肝细胞癌中的免疫微环境和免疫疗法:机制和进展
Dong Xie1, Yang Liu2, Fangbiao Xu3
1Diagnosis and Treatment Center for Digestive Diseases of Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, China.
Frontiers in immunology
|April 17, 2025
概括
肝细胞癌 (HCC) 的进展是由瘤微环境 (TME) 驱动的. 免疫检查点抑制剂 (ICI) 等免疫疗法在通过调节TME内的免疫细胞来治疗HCC方面表现有前途.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 癌症生物学 癌症生物学
背景情况:
- 肝细胞癌 (HCC) 是全球癌症死亡的主要原因.
- 瘤微环境 (TME) 通过复杂的细胞相互作用显著影响HCC的进展.
- 在TME内的关键免疫细胞,包括巨细胞,淋巴细胞和树突细胞,在免疫逃避中至关重要.
研究的目的:
- 审查免疫微环境在HCC中的作用.
- 探索用于HCC管理的免疫治疗策略的治疗潜力.
- 为了突出最近在HCC免疫疗法的进展.
主要方法:
- 关于HCC免疫疗法的最新进展的文献综述.
- 分析免疫细胞在瘤微环境中的作用.
- 综合各种免疫治疗方法及其组合的数据.
主要成果:
- 构成肌体和免疫细胞的TME对HCC的进展和免疫规避至关重要.
- 各种免疫细胞 (TAMs,TILs,CTLs,Tregs,MDSCs,DCs,NK细胞) 在HCC中起着不同的作用.
- 免疫疗法,包括免疫检查点抑制剂 (ICI),癌症疫苗和采用细胞疗法 (ACT),显示出治疗潜力.
- 组合疗法 (例如,双重ICI,ICI与向药物或局部治疗) 在HCC患者中显示出更好的结果.
结论:
- 了解免疫微环境是开发有效HCC治疗的关键.
- 免疫疗法为增强HCC的抗瘤反应提供了有希望的途径.
- 涉及免疫疗法的组合策略对于改善HCC患者的治疗结果至关重要.
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