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乳酸和乳酸化在癌症中的作用
Jie Chen1,2, Ziyue Huang1,2, Ya Chen3
1Department of Ophthalmology, Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, PR China.
Signal transduction and targeted therapy
|February 11, 2025
概括
乳酸盐显著影响癌症的进展和瘤微环境. 通过LDH和MCT抑制剂向乳酸代谢提供了一个有前途的治疗策略,提高免疫治疗的有效性.
科学领域:
- 生物化学 生化学
- 癌症生物学 癌症生物学
- 免疫学 免疫学 免疫学
背景情况:
- 乳酸在细胞分化和命运调节中起着至关重要的作用,在正常生理和疾病,特别是癌症中起着至关重要的作用.
- 瘤微环境 (TME) 在很大程度上是由乳酸对各种细胞类型的影响形成的,包括瘤细胞,免疫细胞和树皮细胞.
研究的目的:
- 审查乳酸在癌症进展中的多方面的作用及其对瘤微环境的影响.
- 探索针对乳酸代谢治疗癌症的治疗策略.
主要方法:
- 文献综述侧重于乳酸对TME内的细胞过程的影响.
- 乳酸生产和运输机制的分析,包括乳酸脱酶 (LDH) 和单碳酸盐运输体 (MCT).
- 检查针对LDH和MCT与免疫治疗结合的治疗潜力.
主要成果:
- 乳酸盐影响瘤细胞信号传递,氧化应激抵抗和乳糖化.
- 乳酸调节免疫细胞分化,免疫反应和TME内的监视.
- 乳酸酸会影响层体和内皮细胞,有助于细胞外基质重塑,上皮-介质细胞转换 (EMT),血管生成和耐药性.
结论:
- 向乳酸代谢,特别是通过抑制LDH和MCT,为癌症治疗提供了一个"阿基里斯脚跟".
- 抑制LDH和MCT的药物显示出瘤抑制剂的潜力,可以协同增强免疫治疗结果.
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