Purl Megan C, Shick Alexandria, Canter Robert J, Judge Sean J
University of California Davis Health, Division of Surgical Oncology, Department of Surgery, Sacramento, CA, United States.
Comprehensive Cancer Center, University of California, Davis, Sacramento, CA, United States.
Front Immunol. 2025 Jun 25;16:1611861. doi: 10.3389/fimmu.2025.1611861. eCollection 2025.
Novel cellular therapies have shown practice changing results in a range of hematologic malignancies, though success against solid tumors has been limited. Key factors limiting success of these therapies against solid tumors are homing to the site(s) of disease, engraftment, maintenance of function, and persistence. The inhospitable tumor microenvironment appears to provide barriers at every step of this process. The liver, a unique organ with diverse immunoregulatory functions, is a common site for metastatic disease from solid cancers of the gastrointestinal (GI) tract. Although the complex interplay between hepatocytes, circulatory and tissue resident immune cells, and the enterohepatic circulation has been investigated for some time, many unanswered questions about the immunobiology of the liver remain. More so, novel imaging techniques provide unparalleled insight into these interactions and shed light on these complex processes that can lead to an improved understanding of the tumor microenvironment in the liver and opportunities for improving homing of cellular therapy against liver tumors. In this review, we will provide a focused assessment of this burgeoning field and focus on the emerging tools for studying homing of these therapies and how they may be enhanced to better treat liver metastases.
新型细胞疗法已在一系列血液系统恶性肿瘤中显示出改变临床实践的效果,不过在实体瘤治疗方面的成功有限。限制这些疗法在实体瘤治疗中取得成功的关键因素包括归巢至疾病部位、植入、功能维持和持久性。恶劣的肿瘤微环境似乎在这一过程的每一步都构成了障碍。肝脏是一个具有多种免疫调节功能的独特器官,是胃肠道实体癌转移疾病的常见部位。尽管肝细胞、循环和组织驻留免疫细胞以及肠肝循环之间的复杂相互作用已被研究了一段时间,但关于肝脏免疫生物学仍有许多未解决的问题。更重要的是,新型成像技术为这些相互作用提供了无与伦比的见解,并揭示了这些复杂过程,有助于更好地理解肝脏中的肿瘤微环境,以及改善细胞疗法对肝肿瘤归巢的机会。在本综述中,我们将对这一新兴领域进行重点评估,并关注研究这些疗法归巢的新兴工具,以及如何增强这些工具以更好地治疗肝转移瘤。
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