Franzén Alexander S, Raftery Martin J, Pecher Gabriele
Competence Center of Immuno-Oncology and Translational Cell Therapy, Department of Hematology, Oncology and Tumorimmunology, CCM, Charité-Universitätsmedizin Berlin, Berlin Institute of Health @ Charité, 10117 Berlin, Germany.
Cancers (Basel). 2022 Jun 29;14(13):3178. doi: 10.3390/cancers14133178.
Breast cancer is poorly immunogenic due to immunosuppressive mechanisms produced in part by the tumor microenvironment (TME). The TME is a peritumoral area containing significant quantities of (1) cancer-associated fibroblasts (CAF), (2) tumor-infiltrating lymphocytes (TIL) and (3) tumor-associated macrophages (TAM). This combination protects the tumor from effective immune responses. How these protective cell types are generated and how the changes in the developing tumor relate to these subsets is only partially understood. Immunotherapies targeting solid tumors have proven ineffective largely due to this protective TME barrier. Therefore, a better understanding of the interplay between the tumor, the tumor microenvironment and immune cells would both advance immunotherapeutic research and lead to more effective immunotherapies. This review will summarize the current understanding of the microenvironment of breast cancer giving implications for future immunotherapeutic strategies.
由于肿瘤微环境(TME)部分产生的免疫抑制机制,乳腺癌的免疫原性较差。肿瘤微环境是肿瘤周围区域,包含大量(1)癌症相关成纤维细胞(CAF)、(2)肿瘤浸润淋巴细胞(TIL)和(3)肿瘤相关巨噬细胞(TAM)。这种组合保护肿瘤免受有效的免疫反应。这些保护性细胞类型是如何产生的,以及发育中的肿瘤变化如何与这些亚群相关,目前仅部分得到了解。事实证明,由于这种保护性肿瘤微环境屏障,针对实体瘤的免疫疗法在很大程度上是无效的。因此,更好地理解肿瘤、肿瘤微环境和免疫细胞之间的相互作用,将推动免疫治疗研究,并带来更有效的免疫疗法。本综述将总结目前对乳腺癌微环境的理解,为未来的免疫治疗策略提供启示。
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