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通过了解实体瘤微环境对乳腺癌免疫治疗的启示

Implications for Immunotherapy of Breast Cancer by Understanding the Microenvironment of a Solid Tumor.

作者信息

Franzén Alexander S, Raftery Martin J, Pecher Gabriele

机构信息

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.

出版信息

Cancers (Basel). 2022 Jun 29;14(13):3178. doi: 10.3390/cancers14133178.


DOI:10.3390/cancers14133178
PMID:35804950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9264853/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef53/9264853/8a7cafa0efad/cancers-14-03178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef53/9264853/8a7cafa0efad/cancers-14-03178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef53/9264853/8a7cafa0efad/cancers-14-03178-g001.jpg

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[1]
Implications for Immunotherapy of Breast Cancer by Understanding the Microenvironment of a Solid Tumor.

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引用本文的文献

[1]
Development of a machine learning-based radiomics signature for estimating breast cancer TME phenotypes and predicting anti-PD-1/PD-L1 immunotherapy response.

Breast Cancer Res. 2024-1-29

[2]
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[3]
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[4]
Effect of multiple peritumoral regions of interest ranges based on computed tomography radiomics for the prediction of early recurrence of hepatocellular carcinoma after resection.

Quant Imaging Med Surg. 2023-10-1

[5]
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Curr Oncol. 2023-5-17

[6]
CAXII inhibitors: Potential sensitizers for immune checkpoint inhibitors in HCC treatment.

Front Immunol. 2023

[7]
Neutrophil extracellular traps (NETs)-related lncRNAs signature for predicting prognosis and the immune microenvironment in breast cancer.

Front Cell Dev Biol. 2023-2-2

[8]
The Role of Tumor-Associated Antigen HER2/neu in Tumor Development and the Different Approaches for Using It in Treatment: Many Choices and Future Directions.

Cancers (Basel). 2022-12-14

本文引用的文献

[1]
Addition of immune checkpoint inhibitors to chemotherapy versus chemotherapy alone in first-line metastatic triple-negative breast cancer: A systematic review and meta-analysis.

Cancer Treat Rev. 2022-3

[2]
Breast Cancers Are Immunogenic: Immunologic Analyses and a Phase II Pilot Clinical Trial Using Mutation-Reactive Autologous Lymphocytes.

J Clin Oncol. 2022-6-1

[3]
Targeting cancer-associated fibroblasts in the bone marrow prevents resistance to CART-cell therapy in multiple myeloma.

Blood. 2022-6-30

[4]
Engineering interferons and interleukins for cancer immunotherapy.

Adv Drug Deliv Rev. 2022-3

[5]
The tale of TILs in breast cancer: A report from The International Immuno-Oncology Biomarker Working Group.

NPJ Breast Cancer. 2021-12-1

[6]
Plasma cell infiltration and treatment effect in breast cancer patients treated with neoadjuvant chemotherapy.

Breast Cancer Res. 2021-10-29

[7]
Targeting TREM2 on tumor-associated macrophages enhances immunotherapy.

Cell Rep. 2021-10-19

[8]
A Phase I Trial of Regional Mesothelin-Targeted CAR T-cell Therapy in Patients with Malignant Pleural Disease, in Combination with the Anti-PD-1 Agent Pembrolizumab.

Cancer Discov. 2021-11

[9]
Targeting cancer associated fibroblasts to enhance immunotherapy: emerging strategies and future perspectives.

Oncotarget. 2021-7-6

[10]
Phase II clinical trial using anti-CD3 × anti-HER2 bispecific antibody armed activated T cells (HER2 BATs) consolidation therapy for HER2 negative (0-2+) metastatic breast cancer.

J Immunother Cancer. 2021-6

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