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免疫代谢在皮肤癌中的作用:对发病机制和治疗的影响。

The role of immune metabolism in skin cancers: implications for pathogenesis and therapy.

作者信息

Lu Xuanyu, Zhu Yurui, Qin Tianyu, Shen Yu

机构信息

Department of Dermatology, Third Affiliated Hospital of Nantong University, Nantong Third People's Hospital, Nantong, China.

School of Medicine, Nantong University, Nantong, China.

出版信息

Transl Cancer Res. 2024 Jul 31;13(7):3898-3903. doi: 10.21037/tcr-24-695. Epub 2024 Jul 26.

Abstract

The skin is a complex organ that serves as a critical barrier against external pathogens and environmental impact. Recent advances in immunometabolism have highlighted the intricate link between cellular metabolism and immune function, particularly in the context of skin cancers. This review aims to provide a comprehensive overview of the key metabolic pathways and adaptations that occur in immune cells during homeostasis and activation, and explore how metabolic reprogramming contributes to the pathogenesis of specific skin cancers. We discuss the complex interplay between tumor cells and infiltrating immune cells, which shapes the tumor microenvironment and influences disease outcomes. The review delves into the role of various metabolic pathways, such as glycolysis, oxidative phosphorylation, and lipid metabolism, in the regulation of immune cell function and their impact on the development and progression of skin cancers. Furthermore, we examine the potential of targeting metabolic pathways as a therapeutic strategy in skin cancers and discuss the challenges and future perspectives in this rapidly evolving field. By understanding the metabolic basis of skin immune responses, we can develop novel, personalized therapies for the treatment of skin cancers, ultimately improving patient outcomes and quality of life. The insights gained from this review will contribute to the growing body of knowledge in immunometabolism and its application in the management of skin cancers, paving the way for more effective and targeted interventions in the future.

摘要

皮肤是一个复杂的器官,是抵御外部病原体和环境影响的关键屏障。免疫代谢领域的最新进展凸显了细胞代谢与免疫功能之间的复杂联系,尤其是在皮肤癌的背景下。本综述旨在全面概述稳态和激活过程中免疫细胞内发生的关键代谢途径和适应性变化,并探讨代谢重编程如何促成特定皮肤癌的发病机制。我们讨论肿瘤细胞与浸润免疫细胞之间的复杂相互作用,这种相互作用塑造了肿瘤微环境并影响疾病结局。该综述深入探讨了各种代谢途径,如糖酵解、氧化磷酸化和脂质代谢,在调节免疫细胞功能中的作用及其对皮肤癌发生和发展的影响。此外,我们研究了将靶向代谢途径作为皮肤癌治疗策略的潜力,并讨论了这一快速发展领域中的挑战和未来前景。通过了解皮肤免疫反应的代谢基础,我们可以开发出新颖的个性化皮肤癌治疗方法,最终改善患者的治疗效果和生活质量。本综述所获得的见解将有助于丰富免疫代谢领域的知识及其在皮肤癌管理中的应用,为未来更有效、更具针对性的干预措施铺平道路。

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