Institute for Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University, Qingdao, China.
Front Immunol. 2023 Sep 12;14:1268745. doi: 10.3389/fimmu.2023.1268745. eCollection 2023.
The increasing knowledge in the field of oncoimmunology has led to extensive research into tumor immune landscape and a plethora of clinical immunotherapy trials in cancer patients. Immunotherapy has become a clinically beneficial alternative to traditional treatments by enhancing the power of the host immune system against cancer. However, it only works for a minority of cancers. Drug resistance continues to be a major obstacle to the success of immunotherapy in cancer. A fundamental understanding of the detailed mechanisms underlying immunotherapy resistance in cancer patients will provide new potential directions for further investigations of cancer treatment. Noncoding RNAs (ncRNAs) are tightly linked with cancer initiation and development due to their critical roles in gene expression and epigenetic modulation. The clear appreciation of the role of ncRNAs in tumor immunity has opened new frontiers in cancer research and therapy. Furthermore, ncRNAs are increasingly acknowledged as a key factor influencing immunotherapeutic treatment outcomes. Here, we review the available evidence on the roles of ncRNAs in immunotherapy resistance, with an emphasis on the associated mechanisms behind ncRNA-mediated immune resistance. The clinical implications of immune-related ncRNAs are also discussed, shedding light on the potential ncRNA-based therapies to overcome the resistance to immunotherapy.
肿瘤免疫学领域知识的不断增加,促使人们对肿瘤免疫景观进行了广泛的研究,并在癌症患者中开展了大量的临床免疫治疗试验。免疫疗法通过增强宿主免疫系统对癌症的作用,已成为传统治疗的一种有临床益处的替代方法。然而,它仅适用于少数癌症。耐药性仍然是免疫疗法在癌症中取得成功的主要障碍。深入了解癌症患者免疫治疗耐药的详细机制,将为癌症治疗的进一步研究提供新的潜在方向。
非编码 RNA(ncRNA)由于在基因表达和表观遗传调控中的关键作用,与癌症的发生和发展密切相关。ncRNA 在肿瘤免疫中的作用的明确认识为癌症研究和治疗开辟了新的前沿。此外,ncRNA 被越来越多地认为是影响免疫治疗治疗效果的关键因素。
在这里,我们回顾了 ncRNA 在免疫治疗耐药性中的作用的现有证据,重点讨论了 ncRNA 介导的免疫耐药性背后的相关机制。还讨论了免疫相关 ncRNA 的临床意义,为克服免疫治疗耐药性提供了基于 ncRNA 的治疗方法的潜在思路。
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