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单细胞分析在肺癌免疫治疗中的应用:当前进展、新挑战与期望

Applications of single-cell analysis in immunotherapy for lung cancer: Current progress, new challenges and expectations.

作者信息

Xiao Nan, Liu Hongyang, Zhang Chenxing, Chen Huanxiang, Li Yang, Yang Ying, Liu Hongchun, Wan Junhu

机构信息

Department of Clinical Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.

Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.

出版信息

J Adv Res. 2025 Aug;74:269-281. doi: 10.1016/j.jare.2024.10.008. Epub 2024 Oct 12.

Abstract

BACKGROUND

Lung cancer is a prevalent form of cancer worldwide, presenting a substantial risk to human well-being. Lung cancer is classified into two main types: non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). The advancement of tumor immunotherapy, specifically immune checkpoint inhibitors and adaptive T-cell therapy, has encountered substantial obstacles due to the rapid progression of SCLC and the metastasis, recurrence, and drug resistance of NSCLC. These challenges are believed to stem from the tumor heterogeneity of lung cancer within the tumor microenvironment.

AIM OF REVIEW

This review aims to comprehensively explore recent strides in single-cell analysis, a robust sequencing technology, concerning its application in the realm of tumor immunotherapy for lung cancer. It has been effectively integrated with transcriptomics, epigenomics, genomics, and proteomics for various applications. Specifically, these techniques have proven valuable in mapping the transcriptional activity of tumor-infiltrating lymphocytes in patients with NSCLC, identifying circulating tumor cells, and elucidating the heterogeneity of the tumor microenvironment.

KEY SCIENTIFIC CONCEPTS OF REVIEW

The review emphasizes the paramount significance of single-cell analysis in mapping the immune cells within NSCLC patients, unveiling circulating tumor cells, and elucidating the tumor microenvironment heterogeneity. Notably, these advancements highlight the potential of single-cell analysis to revolutionize lung cancer immunotherapy by characterizing immune cell fates, improving therapeutic strategies, and identifying promising targets or prognostic biomarkers. It is potential to unravel the complexities within the tumor microenvironment and enhance treatment strategies marks a significant step towards more effective therapies and improved patient outcomes.

摘要

背景

肺癌是全球范围内一种常见的癌症形式,对人类健康构成重大风险。肺癌主要分为两种类型:非小细胞肺癌(NSCLC)和小细胞肺癌(SCLC)。由于SCLC进展迅速以及NSCLC的转移、复发和耐药性,肿瘤免疫疗法,特别是免疫检查点抑制剂和适应性T细胞疗法的发展遇到了重大障碍。这些挑战被认为源于肿瘤微环境中肺癌的肿瘤异质性。

综述目的

本综述旨在全面探讨单细胞分析这一强大的测序技术在肺癌肿瘤免疫治疗领域的应用方面的最新进展。它已与转录组学、表观基因组学、基因组学和蛋白质组学有效整合以用于各种应用。具体而言,这些技术已被证明在绘制NSCLC患者肿瘤浸润淋巴细胞的转录活性、识别循环肿瘤细胞以及阐明肿瘤微环境的异质性方面具有价值。

综述的关键科学概念

该综述强调了单细胞分析在绘制NSCLC患者体内免疫细胞图谱、揭示循环肿瘤细胞以及阐明肿瘤微环境异质性方面的至关重要性。值得注意的是,这些进展突出了单细胞分析通过表征免疫细胞命运、改进治疗策略以及识别有前景的靶点或预后生物标志物来彻底改变肺癌免疫治疗的潜力。揭示肿瘤微环境中的复杂性并加强治疗策略是朝着更有效治疗和改善患者预后迈出的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f8/12302520/409b14506ded/ga1.jpg

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