Department of Biological Medicines & Shanghai Engineering Research Center of Immunotherapeutics, School of Pharmacy, Fudan University, Shanghai 201203, China.
Shanghai Tinova Immune Therapeutics Co., Ltd., Shanghai 201413, China.
Int J Mol Sci. 2023 Jul 8;24(14):11233. doi: 10.3390/ijms241411233.
Immunotherapies including adaptive immune checkpoint inhibitors (ICIs) and chimeric antigen receptor (CAR) T cells, have developed the treatment of cancer in clinic, and most of them focus on activating T cell immunity. Although these strategies have obtained unprecedented clinical responses, only limited subsets of cancer patients could receive long-term benefits, highlighting the demand for identifying novel targets for the new era of tumor immunotherapy. Innate immunity has been demonstrated to play a determinative role in the tumor microenvironment (TME) and influence the clinical outcomes of tumor patients. A thorough comprehension of the innate immune cells that infiltrate tumors would allow for the development of new therapeutics. In this review, we outline the role and mechanism of innate immunity in TME. Moreover, we discuss innate immunity-based cancer immunotherapy in basic and clinical studies. Finally, we summarize the challenges in sufficiently motivating innate immune responses and the corresponding strategies and measures to improve anti-tumor efficacy. This review could aid the comprehension of innate immunity and inspire the creation of brand-new immunotherapies for the treatment of cancer.
免疫疗法包括适应性免疫检查点抑制剂(ICIs)和嵌合抗原受体(CAR)T 细胞,已在临床上发展了癌症的治疗方法,其中大多数方法侧重于激活 T 细胞免疫。尽管这些策略取得了前所未有的临床反应,但只有有限的癌症患者亚组能够获得长期受益,这凸显了对肿瘤免疫治疗新时代新靶标的需求。先天免疫已被证明在肿瘤微环境(TME)中起决定性作用,并影响肿瘤患者的临床结局。深入了解浸润肿瘤的先天免疫细胞将有助于开发新的治疗方法。在这篇综述中,我们概述了先天免疫在 TME 中的作用和机制。此外,我们还讨论了基础和临床研究中基于先天免疫的癌症免疫疗法。最后,我们总结了充分激发先天免疫反应的挑战以及提高抗肿瘤疗效的相应策略和措施。这篇综述有助于理解先天免疫,并为治疗癌症激发全新的免疫疗法。