Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Henan Institute of Interconnected Intelligent Health Management, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Mol Cancer. 2023 Feb 10;22(1):29. doi: 10.1186/s12943-023-01731-z.
In recent years, breakthroughs have been made in tumor immunotherapy. However, tumor immunotherapy, particularly anti-PD-1/PD-L1 immune checkpoint inhibitors, is effective in only a small percentage of patients in solid cancer. How to improve the efficiency of cancer immunotherapy is an urgent problem to be solved. As we all know, the state of the tumor microenvironment (TME) is an essential factor affecting the effectiveness of tumor immunotherapy, and the cancer-associated fibroblasts (CAFs) in TME have attracted much attention in recent years. As one of the main components of TME, CAFs interact with cancer cells and immune cells by secreting cytokines and vesicles, participating in ECM remodeling, and finally affecting the immune response process. With the in-depth study of CAFs heterogeneity, new strategies are provided for finding targets of combination immunotherapy and predicting immune efficacy. In this review, we focus on the role of CAFs in the solid cancer immune microenvironment, and then further elaborate on the potential mechanisms and pathways of CAFs influencing anti-PD-1/PD-L1 immunotherapy. In addition, we summarize the potential clinical application value of CAFs-related targets and markers in solid cancers.
近年来,肿瘤免疫治疗取得了突破性进展。然而,肿瘤免疫治疗,特别是抗 PD-1/PD-L1 免疫检查点抑制剂,在实体瘤中仅对一小部分患者有效。如何提高癌症免疫治疗的效率是一个亟待解决的问题。众所周知,肿瘤微环境(TME)的状态是影响肿瘤免疫治疗效果的重要因素,近年来 TME 中的癌相关成纤维细胞(CAFs)引起了广泛关注。作为 TME 的主要组成部分之一,CAFs 通过分泌细胞因子和囊泡与癌细胞和免疫细胞相互作用,参与 ECM 重塑,最终影响免疫反应过程。随着对 CAFs 异质性的深入研究,为寻找联合免疫治疗的靶点和预测免疫疗效提供了新的策略。在这篇综述中,我们重点关注 CAFs 在实体瘤免疫微环境中的作用,然后进一步阐述 CAFs 影响抗 PD-1/PD-L1 免疫治疗的潜在机制和途径。此外,我们总结了 CAFs 相关靶点和标志物在实体瘤中的潜在临床应用价值。
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