Huang Tianning, Li Fan, Wang Yiming, Gu Jian, Lu Ling
Department of Plastic and Cosmetic Surgery of the Affiliated Friendship Plastic Surgery Hospital & Hepatobiliary Center of the First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Research Unit of Liver Transplantation and Transplant Immunology, Chinese Academy of Medical Sciences, Nanjing, Jiangsu 210029, China.
Chin Med J (Engl). 2024 Dec 20;137(24):2996-3009. doi: 10.1097/CM9.0000000000003450. Epub 2024 Dec 16.
Regulatory T cell (Tregs) predominantly maintain the immune balance and prevent autoimmunity via their immunosuppressive functions. However, tumor-infiltrating Tregs (TI-Tregs) may mediate tumor immune tolerance in complex tumor microenvironments, resulting in poor prognosis. Distinguishing specific TI-Treg subpopulations from peripheral Tregs and intratumoral conventional T cells (Tconvs) has recently emerged as an important topic in antitumor therapy. In this review, we summarize novel therapeutic approaches targeting both the metabolic pathways and hallmarks of TI-Tregs in preclinical and clinical studies. Although the phenotypic and functional diversity of TI-Tregs remains unclear, our review provides new insights into TI-Treg-based therapies and facilitates precision medicine for tumor treatment.
调节性T细胞(Tregs)主要通过其免疫抑制功能维持免疫平衡并预防自身免疫。然而,肿瘤浸润性Tregs(TI-Tregs)可能在复杂的肿瘤微环境中介导肿瘤免疫耐受,导致预后不良。从外周Tregs和肿瘤内常规T细胞(Tconvs)中区分出特定的TI-Treg亚群,最近已成为抗肿瘤治疗中的一个重要课题。在本综述中,我们总结了在临床前和临床研究中针对TI-Tregs的代谢途径和特征的新型治疗方法。尽管TI-Tregs的表型和功能多样性仍不清楚,但我们的综述为基于TI-Treg的治疗提供了新的见解,并促进了肿瘤治疗的精准医学。