Xiaohong Lu, Qiuxia Fu, Ruie Li, Daijie Wang, Muluh Tobias Achu, Zhang Yan
Department of Oncology, Luzhou People's Hospital, Luzhou 646000, Sichuan, China.
Department of General, Luzhou People's Hospital Luzhou646000, Sichuan, China.
Curr Drug Deliv. 2024 Apr 8. doi: 10.2174/0115672018299798240403062508.
Macrophages are immune cells with high heterogeneity and plasticity, crucial for recognizing and eliminating foreign substances, including cancer cells. However, cancer cells can evade the immune system by producing signals that cause macrophages to switch to a pro-tumor phenotype, promoting tumor growth and progression. Tumor-associated macrophages, which infiltrate into tumor tissue, are important immune cells in the tumor microenvironment and can regulate cancer's growth, invasion, and metastasis by inhibiting tumor immunity. This review article highlights the characteristics of tumor-associated macrophages and their role in the occurrence and development of cancer. It outlines how reprogramming macrophages towards an anti-tumor phenotype can improve the response to cancer therapy. Explore the intricate process of engineered nanoparticles serving as carriers for immunostimulatory molecules, activating macrophages to instigate an anti-tumor response. Finally, it summarizes several studies demonstrating targeting macrophages is a potential in preclinical cancer models. Several challenges must be addressed in developing effective macrophage-targeted therapies, such as the heterogeneity of macrophage subtypes and their plasticity. Further research is needed to understand the mechanisms underlying macrophage function in the tumor microenvironment and identify novel targets for macrophage-directed therapies. Targeting macrophages is a promising and innovative approach to improving cancer therapy and patient outcomes.
巨噬细胞是具有高度异质性和可塑性的免疫细胞,对于识别和清除包括癌细胞在内的外来物质至关重要。然而,癌细胞可通过产生信号使巨噬细胞转变为促肿瘤表型来逃避免疫系统,从而促进肿瘤生长和进展。浸润到肿瘤组织中的肿瘤相关巨噬细胞是肿瘤微环境中的重要免疫细胞,可通过抑制肿瘤免疫来调节癌症的生长、侵袭和转移。这篇综述文章重点介绍了肿瘤相关巨噬细胞的特征及其在癌症发生和发展中的作用。它概述了将巨噬细胞重编程为抗肿瘤表型如何能改善对癌症治疗的反应。探讨了工程纳米颗粒作为免疫刺激分子载体的复杂过程,激活巨噬细胞以引发抗肿瘤反应。最后,它总结了几项研究,表明在临床前癌症模型中靶向巨噬细胞具有潜力。在开发有效的巨噬细胞靶向疗法时必须解决几个挑战,例如巨噬细胞亚型的异质性及其可塑性。需要进一步研究以了解肿瘤微环境中巨噬细胞功能的潜在机制,并确定巨噬细胞导向疗法的新靶点。靶向巨噬细胞是改善癌症治疗和患者预后的一种有前景且创新的方法。