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糖皮质激素在癌症患者中的作用。

Glucocorticoid Effect in Cancer Patients.

机构信息

Complejo Asistencial Universitario de León, León, Spain.

出版信息

Methods Mol Biol. 2023;2704:339-352. doi: 10.1007/978-1-0716-3385-4_21.

Abstract

The use of glucocorticoids is very varied in the context of cancer patients and includes the treatment of symptoms related to cancer, but also the management of the most common side effects of antitumor treatments or adverse events related to the immune system. There is a quantity of experimental evidence demonstrating that cancer cells are immunogenic. However, the effective activation of anticancer T cell responses closely depends on an efficient antigen presentation carried out by professional antigen-presenting cells such as dendritic cells (DCs). The classic strategies to improve the medical management of inflammation are aimed at exacerbating the host's immune response. Although successful in treating a number of diseases, these drugs have limited efficacy and variable responses can lead to unpredictable results. The ideal therapy should reduce inflammation without inducing immunosuppression and remains a challenge for healthcare personnel.

摘要

糖皮质激素在癌症患者中的应用非常多样化,包括治疗与癌症相关的症状,还包括管理抗肿瘤治疗最常见的副作用或与免疫系统相关的不良事件。有大量实验证据表明癌细胞具有免疫原性。然而,有效的抗肿瘤 T 细胞反应的激活密切依赖于由专业抗原呈递细胞(如树突状细胞)进行的有效抗原呈递。改善炎症的经典策略旨在加剧宿主的免疫反应。尽管这些药物在治疗许多疾病方面取得了成功,但它们的疗效有限,并且可变的反应可能导致不可预测的结果。理想的治疗方法应该在不引起免疫抑制的情况下减轻炎症,这仍然是医疗保健人员面临的挑战。

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