与癌症缓解症相关的单细胞髓质衍生抑制细胞损害T细胞负选择,并预测与免疫相关的不良事件
Li Wei1,2, Ya-Qin Sun1, Jian-Hua Ren3
1Department of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Liver research (Beijing, China)
|January 28, 2026
概括
癌症缓解症与免疫相关的不良事件 (irAEs) 的增加有关,这是由于单细胞髓质衍生抑制细胞 (M-MDSCs) 的原因. 这些细胞损害T细胞选择,导致器官炎症,并可能预测癌症患者的irAEs.
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:
- 癌症缓解症在癌症患者中很常见,并且与化疗毒性有关.
- 关于癌症缓冲和免疫相关不良事件 (irAEs) 之间的关系的数据有限.
研究的目的:
- 探索癌症缓解症和irAEs之间的相关性.
- 为了研究连接卡赫克西亚和irAEs的潜在机制.
主要方法:
- 开发了一种肝细胞癌 (HCC) 与缓解症的小鼠模型.
- 利用了小体 stromal 细胞的单细胞 RNA 测序.
- 随访接受抗PD-1/L1治疗的晚期癌症患者.
主要成果:
- 在Cachexic小鼠中,T细胞透到没有瘤的器官中,以及胸腺缩.
- 单细胞髓衍生抑制细胞 (M-MDSCs) 丰富在性小鼠中,并诱导胸膜上皮细胞亡.
- 患有白血病和M-MDSCs升高的患者有更高的irrAEs发病率.
结论:
- 缓冲症中的M-MDSCs诱导胸膜损伤,损害T细胞选择,并促进器官炎症.
- 与癌症缓解症相关的M-MDSCs可以作为癌症患者对irAEs的预测生物标志物.
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