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肿瘤微环境中树突状细胞功能障碍。

Impaired function of dendritic cells within the tumor microenvironment.

机构信息

Department of Pharmacy, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, China.

College of Pharmacy, Jinan University, Guangzhou, China.

出版信息

Front Immunol. 2023 Jun 27;14:1213629. doi: 10.3389/fimmu.2023.1213629. eCollection 2023.

Abstract

Dendritic cells (DCs), a class of professional antigen-presenting cells, are considered key factors in the initiation and maintenance of anti-tumor immunity due to their powerful ability to present antigen and stimulate T-cell responses. The important role of DCs in controlling tumor growth and mediating potent anti-tumor immunity has been demonstrated in various cancer models. Accordingly, the infiltration of stimulatory DCs positively correlates with the prognosis and response to immunotherapy in a variety of solid tumors. However, accumulating evidence indicates that DCs exhibit a significantly dysfunctional state, ultimately leading to an impaired anti-tumor immune response due to the effects of the immunosuppressive tumor microenvironment (TME). Currently, numerous preclinical and clinical studies are exploring immunotherapeutic strategies to better control tumors by restoring or enhancing the activity of DCs in tumors, such as the popular DC-based vaccines. In this review, an overview of the role of DCs in controlling tumor progression is provided, followed by a summary of the current advances in understanding the mechanisms by which the TME affects the normal function of DCs, and concluding with a brief discussion of current strategies for DC-based tumor immunotherapy.

摘要

树突状细胞 (DCs) 是一类专业的抗原呈递细胞,由于其强大的抗原呈递和刺激 T 细胞反应的能力,被认为是启动和维持抗肿瘤免疫的关键因素。在各种癌症模型中,已经证明了 DCs 在控制肿瘤生长和介导有效的抗肿瘤免疫方面的重要作用。因此,在各种实体瘤中,刺激型 DCs 的浸润与预后和免疫治疗反应呈正相关。然而,越来越多的证据表明,DCs 表现出明显的功能障碍状态,最终由于免疫抑制性肿瘤微环境 (TME) 的影响,导致抗肿瘤免疫反应受损。目前,许多临床前和临床研究正在探索免疫治疗策略,通过恢复或增强肿瘤中 DCs 的活性来更好地控制肿瘤,例如广受欢迎的基于 DC 的疫苗。在这篇综述中,概述了 DCs 在控制肿瘤进展中的作用,总结了目前对 TME 影响 DCs 正常功能的机制的理解进展,并简要讨论了基于 DC 的肿瘤免疫治疗的当前策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d264/10333501/26be27b7841d/fimmu-14-1213629-g001.jpg

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