在质瘤中瘤相关的巨细胞介导的化疗耐药性的进展
1Department of Neurosurgery, Shengjing Hospital of China Medical University, Shenyang, China.
Frontiers in cell and developmental biology
|October 13, 2025
概括
与瘤相关的巨细胞 (TAMs) 通过改变药物代谢和促进瘤生长来驱动质瘤中的化学抵抗. 针对TAMs,特别是M2表型,提供了有前途的治疗策略,以克服质瘤患者的治疗耐药性.
科学领域:
- 神经瘤学神经瘤学
- 癌症免疫学 癌症免疫学
- 瘤微环境研究 研究
背景情况:
- 瘤相关巨细胞 (TAMs) 是质瘤微环境中的关键免疫细胞.
- TAMs显著促进治疗耐药性,这是质瘤管理中的一个主要障碍.
研究的目的:
- 审查目前关于质瘤中TAM介导化学抵抗的知识.
- 探索TAM异质性,极化 (M1与M2),以及它们在阻力机制中的特定作用.
- 总结针对TAM克服化疗抵抗的新兴治疗策略.
主要方法:
- 文献综述综合了目前关于质瘤中TAMs的研究.
- 对TAM起源,表型 (M1/M2) 和可塑性的分析.
- 识别TAM介导的耐药机制,包括药物代谢,因子分泌,GSC相互作用,微环境适应和ECM重塑.
- 针对TAMs的治疗策略概述,如重编程,代谢调节,招募阻断,耗尽和细胞增强.
主要成果:
- 类似M2的TAMs通过药物代谢调节,前瘤因子 (例如TNF-α,ILs,VEGF) 的分泌,与质瘤干细胞 (GSCs) 的相互作用,促进缺氧反应和细胞外矩阵 (ECM) 改造来促进化学抵抗.
- 存在多种治疗途径,包括重编程TAM表型,调节其新陈代谢,阻断招募途径,耗尽M2-TAM,增强细胞化.
- 向TAM提供了一种有希望的策略,以克服质瘤中的化学抵抗.
结论:
- 通过各种机制,TAMs是质瘤中化学抵抗的关键调解者.
- 向TAM是一种有前途的治疗途径,但像血脑屏障和补偿通路这样的挑战需要组合策略才能获得临床成功.
- 进一步的研究对于优化用于质瘤治疗的TAM向疗法至关重要.
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