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甲状腺癌免疫细胞与免疫治疗的新见解

New Insights into Immune Cells and Immunotherapy for Thyroid Cancer.

机构信息

School of Medical Laboratory, Weifang Medical University, Weifang, Shandong, China.

Department of Basic Medical Sciences, The 960th Hospital of the PLA, Jinan, Shandong, China.

出版信息

Immunol Invest. 2023 Nov;52(8):1039-1064. doi: 10.1080/08820139.2023.2268656. Epub 2023 Nov 24.

Abstract

Thyroid cancer (TC) is the most common endocrine malignancy worldwide, and the incidence of TC has gradually increased in recent decades. Differentiated thyroid cancer (DTC) is the most common subtype and has a good prognosis. However, advanced DTC patients with recurrence, metastasis and iodine refractoriness, as well as more aggressive subtypes such as poorly differentiated thyroid cancer (PDTC) and anaplastic thyroid cancer (ATC), still pose a great challenge for clinical management. Therefore, it is necessary to continue to explore the inherent molecular heterogeneity of different TC subtypes and the global landscape of the tumor immune microenvironment (TIME) to find new potential therapeutic targets. Immunotherapy is a promising therapeutic strategy that can be used alone or in combination with drugs targeting tumor-driven genes. This article focuses on the genomic characteristics, tumor-associated immune cell infiltration and immune checkpoint expression of different subtypes of TC patients to provide guidance for immunotherapy.

摘要

甲状腺癌(TC)是全球最常见的内分泌恶性肿瘤,近年来其发病率逐渐升高。分化型甲状腺癌(DTC)是最常见的亚型,预后良好。然而,晚期 DTC 患者出现复发、转移和碘难治性,以及侵袭性更强的亚型,如低分化甲状腺癌(PDTC)和间变性甲状腺癌(ATC),仍然对临床管理构成巨大挑战。因此,有必要继续探索不同 TC 亚型的内在分子异质性和肿瘤免疫微环境(TIME)的全球景观,以寻找新的潜在治疗靶点。免疫疗法是一种很有前途的治疗策略,可单独或与靶向肿瘤驱动基因的药物联合使用。本文重点介绍了不同 TC 亚型患者的基因组特征、肿瘤相关免疫细胞浸润和免疫检查点表达,为免疫治疗提供指导。

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