Notch 信号通路:癌症免疫治疗的潜在靶点。

The Notch signaling pathway: a potential target for cancer immunotherapy.

机构信息

Xi'an Key Laboratory of Stem Cell and Regenerative Medicine, Institute of Medical Research, Northwestern Polytechnical University, Xi'an, 710072, Shaanxi, People's Republic of China.

State Key Laboratory of Cancer Biology, Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, 710032, Shaanxi, People's Republic of China.

出版信息

J Hematol Oncol. 2023 May 2;16(1):45. doi: 10.1186/s13045-023-01439-z.

Abstract

Dysregulation of the Notch signaling pathway, which is highly conserved across species, can drive aberrant epigenetic modification, transcription, and translation. Defective gene regulation caused by dysregulated Notch signaling often affects networks controlling oncogenesis and tumor progression. Meanwhile, Notch signaling can modulate immune cells involved in anti- or pro-tumor responses and tumor immunogenicity. A comprehensive understanding of these processes can help with designing new drugs that target Notch signaling, thereby enhancing the effects of cancer immunotherapy. Here, we provide an up-to-date and comprehensive overview of how Notch signaling intrinsically regulates immune cells and how alterations in Notch signaling in tumor cells or stromal cells extrinsically regulate immune responses in the tumor microenvironment (TME). We also discuss the potential role of Notch signaling in tumor immunity mediated by gut microbiota. Finally, we propose strategies for targeting Notch signaling in cancer immunotherapy. These include oncolytic virotherapy combined with inhibition of Notch signaling, nanoparticles (NPs) loaded with Notch signaling regulators to specifically target tumor-associated macrophages (TAMs) to repolarize their functions and remodel the TME, combining specific and efficient inhibitors or activators of Notch signaling with immune checkpoint blockers (ICBs) for synergistic anti-tumor therapy, and implementing a customized and effective synNotch circuit system to enhance safety of chimeric antigen receptor (CAR) immune cells. Collectively, this review aims to summarize how Notch signaling intrinsically and extrinsically shapes immune responses to improve immunotherapy.

摘要

Notch 信号通路的失调在物种间高度保守,可导致异常的表观遗传修饰、转录和翻译。Notch 信号失调引起的基因调控失常通常会影响控制癌发生和肿瘤进展的网络。同时,Notch 信号可以调节参与抗或促肿瘤反应和肿瘤免疫原性的免疫细胞。全面了解这些过程有助于设计靶向 Notch 信号的新药,从而增强癌症免疫疗法的效果。在这里,我们提供了 Notch 信号如何内在调节免疫细胞的最新和全面的概述,以及肿瘤细胞或基质细胞中 Notch 信号的改变如何外在调节肿瘤微环境 (TME) 中的免疫反应。我们还讨论了 Notch 信号在肠道微生物群介导的肿瘤免疫中的潜在作用。最后,我们提出了在癌症免疫治疗中靶向 Notch 信号的策略。这些策略包括与抑制 Notch 信号联合的溶瘤病毒治疗、装载 Notch 信号调节剂的纳米颗粒 (NPs) 特异性靶向肿瘤相关巨噬细胞 (TAMs) 以重新极化其功能并重塑 TME、将 Notch 信号的特异性和高效抑制剂或激活剂与免疫检查点抑制剂 (ICB) 联合用于协同抗肿瘤治疗,以及实施定制和有效的 synNotch 电路系统以增强嵌合抗原受体 (CAR) 免疫细胞的安全性。总的来说,这篇综述旨在总结 Notch 信号如何内在和外在地塑造免疫反应以改善免疫疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c1/10155406/a2576d6d3a02/13045_2023_1439_Fig1_HTML.jpg

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