Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Hepatobiliary and Pancreatic Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, China.
Cell Death Dis. 2024 May 16;15(5):341. doi: 10.1038/s41419-024-06726-2.
The liver is a major metastatic site (organ) for gastrointestinal cancers (such as colorectal, gastric, and pancreatic cancers) as well as non-gastrointestinal cancers (such as lung, breast, and melanoma cancers). Due to the innate anatomical position of the liver, the apoptosis of T cells in the liver, the unique metabolic regulation of hepatocytes and other potential mechanisms, the liver tends to form an immunosuppressive microenvironment and subsequently form a pre-metastatic niche (PMN), which can promote metastasis and colonization by various tumor cells(TCs). As a result, the critical role of immunoresponse in liver based metastasis has become increasingly appreciated. T cells, a centrally important member of adaptive immune response, play a significant role in liver based metastases and clarifying the different roles of the various T cells subsets is important to guide future clinical treatment. In this review, we first introduce the predisposing factors and related mechanisms of liver metastasis (LM) before introducing the PMN and its transition to LM. Finally, we detail the role of different subsets of T cells in LM and advances in the management of LM in order to identify potential therapeutic targets for patients with LM.
肝脏是胃肠道癌(如结直肠癌、胃癌和胰腺癌)和非胃肠道癌(如肺癌、乳腺癌和黑色素瘤)的主要转移部位(器官)。由于肝脏的固有解剖位置、肝脏中 T 细胞的凋亡、肝细胞的独特代谢调节以及其他潜在机制,肝脏容易形成免疫抑制微环境,并随后形成前转移龛(PMN),从而促进各种肿瘤细胞(TCs)的转移和定植。因此,免疫反应在肝脏转移中的关键作用越来越受到重视。T 细胞是适应性免疫反应的重要成员,在肝脏转移中起着重要作用,阐明不同 T 细胞亚群的作用对于指导未来的临床治疗非常重要。在这篇综述中,我们首先介绍了肝脏转移(LM)的易患因素和相关机制,然后介绍了 PMN 及其向 LM 的转变。最后,我们详细介绍了不同 T 细胞亚群在 LM 中的作用以及 LM 管理方面的进展,以确定 LM 患者的潜在治疗靶点。
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