下一代瘤学:在精密基因组学,免疫工程和瘤微环境调制的十字路口上的整合性治疗前沿
Ahmad M Alamri1, Abdullah A Assiri2, Bushra Khan3
1Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Khalid University, 61413, Abha, Saudi Arabia.
Medical oncology (Northwood, London, England)
|September 20, 2025
概括
癌症治疗正在转向智能驱动的方法,整合精确基因组学,免疫工程和瘤微环境 (TME) 调制. 这种基于系统的策略旨在克服耐药性并个性化治疗以获得更好的结果.
科学领域:
- 在瘤学瘤学.
- 系统生物学 系统生物学
- 计算生物学 计算生物学
背景情况:
- 癌症治疗正在从细胞毒性疗法演变为综合性,智能驱动的框架.
- 癌症被视为由遗传,表观遗传和微环境相互作用驱动的复杂适应系统 (CAS).
- 传统的单一向疗法面临局限性,需要协同和动态的治疗策略.
研究的目的:
- 审查瘤学对精确基因组学,免疫工程和瘤微环境 (TME) 调制的范式转变.
- 探索癌症复杂的适应性系统 (CAS) 的性质如何需要多维的治疗方法.
- 突出癌症治疗中的新兴协同战略和技术进步.
主要方法:
- 对先进的瘤学框架,包括精密基因组学,免疫工程和TME调制的当前文献的审查.
- 对协同治疗方法的分析,如人工智能引导的剂量,合成生物学和代谢重编程.
- 探索分子地图学,量子生物学,合成瘤学和暗基因组采矿方面的突破.
主要成果:
- 协同方法的出现,如人工智能引导的适应剂量,合成生物学增强的CAR-T细胞和TME代谢重编程.
- 免疫工程的进步 (例如,下一代检查点调节器,新抗原疫苗) 和针对TME的策略 (例如,树皮重塑,微生物组工程).
- 综合多奥米学,组合疗法和计算瘤学 (例如数字双胞胎) 能够实现个性化干预.
结论:
- 统一的,基于系统的方法对于将癌症转化为可管理的疾病至关重要.
- 未来的瘤学将具有适应性和自主性,将人工智能,闭环疗法和mRNA平台集成到规模精确医学中.
- 应对治疗耐药性,毒性,可访问性和道德问题等挑战需要跨学科的合作.
相关概念视频
Tumor Immunotherapy
1.7K
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
1.7K
Targeted Cancer Therapies
8.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
8.6K
The Tumor Microenvironment
7.6K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
7.6K
Combination Therapies and Personalized Medicine
5.8K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.8K
Cancer
53.4K
Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
53.4K
Tumor Progression
7.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.2K


