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环鸟苷酸-干扰素基因刺激物(cGAS-STING)通路在肝癌放化疗联合免疫治疗中的作用。

Roles of cGAS-STING Pathway in Radiotherapy Combined with Immunotherapy for Hepatocellular Carcinoma.

机构信息

Department of Radiation Oncology and Therapy, The First Hospital of Jilin University, Changchun, P.R. China.

出版信息

Mol Cancer Ther. 2024 Apr 2;23(4):447-453. doi: 10.1158/1535-7163.MCT-23-0373.

Abstract

Although great strides have been made in the management and treatment of hepatocellular carcinoma (HCC), its prognosis is still poor yielding a high mortality. Immunotherapy is recommended for treating advanced HCC, but its efficiency is hampered because of hepatic immunosuppression. Stimulator of interferon genes (STING) pathway, serving as a critical cytoplasmic DNA-sensing process, is reported to initiate the antitumor immune response, and link the innate immunity to the adaptive immune system. Radiotherapy has been well acknowledged to induce destruction and release of tumor-derived DNA into the cytoplasm, which then activates the cGAS-STING pathway. On this basis, radiotherapy can be used as a sensitizer for immunotherapy, and its combination with immunotherapy may bring in changes to the suboptimal efficacy of immune checkpoint inhibitor monotherapy. In this review, we summarized the roles of cGAS-STING pathway in regulation of radiotherapy combined with immunotherapy for treating HCC.

摘要

尽管在肝细胞癌(HCC)的管理和治疗方面已经取得了重大进展,但它的预后仍然很差,死亡率很高。免疫疗法被推荐用于治疗晚期 HCC,但由于肝脏免疫抑制,其效率受到阻碍。干扰素基因刺激物(STING)途径作为一种关键的细胞质 DNA 感应过程,据报道可以启动抗肿瘤免疫反应,并将先天免疫与适应性免疫系统联系起来。放射治疗已被广泛认为可以诱导肿瘤源性 DNA 进入细胞质的破坏和释放,从而激活 cGAS-STING 途径。在此基础上,放射治疗可用作免疫治疗的增敏剂,其与免疫治疗的联合可能会改变免疫检查点抑制剂单药治疗效果不佳的情况。在这篇综述中,我们总结了 cGAS-STING 途径在调节放疗联合免疫治疗 HCC 中的作用。

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