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乳腺肿瘤微环境中的肿瘤相关巨噬细胞

Tumor-Associated Macrophage in Breast Tumor Microenvironment.

作者信息

Ma Lingyao, Jin Yuexinzi, Xu Jian, Zhang Jiexin

机构信息

Department of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Branch of National Clinical Research Center for Laboratory Medicine, Nanjing 210029, China.

出版信息

Int J Mol Sci. 2025 Jun 21;26(13):5973. doi: 10.3390/ijms26135973.

Abstract

Breast cancer (BC) is the most common cancer in women worldwide. It is one of the main causes of cancer-related mortality. The breast tumor microenvironment (Br-TME) has emerged as an important factor related to BC development and prognosis. Tumor-associated macrophages (TAMs) are the main effector cells in the Br-TME; they play key roles in regulating angiogenesis, immunosuppression, metastasis, and chemoresistance in BC patients. In this review, we introduce the macrophage niche in the Br-TME, particularly emphasizing the origin of TAMs. Next, we summarize the typical pathways and molecular mechanisms of the interactions between TAMs and various other components in the Br-TME. Finally, we provide an overview of drugs that target TAMs and discuss the prevailing technologies for drug delivery in the context of BC treatment. Identification of the dynamic variations in tumor-promoting TAMs will help reveal the key links that drive BC progression. This review provides a theoretical basis for upcoming clinical trials that may substantially benefit patients.

摘要

乳腺癌(BC)是全球女性中最常见的癌症。它是癌症相关死亡的主要原因之一。乳腺肿瘤微环境(Br-TME)已成为与BC发生发展及预后相关的重要因素。肿瘤相关巨噬细胞(TAM)是Br-TME中的主要效应细胞;它们在调节BC患者的血管生成、免疫抑制、转移和化疗耐药性方面发挥关键作用。在本综述中,我们介绍了Br-TME中的巨噬细胞生态位,特别强调了TAM的起源。接下来,我们总结了TAM与Br-TME中其他各种成分相互作用的典型途径和分子机制。最后,我们概述了靶向TAM的药物,并讨论了BC治疗背景下的主流药物递送技术。识别促肿瘤TAM的动态变化将有助于揭示驱动BC进展的关键环节。本综述为可能使患者显著受益的即将开展的临床试验提供了理论基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bab/12250111/60c399469519/ijms-26-05973-g001.jpg

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