与癌症相关的纤维细胞,瘤和放射治疗:瘤微环境中的相互作用
Kris T P M Raaijmakers1, Gosse J Adema1, Johan Bussink1
1Radiotherapy and OncoImmunology Laboratory, Department of Radiation Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Journal of experimental & clinical cancer research : CR
|December 19, 2024
概括
癌症相关纤维细胞 (CAFs) 促进瘤生长和治疗耐药性. 针对衰老的CAF是提高癌症治疗效率和预防复发的关键.
科学领域:
- 在瘤学瘤学.
- 癌症生物学 癌症生物学
- 瘤微环境研究 研究
背景情况:
- 癌症相关纤维细胞 (CAFs) 是非恶性树突细胞,占固体瘤的80%左右.
- CAFs表现出表型多样性和可塑性,影响瘤生长,入侵和治疗阻力.
- 虽然CAF可以具有抗瘤原生作用,但它们主要通过信号传递,免疫调节和细胞外矩阵重塑来表现出亲瘤原生功能.
研究的目的:
- 审查CAF在瘤微环境 (TME) 中的多方面的作用.
- 专注于CAF的行为和功能,特别是对放射治疗的反应.
- 突出CAFs在瘤进展和治疗耐药性的重要性.
主要方法:
- 文献综述专注于CAF生物学和固体瘤中的功能.
- 分析CAF在放射治疗等治疗干预之前,期间和之后的作用.
- 讨论目前和拟议的调节CAF活动的策略.
主要成果:
- CAFs显著影响瘤的进展,包括生长,入侵和对治疗的抵抗.
- 放射和化疗等治疗干预措施可以诱导CAF衰老,经常放大它们的前瘤特征.
- 衰老的CAFs有助于持续的瘤细胞抵抗,ECM调节,上皮细胞转移到介质细胞 (EMT) 和免疫抑制.
结论:
- 在治疗后的瘤细胞存活,复发和潜在的恶性转变中,CAFs起着至关重要的作用.
- 在TME中调节CAF功能是提高治疗结果的关键领域.
- 未来的癌症治疗策略必须在治疗TME中纳入对CAF行为的理解.
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