Department of Immunology, Tianjin Medical University Cancer Institute and Hospital, 300060, Tianjin, China.
Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, 300060, Tianjin, China.
J Hematol Oncol. 2023 Apr 13;16(1):38. doi: 10.1186/s13045-023-01430-8.
The advent of immunotherapy has made an indelible mark on the field of cancer therapy, especially the application of immune checkpoint inhibitors in clinical practice. Although immunotherapy has proven its efficacy and safety in some tumors, many patients still have innate or acquired resistance to immunotherapy. The emergence of this phenomenon is closely related to the highly heterogeneous immune microenvironment formed by tumor cells after undergoing cancer immunoediting. The process of cancer immunoediting refers to the cooperative interaction between tumor cells and the immune system that involves three phases: elimination, equilibrium, and escape. During these phases, conflicting interactions between the immune system and tumor cells result in the formation of a complex immune microenvironment, which contributes to the acquisition of different levels of immunotherapy resistance in tumor cells. In this review, we summarize the characteristics of different phases of cancer immunoediting and the corresponding therapeutic tools, and we propose normalized therapeutic strategies based on immunophenotyping. The process of cancer immunoediting is retrograded through targeted interventions in different phases of cancer immunoediting, making immunotherapy in the context of precision therapy the most promising therapy to cure cancer.
免疫疗法的出现为癌症治疗领域留下了不可磨灭的印记,尤其是免疫检查点抑制剂在临床实践中的应用。尽管免疫疗法在一些肿瘤中已被证明具有疗效和安全性,但许多患者仍然对免疫疗法存在先天或获得性耐药。这种现象的出现与肿瘤细胞在经历癌症免疫编辑后形成的高度异质性免疫微环境密切相关。癌症免疫编辑过程是指肿瘤细胞与免疫系统之间的协同相互作用,涉及三个阶段:消除、平衡和逃逸。在这些阶段,免疫系统和肿瘤细胞之间的冲突相互作用导致复杂的免疫微环境的形成,这有助于肿瘤细胞获得不同水平的免疫治疗耐药性。在这篇综述中,我们总结了癌症免疫编辑的不同阶段的特征和相应的治疗工具,并根据免疫表型提出了规范化的治疗策略。通过在癌症免疫编辑的不同阶段进行靶向干预,可以使癌症免疫编辑过程发生逆转,使免疫治疗成为精准治疗背景下最有前途的癌症治疗方法。
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