Department of Stomatology, The Third Affiliated Hospital of Soochow University, Changzhou, China.
Department of General Practice, Unit 94587 of the Chinese People's Liberation Army, Lianyungang, China.
J Cancer Res Clin Oncol. 2024 Apr 5;150(4):177. doi: 10.1007/s00432-024-05704-7.
When it comes to the diagnosis of solid tumors, biopsy is always the gold standard. However, traumatic and inflammatory stimuli are so closely related to tumor initiation and development that the acute inflammatory response induced by biopsy can give rise to changes in the tumor microenvironment, including recruitment of immunosuppressive cells (M2 macrophages, Treg cells, Tumor-associated neutrophils) and secretion of inflammation-associated cytokines, to create immunosuppressive conditions that enable the increase of circulating tumor cells in the peripheral circulation and promote the metastatic spread of tumors after surgery. In this review, we discuss dynamic changes and inhibitory characteristics of biopsy on tumor microenvironment. By investigating its mechanism of action and summarizing the current therapeutic strategies for biopsy-induced tumor immunosuppressive microenvironment, the future of using biopsy-induced inflammation to improve the therapeutic effects and prognosis of patients is prospected.
在实体瘤的诊断中,活检一直是金标准。然而,创伤和炎症刺激与肿瘤的发生和发展密切相关,活检引起的急性炎症反应会导致肿瘤微环境发生变化,包括招募免疫抑制细胞(M2 巨噬细胞、Treg 细胞、肿瘤相关中性粒细胞)和分泌炎症相关细胞因子,从而产生免疫抑制条件,使外周循环中的循环肿瘤细胞增加,并促进手术后肿瘤的转移扩散。在这篇综述中,我们讨论了活检对肿瘤微环境的动态变化和抑制特征。通过研究其作用机制,并总结目前针对活检诱导的肿瘤免疫抑制微环境的治疗策略,展望了利用活检诱导的炎症来改善患者治疗效果和预后的未来。