Zhu Yu-Heng, Zheng Jia-Hao, Jia Qin-Yuan, Duan Zong-Hao, Yao Hong-Fei, Yang Jian, Sun Yong-Wei, Jiang Shu-Heng, Liu De-Jun, Huo Yan-Miao
Department of Biliary-Pancreatic Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, People's Republic of China.
State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 800 Dongchuan Road, 200240, People's Republic of China.
Cell Oncol (Dordr). 2023 Feb;46(1):17-48. doi: 10.1007/s13402-022-00741-1. Epub 2022 Nov 11.
Pancreatic ductal adenocarcinoma (PDAC), the most common type of pancreatic cancer, is characterized by poor treatment response and low survival time. The current clinical treatment for advanced PDAC is still not effective. In recent years, the research and application of immunotherapy have developed rapidly and achieved substantial results in many malignant tumors. However, the translational application in PDAC is still far from satisfactory and needs to be developed urgently. To carry out the study of immunotherapy, it is necessary to fully decipher the immune characteristics of PDAC. This review summarizes the recent progress of the tumor microenvironment (TME) of PDAC and highlights its link with immunotherapy. We describe the molecular cues and corresponding intervention methods, collate several promising targets and progress worthy of further study, and put forward the importance of integrated immunotherapy to provide ideas for future research of TME and immunotherapy of PDAC.
胰腺导管腺癌(PDAC)是胰腺癌最常见的类型,其特点是治疗反应差和生存时间短。目前晚期PDAC的临床治疗仍然无效。近年来,免疫疗法的研究和应用发展迅速,并在许多恶性肿瘤中取得了显著成果。然而,其在PDAC中的转化应用仍远不尽人意,亟待发展。为开展免疫疗法研究,有必要全面解读PDAC的免疫特征。本综述总结了PDAC肿瘤微环境(TME)的最新进展,并突出了其与免疫疗法的联系。我们描述了分子线索及相应的干预方法,整理了几个有前景的靶点和值得进一步研究的进展,并提出综合免疫疗法的重要性,为未来PDAC的TME和免疫疗法研究提供思路。
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