models, obtained by cultivating HRS cells in extracellular matrix scaffolds or in sponge scaffolds, under non-adherent conditions with noncancerous cells to form heterospheroids (HS), implanted in developing chick eggs (ovo model). We report results obtained with these approaches and their applications in clinical setting.
经典型霍奇金淋巴瘤的特征是少数肿瘤细胞被由多种非癌细胞组成的保护性和免疫抑制性肿瘤微环境(TME)所包围,这些非癌细胞是该疾病的活跃组成部分。因此,开发了研究cHL-TME的新技术以及专门针对肿瘤细胞、重新激活抗肿瘤免疫力、抵消TME保护作用的新治疗策略。在此,我们描述了用于研究肿瘤组织中霍奇金和里德-斯腾伯格(HRS)细胞以及非癌细胞的细胞组成、表型和空间分布的新方法。此外,我们提出了一个分类,随着复杂性的增加,对用于阐明不仅导致HRS细胞存活、生长和耐药性,而且导致单核细胞、T淋巴细胞和成纤维细胞的免疫抑制性肿瘤驯化的相互作用的体外功能研究进行分类。该分类还包括新的三维(3D)模型,这些模型是通过在细胞外基质支架或海绵支架中培养HRS细胞,在与非癌细胞的非贴壁条件下形成异质球状体(HS),然后植入发育中的鸡胚(卵模型)而获得的。我们报告了用这些方法获得的结果及其在临床环境中的应用。