Dimopoulou Konstantina, Tiniakos Dina, Arkadopoulos Nikolaos, Foukas Periklis G
Department of Gastroenterology, "Hippokration" General Hospital of Athens, Greece (Konstantina Dimopoulou).
Department of Pathology, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, Greece (Dina Tiniakos).
Ann Gastroenterol. 2025 Jan-Feb;38(1):1-11. doi: 10.20524/aog.2024.0936. Epub 2024 Dec 12.
Digestive tract carcinomas are the most commonly occurring cancers worldwide, but their prognosis with traditional treatments remains poor. T lymphocytes are well-recognized as crucial components of effective anti-tumor immunity, and current immunotherapeutic strategies concentrate mainly on T-cell-mediated immunity reinforcement, whereas the role of B lymphocytes and plasma cells (PCs) has been neglected in the past, and it is only recently that these cells have been considered as key players in the tumor microenvironment (TME). In this review, we describe the complex dual role of B lymphocytes and PCs in promoting and inhibiting tumor progression in the TME of digestive tract carcinomas, and we demonstrate their prognostic value. Furthermore, we highlight their controversial function in cancer and nominate them as additional therapeutic targets for the development of new treatment interventions that might alter the dismal prognosis of digestive tract tumors.
消化道癌是全球最常见的癌症,但其传统治疗的预后仍然很差。T淋巴细胞是公认的有效抗肿瘤免疫的关键组成部分,目前的免疫治疗策略主要集中在增强T细胞介导的免疫,而B淋巴细胞和浆细胞(PCs)的作用在过去一直被忽视,直到最近这些细胞才被认为是肿瘤微环境(TME)中的关键参与者。在这篇综述中,我们描述了B淋巴细胞和PCs在消化道癌TME中促进和抑制肿瘤进展的复杂双重作用,并展示了它们的预后价值。此外,我们强调了它们在癌症中存在争议的功能,并将它们指定为可能改变消化道肿瘤预后不良的新治疗干预措施开发的额外治疗靶点。