在肝细胞癌中重新连接与瘤相关的巨细胞
1Department of Gastroenterology, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, China.
Frontiers in immunology
|February 12, 2026
概括
瘤相关巨细胞 (TAMs) 驱动免疫抑制和抵抗癌症疗法,如肝细胞癌 (HCC) 的免疫检查点抑制剂 (ICI). 针对TAM提供了一个有希望的策略,以提高治疗疗效和改善患者的治疗结果.
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:
- 肝细胞癌 (HCC) 是全球癌症死亡的主要原因.
- 免疫检查点抑制剂 (ICI) 在HCC中的有限疗效与免疫抑制瘤微环境 (TME) 有关.
- 瘤相关巨细胞 (TAMs) 是TME的关键调节者,促进HCC的免疫逃脱和治疗抵抗.
研究的目的:
- 审查TAM在HCC中的起源,异质性和功能作用.
- 以突出新兴的TAM为中心的治疗策略,用于HCC.
- 通过TAM向讨论免疫疗法结果和治疗反应的潜在改善.
主要方法:
- 对HCC中TAMs的当前科学文献的综述.
- 对单细胞和空间技术的分析揭示了TAM异质性.
- 关于TAM向治疗的临床前和早期临床数据的摘要.
主要成果:
- 在M1/M2分类之外,TAMs表现出不同的表型,影响血管新生,纤维化和免疫抑制.
- 异质的TAM子集对HCC的进展和对免疫治疗的耐药性有显著的贡献.
- 通过各种策略针对TAM显示出有希望的临床前和早期临床疗效.
结论:
- 在HCC的发病和免疫逃避中,TAMs是关键参与者.
- 单独或与其他疗法结合,向TAM代表了HCC的有希望的治疗途径.
- 对TAM中心策略的进一步研究可能会导致HCC患者更精确,更持久的治疗反应.
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