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结直肠癌肝转移:发病机制、肿瘤微环境免疫图谱及治疗方法。

Liver metastasis from colorectal cancer: pathogenetic development, immune landscape of the tumour microenvironment and therapeutic approaches.

机构信息

Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.

Department of Oncology, Shanghai Medical College of Fudan University, Shanghai, China.

出版信息

J Exp Clin Cancer Res. 2023 Jul 22;42(1):177. doi: 10.1186/s13046-023-02729-7.

Abstract

Colorectal cancer liver metastasis (CRLM) is one of the leading causes of death among patients with colorectal cancer (CRC). Although immunotherapy has demonstrated encouraging outcomes in CRC, its benefits are minimal in CRLM. The complex immune landscape of the hepatic tumour microenvironment is essential for the development of a premetastatic niche and for the colonisation and metastasis of CRC cells; thus, an in-depth understanding of these mechanisms can provide effective immunotherapeutic targets for CRLM. This review summarises recent studies on the immune landscape of the tumour microenvironment of CRLM and highlights therapeutic prospects for targeting the suppressive immune microenvironment of CRLM.

摘要

结直肠癌肝转移(CRLM)是结直肠癌(CRC)患者死亡的主要原因之一。尽管免疫疗法在 CRC 中显示出令人鼓舞的结果,但在 CRLM 中的获益有限。肝肿瘤微环境的复杂免疫景观对于前转移生态位的发展以及 CRC 细胞的定植和转移至关重要;因此,深入了解这些机制可为 CRLM 提供有效的免疫治疗靶点。本综述总结了 CRLM 肿瘤微环境免疫景观的最新研究,并强调了针对 CRLM 抑制性免疫微环境的治疗前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b8/10362774/0433ed9c4487/13046_2023_2729_Fig1_HTML.jpg

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