向瘤微环境中的乳酸性化:提高TACE在肝细胞癌中的疗效
Shuyi Hao1,2, Hong Yao3, Haojie Yu2
1Department of Hepatobiliary Pancreatic Surgery, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Peking University Cancer Hospital Yunnan, Kunming, Yunnan, China.
Liver research (Beijing, China)
|January 28, 2026
概括
肝细胞癌 (HCC) 中的乳酸症阻碍了跨动脉化血栓化 (TACE) 的有效性. 针对乳酸的新策略旨在通过增强抗瘤免疫力来改善TACE结果.
科学领域:
- 在瘤学瘤学.
- 瘤微环境 瘤微环境
- 癌症新陈代谢 癌症新陈代谢
背景情况:
- 乳酸酸化是肝细胞癌 (HCC) 瘤微环境 (TME) 的一个关键特征.
- 它严重阻碍了跨动脉化学栓塞 (TACE) 的有效性.
- 不完整的栓塞导致可活的瘤细胞,增加乳酸生产和治疗抵抗力.
研究的目的:
- 为了阐明乳酸性酸如何损害TACE在HCC中的疗效.
- 提出减轻乳酸性化症的新策略,以改善TACE的结果.
- 探索整合方法来增强HCC的抗瘤免疫力.
主要方法:
- 在TME和TACE中对乳酸性酸的现有文献的审查.
- 分析乳酸性化影响TACE的途径.
- 评估新出现的缓解策略:化,乳酸盐生产/出口抑制,碳酸纳米颗粒.
主要成果:
- 乳酸症通过促进糖解和免疫抑制驱动治疗耐药性.
- 它会损害TME内的细胞毒性T淋巴细胞功能.
- 新兴的策略显示出乳酸耗尽和改善TACE疗效的潜力.
结论:
- 结合碳酸纳米颗粒,乳酸向剂和TACE的综合策略可以耗尽乳酸.
- 这些方法可以将"冷"的HCC瘤转化为"热"的瘤,增强抗瘤免疫力.
- 这种组合治疗方案有望改善TACE结果和HCC的疾病控制.
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