免疫抑制性瘤微环境和子宫纤维瘤:在原蛋白合成中的作用
Eslam E Saad1, Rachel Michel2, Mostafa A Borahay1
1Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Cytokine & growth factor reviews
|October 15, 2023
概括
子宫纤维瘤 (UF) 与瘤免疫微环境的变化有关,促进细胞外基质 (ECM) 沉积. 针对这种免疫抑制环境可能为UF提供新的治疗策略.
科学领域:
- 妇科瘤学 妇科瘤学
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 子宫纤维瘤 (UF) 或乳腺瘤是影响全球妇女健康的常见子宫瘤.
- 危险因素包括种族,年龄,荷尔蒙影响,肥胖和生活方式.
- UF的发病包括细胞增殖,血管生成和细胞外基质 (ECM) 积累.
研究的目的:
- 审查瘤免疫微环境在调解子宫纤维瘤中ECM沉积中的作用.
- 突出免疫抑制细胞及其分泌的因素,参与UF病原发生.
- 提出针对UF免疫微环境的新型治疗策略.
主要方法:
- 文献综述侧重于免疫微环境在UF中的作用.
- 对免疫抑制细胞 (M2巨细胞,MDSCs,Th17细胞) 和它们的分泌物 (细胞因子,生长因子) 的分析.
- 检查了在UF中免疫两极化和ECM积累之间的联系.
主要成果:
- 瘤免疫微环境,特别是其对免疫抑制表型的两极化,是UF中ECM沉积的关键调解者.
- 免疫抑制细胞,如M2巨细胞,MDSC和Th17细胞,以及它们分泌的因子 (例如IL-4,IL-10,TGF-β1),有助于ECM积累.
- 改变的免疫微环境促进了UF生长和ECM沉积,这是UF病变的标志.
结论:
- UF免疫微环境是ECM沉积和瘤进展的关键因素.
- 准UF免疫微环境的免疫抑制成分是一个有前途的新疗法.
- 对UF免疫调节的进一步研究是有必要的,以开发超越传统荷尔蒙疗法的替代治疗方法.
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