运动可以通过调节抗瘤免疫来提高检查点抑制的有效性吗?
Christina Brummer1,2, Tobias Pukrop1,2,3, Joachim Wiskemann4
1Department of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, 93053 Regensburg, Germany.
Cancers
|September 28, 2023
概括
运动可以通过促进瘤内的免疫细胞活性来增强癌症免疫疗法. 本综述探讨了身体活动如何影响抗瘤免疫和免疫检查点抑制 (ICI) 在临床前和临床环境中的有效性.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 运动科学 运动科学
背景情况:
- 免疫检查点抑制 (ICI) 已经改变了癌症治疗,但显示出有限的耐用性和响应率.
- 不响应的瘤表现出较低的免疫细胞透率和抑制性瘤微环境.
- 运动被认为有助于促进免疫细胞循环和增强免疫监测.
研究的目的:
- 审查运动,肌肉,瘤和免疫细胞之间的分子机制.
- 总结目前关于运动对抗瘤免疫和ICI在临床前和临床研究中的影响的证据.
- 讨论影响运动对癌症免疫监测影响的因素.
主要方法:
- 临床前 (小鼠) 和临床 (人类) 研究的文献综述.
- 对运动-免疫-瘤细胞交叉交流的分子机制的分析.
- 讨论研究设计挑战和关键影响因素.
主要成果:
- 运动可以动员和重新分配免疫细胞向瘤微环境 (TME).
- 身体活动显示有潜力增强抗瘤免疫力和ICI疗效.
- 癌症类型,运动参数 (FITT) 和免疫敏感性是关键因素.
结论:
- 练习可能是改善ICI结果的有希望的策略.
- 需要进一步的研究来优化癌症免疫治疗的运动干预措施.
- 了解运动诱导的免疫调节对于改善癌症治疗至关重要.
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