Wang Lei, Jia Qingzhu, Chu Qian, Zhu Bo
Department of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.
Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
Chin Med J Pulm Crit Care Med. 2023 Feb 25;1(1):18-29. doi: 10.1016/j.pccm.2022.11.001. eCollection 2023 Mar.
The tumor microenvironment (TME) is composed of different cellular and non-cellular elements. Constant interactions between tumor cells and the TME are responsible for tumor initiation, tumor progression, and responses to therapies. Immune cells in the TME can be classified into two broad categories, namely adaptive and innate immunity. Targeting these immune cells has attracted substantial research and clinical interest. Current research focuses on identifying key molecular players and developing targeted therapies. These approaches may offer more efficient ways of treating different cancers. In this review, we explore the heterogeneity of the TME in non-small cell lung cancer, summarize progress made in targeting the TME in preclinical and clinical studies, discuss the potential predictive value of the TME in immunotherapy, and highlight the promising effects of bispecific antibodies in the era of immunotherapy.
肿瘤微环境(TME)由不同的细胞和非细胞成分组成。肿瘤细胞与TME之间持续的相互作用导致肿瘤的起始、进展以及对治疗的反应。TME中的免疫细胞可大致分为两类,即适应性免疫和先天性免疫。针对这些免疫细胞的研究和临床应用已引起了广泛关注。当前的研究重点是确定关键分子并开发靶向治疗方法。这些方法可能为治疗不同癌症提供更有效的途径。在本综述中,我们探讨了非小细胞肺癌中TME的异质性,总结了临床前和临床研究中针对TME的进展,讨论了TME在免疫治疗中的潜在预测价值,并强调了双特异性抗体在免疫治疗时代的显著效果。