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靶向肿瘤微环境:癌症治疗的潜在策略。

Targeting the tumor microenvironment: Potential strategy for cancer therapeutics.

机构信息

Department of Biochemistry Government College University, Faisalabad, Pakistan.

Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford OX3 7BN, United Kingdom.

出版信息

Biochim Biophys Acta Mol Basis Dis. 2023 Aug;1869(6):166746. doi: 10.1016/j.bbadis.2023.166746. Epub 2023 May 7.

Abstract

Cellular and stromal components including tumor cells, immune cells, mesenchymal cells, cancer-linked fibroblasts, and extracellular matrix, constituent tumor microenvironment (TME). TME plays a crucial role in reprogramming tumor initiation, uncontrolled proliferation, invasion and metastasis as well as response to therapeutic modalities. In recent years targeting the TME has developed as a potential strategy for treatment of cancer because of its life-threatening functions in restricting tumor development and modulating responses to standard-of-care medicines. Cold atmospheric plasma, oncolytic viral therapy, bacterial therapy, nano-vaccine, and repurposed pharmaceuticals with combination therapy, antiangiogenic drugs, and immunotherapies are among the most effective therapies directed by TME that have either been clinically authorized or are currently being studied. This article discusses above-mentioned therapies in light of targeting TME. We also cover problems related to the TME-targeted therapies, as well as future insights and practical uses in this rapidly growing field.

摘要

细胞和基质成分包括肿瘤细胞、免疫细胞、间充质细胞、与癌症相关的成纤维细胞和细胞外基质,构成肿瘤微环境(TME)。TME 在重新编程肿瘤起始、不受控制的增殖、侵袭和转移以及对治疗方式的反应方面起着至关重要的作用。近年来,由于其在限制肿瘤发展和调节对标准治疗药物的反应方面的致命功能,针对 TME 的治疗已成为癌症治疗的一种潜在策略。冷等离体等离子体、溶瘤病毒治疗、细菌治疗、纳米疫苗和联合治疗的再利用药物、抗血管生成药物和免疫疗法是 TME 指导的最有效治疗方法之一,这些方法已经获得临床批准或正在研究中。本文根据针对 TME 讨论了上述疗法。我们还涵盖了与 TME 靶向治疗相关的问题,以及在这个快速发展的领域中的未来见解和实际用途。

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