自噬在肿瘤免疫逃逸与免疫治疗中的作用
Autophagy in tumor immune escape and immunotherapy.
作者信息
Wang Huan, Sun Peng, Yuan Xijing, Xu Zhiyong, Jiang Xinyuan, Xiao Mingshu, Yao Xin, Shi Yueli
机构信息
Department of Respiratory & Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Department of Respiratory and Critical Care Medicine, Center for Oncology Medicine, the, Fourth Affiliated Hospital of School of Medicine, and Internation School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, China.
出版信息
Mol Cancer. 2025 Mar 19;24(1):85. doi: 10.1186/s12943-025-02277-y.
The immunotherapy targeting tumor immune escape mechanisms has become a critical strategy in anticancer treatment; however, the challenge of immune resistance remains significant. Autophagy, a cellular response to various stressors, involves the degradation of damaged proteins and organelles via lysosomal pathways, maintaining cellular homeostasis. This process not only supports tumor cell survival but also profoundly impacts the efficacy of cancer immunotherapies. The modulation of autophagy in tumor cells or immune cells exerts dual effects on tumor immune escape and immunotherapy. However, the mechanistic details of how autophagy influences the immune system and therapy remain inadequately understood. Given this complexity, a deeper understanding of the role of autophagy in the tumor-immune landscape could reveal novel therapeutic avenues. By manipulating autophagy appropriately, it may be possible to overcome immune resistance and enhance the effectiveness of immunotherapeutic strategies. This article summarizes the role of autophagy in tumor immunity, its relationship with immunotherapy, and the potential therapeutic benefits of targeting autophagy to strengthen antitumor immune responses and optimize the outcomes of immunotherapy.
针对肿瘤免疫逃逸机制的免疫疗法已成为抗癌治疗的关键策略;然而,免疫抵抗的挑战仍然巨大。自噬是细胞对各种应激源的反应,通过溶酶体途径参与受损蛋白质和细胞器的降解,维持细胞内稳态。这一过程不仅支持肿瘤细胞存活,还深刻影响癌症免疫疗法的疗效。对肿瘤细胞或免疫细胞中自噬的调节对肿瘤免疫逃逸和免疫疗法具有双重作用。然而,自噬如何影响免疫系统和治疗的机制细节仍未得到充分理解。鉴于这种复杂性,更深入地了解自噬在肿瘤免疫格局中的作用可能会揭示新的治疗途径。通过适当地调控自噬,有可能克服免疫抵抗并提高免疫治疗策略的有效性。本文总结了自噬在肿瘤免疫中的作用、其与免疫疗法的关系,以及靶向自噬以增强抗肿瘤免疫反应和优化免疫治疗结果的潜在治疗益处。