免疫细胞在肿瘤微环境中与癌细胞直接相互作用:一枚硬币的两面及其未来展望。
Immunocytes interact directly with cancer cells in the tumor microenvironment: one coin with two sides and future perspectives.
机构信息
Department of General Surgery (Breast and Thyroid Surgery), Shaoxing People's Hospital; Shaoxing Hospital, Zhejiang University School of Medicine, Zhejiang, China.
Department of Gynecology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
出版信息
Front Immunol. 2024 May 22;15:1388176. doi: 10.3389/fimmu.2024.1388176. eCollection 2024.
The tumor microenvironment is closely linked to the initiation, promotion, and progression of solid tumors. Among its constitutions, immunologic cells emerge as critical players, facilitating immune evasion and tumor progression. Apart from their indirect impact on anti-tumor immunity, immunocytes directly influence neoplastic cells, either bolstering or impeding tumor advancement. However, current therapeutic modalities aimed at alleviating immunosuppression from regulatory cells on effector immune cell populations may not consistently yield satisfactory results in various solid tumors, such as breast carcinoma, colorectal cancer, etc. Therefore, this review outlines and summarizes the direct, dualistic effects of immunocytes such as T cells, innate lymphoid cells, B cells, eosinophils, and tumor-associated macrophages on tumor cells within the tumor microenvironment. The review also delves into the underlying mechanisms involved and presents the outcomes of clinical trials based on these direct effects, aiming to propose innovative and efficacious therapeutic strategies for addressing solid tumors.
肿瘤微环境与实体瘤的发生、促进和进展密切相关。在其构成中,免疫细胞成为关键的参与者,促进免疫逃逸和肿瘤进展。除了对抗肿瘤免疫的间接影响外,免疫细胞还直接影响肿瘤细胞,无论是促进还是阻碍肿瘤的进展。然而,目前旨在减轻调节性细胞对效应免疫细胞群体免疫抑制的治疗方法,在各种实体瘤(如乳腺癌、结直肠癌等)中并不总能产生满意的效果。因此,本综述概述并总结了免疫细胞(如 T 细胞、固有淋巴细胞、B 细胞、嗜酸性粒细胞和肿瘤相关巨噬细胞)在肿瘤微环境中对肿瘤细胞的直接、双重作用。本综述还探讨了涉及的潜在机制,并根据这些直接作用呈现了临床试验的结果,旨在为解决实体瘤提出创新和有效的治疗策略。