Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Front Immunol. 2023 Jan 16;13:1081919. doi: 10.3389/fimmu.2022.1081919. eCollection 2022.
Increasingly, patients with gastrointestinal tumors can benefit from immunotherapy, but not patients with pancreatic cancer. While this lack of benefit has been attributed to lower T-cell infiltration in pancreatic cancer, other studies have demonstrated the presence of numerous T cells in pancreatic cancer, suggesting another mechanism for the poor efficacy of immunotherapy. Single-cell RNA sequencing studies on the pancreatic cancer immune microenvironment have demonstrated the predominance of innate immune cells (e.g., macrophages, dendritic cells, mast cells, and innate immune lymphoid cells). Therefore, in-depth research on the source and function of innate immune lymphocytes in pancreatic cancer could guide pancreatic cancer immunotherapy.
越来越多的胃肠道肿瘤患者可以从免疫治疗中获益,但胰腺癌患者却不能。虽然这种获益缺失归因于胰腺癌中 T 细胞浸润程度较低,但其他研究已经证实胰腺癌中存在大量 T 细胞,这表明免疫疗法疗效不佳存在另一种机制。对胰腺癌免疫微环境的单细胞 RNA 测序研究表明,先天免疫细胞(例如巨噬细胞、树突状细胞、肥大细胞和先天免疫淋巴样细胞)占主导地位。因此,深入研究胰腺癌中先天免疫淋巴细胞的来源和功能可能有助于指导胰腺癌的免疫治疗。