Liu Jun, Lu Jiaye, Wu Ling, Zhang Tingrui, Wu Junchao, Li Lisha, Tai Zongguang, Chen Zhongjian, Zhu Quangang
Shanghai Skin Disease Hospital, School of Medicine, Tongji University, 1278 Baode Road, Shanghai 200443, China; Shanghai Engineering Research Center of Topical Chinese Medicine, 1278 Baode Road, Shanghai 200443, China.
School of Medicine, Shanghai University, 99 Shangda Road, Shanghai 200444, China; Shanghai Engineering Research Center of Topical Chinese Medicine, 1278 Baode Road, Shanghai 200443, China.
J Adv Res. 2025 Jan;67:231-252. doi: 10.1016/j.jare.2024.01.013. Epub 2024 Jan 17.
The incidence of skin cancer is currently increasing, and conventional treatment options inadequately address the demands of disease management. Fortunately, the recent rapid advancement of immunotherapy, particularly immune checkpoint inhibitors (ICIs), has ushered in a new era for numerous cancer patients. However, the efficacy of immunotherapy remains suboptimal due to the impact of the tumor microenvironment (TME). Tumor-associated macrophages (TAMs), a major component of the TME, play crucial roles in tumor invasion, metastasis, angiogenesis, and immune evasion, significantly impacting tumor development. Consequently, TAMs have gained considerable attention in recent years, and their roles have been extensively studied in various tumors. However, the specific roles of TAMs and their regulatory mechanisms in skin cancer remain unclear.
This paper aims to elucidate the origin and classification of TAMs, investigate the interactions between TAMs and various immune cells, comprehensively understand the precise mechanisms by which TAMs contribute to the pathogenesis of different types of skin cancer, and finally discuss current strategies for targeting TAMs in the treatment of skin cancer.
With a specific emphasis on the interrelationship between TAMs and skin cancer, this paper posits that therapeutic modalities centered on TAMs hold promise in augmenting and harmonizing with prevailing clinical interventions for skin cancer, thereby charting a novel trajectory for advancing the landscape of immunotherapeutic approaches for skin cancer.
皮肤癌的发病率目前正在上升,传统的治疗方案无法充分满足疾病管理的需求。幸运的是,免疫疗法,特别是免疫检查点抑制剂(ICIs)最近的迅速发展,为众多癌症患者开创了一个新时代。然而,由于肿瘤微环境(TME)的影响,免疫疗法的疗效仍然不尽人意。肿瘤相关巨噬细胞(TAMs)是TME的主要组成部分,在肿瘤侵袭、转移、血管生成和免疫逃逸中发挥着关键作用,对肿瘤发展有重大影响。因此,TAMs近年来受到了广泛关注,其作用在各种肿瘤中也得到了广泛研究。然而,TAMs在皮肤癌中的具体作用及其调控机制仍不清楚。
本文旨在阐明TAMs的起源和分类,研究TAMs与各种免疫细胞之间的相互作用,全面了解TAMs促进不同类型皮肤癌发病机制的精确机制,最后讨论目前在皮肤癌治疗中靶向TAMs的策略。
本文特别强调TAMs与皮肤癌之间的相互关系,认为以TAMs为中心的治疗方式有望增强并与现有的皮肤癌临床干预措施相协调,从而为推进皮肤癌免疫治疗方法的发展开辟一条新的道路。