Tom Veena V, Jose Ann Mary, Mallick Sumit, Sasidharan Athira, Pawar Rakshita, Somayaji Yogish, Fernandes Ronald
Department of Allied Health Sciences, Nitte Gulabi Shetty Memorial Institute of Pharmaceutical Sciences (NGSMIPS), NITTE (Deemed to Be University), Deralakatte, Mangaluru, 575018, Karnataka, India.
Department of Post Graduate Studies and Research in Biochemistry, St. Aloysius (Deemed to Be University), Mangaluru, 575003, Karnataka, India.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Mar 10. doi: 10.1007/s00210-025-03985-4.
Cancer immunotherapy has long been an essential segment of current research and presents several problems to contemporary medicine. Though their precise roles are still elusive, recent studies have highlighted the importance of both innate and adaptive immune defence systems in the development and management of cancer. The immune system plays a crucial role in cancer prevention and control by identifying and eliminating abnormal cells. This activity can be evidenced in tumour-infiltrating lymphocytes (TILs), immune cells found within and surrounding tumours. TILs often correlate with better patient outcomes, indicating an active immune response against the cancer. This review investigates how these immune systems help tumour cells acquire the ability to infiltrate malignantly and elude immune defences. Tumour-associated macrophages (TAMs), myeloid-derived suppressor cells (MDSCs), and regulatory T cells (Tregs) are among the invading immune cell types whose roles in tumour development and immune suppression are investigated. These cells help cancers avoid being detected by the immune system, which increases their aggressiveness and ability to spread. Further, we have discussed the potential treatment approaches that target these immune processes, including immune checkpoint inhibitors (ICIs) and cutting-edge immunotherapies intended to reestablish robust anti-tumour responses. Researchers can find new ways to improve the efficacy of cancer immunotherapies by comprehending the intricate relationships between malignancies and the immune system. Moreover, we have summarized how targeting the immune response leads to more potent medications, enhancing the patient's outcome and survival.
癌症免疫疗法长期以来一直是当前研究的重要组成部分,并给当代医学带来了几个问题。尽管它们的确切作用仍不明确,但最近的研究强调了先天免疫防御系统和适应性免疫防御系统在癌症发生发展及治疗中的重要性。免疫系统在识别和清除异常细胞方面对癌症预防和控制起着关键作用。这种活动在肿瘤浸润淋巴细胞(TILs)中得到体现,TILs是在肿瘤内部和周围发现的免疫细胞。TILs通常与更好的患者预后相关,表明对癌症有积极的免疫反应。本综述探讨了这些免疫系统如何帮助肿瘤细胞获得恶性浸润和逃避免疫防御的能力。肿瘤相关巨噬细胞(TAMs)、髓系来源的抑制细胞(MDSCs)和调节性T细胞(Tregs)是入侵免疫细胞类型中的一部分,它们在肿瘤发展和免疫抑制中的作用得到了研究。这些细胞帮助癌症避免被免疫系统检测到,从而增加了它们的侵袭性和扩散能力。此外,我们还讨论了针对这些免疫过程的潜在治疗方法,包括免疫检查点抑制剂(ICIs)和旨在重新建立强大抗肿瘤反应的前沿免疫疗法。通过理解恶性肿瘤与免疫系统之间的复杂关系,研究人员可以找到提高癌症免疫疗法疗效的新方法。此外,我们总结了针对免疫反应如何产生更有效的药物,改善患者的预后和生存率。