瘤微环境和宏观环境:对整体瘤学的新视角
Qun Chen1, Kuirong Jiang2, Michael S Bronze1
1Department of Medicine, The University of Oklahoma Health Campus, Oklahoma City, OK, 73104, USA.
Cancer letters
|October 13, 2025
概括
瘤微环境 (TME) 和瘤宏环境 (TMaE) 相互作用,影响癌症进展和治疗结果. 了解这种局部-系统交响对于开发先进的癌症疗法至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症生物学 癌症生物学
- 免疫学 免疫学 免疫学
背景情况:
- 瘤微环境 (TME) 和瘤宏环境 (TMaE) 是癌症发病,进展和治疗耐药性的关键决定因素.
- TME包括局部细胞,而TMaE集成了诸如新陈代谢,免疫力和炎症等系统信号.
- 目前的模型无法充分反映癌症局部和系统因素之间的复杂相互作用.
研究的目的:
- 审查TME和TMaE在塑造癌症生物学中的不同和重叠的角色.
- 突出系统因素影响局部瘤生态系统的机制.
- 强调需要综合模型来理解癌症的局部系统交叉通话.
主要方法:
- 对癌症生物学近期进展的文献综述,重点关注TME和TMaE相互作用.
- 分析系统生理因素如何影响瘤进展和治疗反应.
- 讨论目前概念化和建模TME-TMaE交叉通话的局限性.
主要成果:
- 无论是TME还是TMaE都是瘤发病,进展,休眠和转移的组成部分.
- 系统性因素 (衰老,代谢失衡,炎症,压力) 显著重塑TME并影响癌症的结果.
- 局部瘤和系统生理学的相互作用是复杂的,双向的.
结论:
- 对TME-TMaE相互作用的全面理解对于完善精确瘤学和预防策略至关重要.
- 未来的研究应该整合多omics,先进的成像和人性化的模型,以阐明局部-系统交叉通话.
- 针对本地和全身癌症生态系统,为组合疗法提供了一个有希望的途径.
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