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肺癌中专业抗原呈递细胞的临床相关性和治疗方面。

Clinical relevance and therapeutic aspects of professional antigen-presenting cells in lung cancer.

机构信息

Department of Biotechnology, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, 603203, India.

出版信息

Med Oncol. 2022 Sep 29;39(12):237. doi: 10.1007/s12032-022-01841-6.

Abstract

Lung cancer stays the preeminent cause of death worldwide. Despite recent advancements in chemotherapy, radiotherapy, and immunotherapy, the survival rate for people with advanced stages of the disease is still appalling. Moreover, there is a severe lack of reliable prognoses and indicators for classification in newly developed immunotherapies. A better understanding of immune cells is necessary to harness immune response mechanisms for therapeutic effects. Professional antigen-presenting cells are responsible for determining the fate of the immune response through the antigen processing and presentation pathway (APP). The most professional antigen-presenting cells (APC) include the dendritic cells (DC), macrophages, and B cells, which present antigens to the T-helper cells. Dendritic cells are significantly explored as a tool for immunotherapy owing to their precise ability to provoke and alter T-cell responses. Moreover, the role of tumor-associated macrophages (TAMs), an abundant leukocyte in lung cancer, is also a potential target for adjuvant anti-cancer therapies. In this review, we summarize the recent advances in our understanding of the various types of immunotherapy mapped out via professional antigen-presenting cells in lung cancer.

摘要

肺癌仍然是全球首要的死亡原因。尽管最近在化疗、放疗和免疫疗法方面取得了进展,但晚期疾病患者的生存率仍然令人震惊。此外,新开发的免疫疗法中严重缺乏可靠的预后和分类指标。为了利用免疫反应机制产生治疗效果,有必要更好地了解免疫细胞。专业的抗原呈递细胞通过抗原加工和呈递途径(APP)负责决定免疫反应的命运。最专业的抗原呈递细胞(APC)包括树突状细胞(DC)、巨噬细胞和 B 细胞,它们将抗原呈递给辅助性 T 细胞。树突状细胞因其精确地引发和改变 T 细胞反应的能力而被广泛探索作为免疫疗法的工具。此外,肺癌中丰富的白细胞——肿瘤相关巨噬细胞(TAMs)的作用也是辅助抗癌治疗的潜在靶点。在这篇综述中,我们总结了我们对通过肺癌中专业抗原呈递细胞进行的各种类型免疫疗法的最新理解的进展。

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