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妇科和乳腺癌发生、进展及靶向治疗中失调的肿瘤相关巨噬细胞

英文原题:Dysregulated tumor-associated macrophages in carcinogenesis, progression and targeted therapy of gynecological and breast cancers.

查看英文原题

Dysregulated tumor-associated macrophages in carcinogenesis, progression and targeted therapy of gynecological and breast cancers.

PubMed 2021/10/30(内容时间) J Hematol Oncol Q1 · IF 47.8(JCR 2025)

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中文摘要

妇科和乳腺癌是一组异质性恶性肿瘤。尽管现有治疗策略改善了患者的临床结局,但晚期疾病的总体生存率仍不令人满意。越来越多的证据表明,肿瘤的发生发展和预后与肿瘤微环境(TME)密切相关,TME限制免疫反应并促进恶性进展。肿瘤相关巨噬细胞(TAMs)是TME的主要组成部分,在肿瘤转移、免疫抑制和治疗耐药中发挥关键调控作用。多项临床前试验研究了靶向TAMs以实现有效抗癌治疗的潜在药物。本综述聚焦于TAMs的多种功能,以及它们如何通过调控癌细胞增殖、肿瘤血管生成和肿瘤相关免疫抑制来影响妇科和乳腺癌的癌变过程。此外,我们还讨论了将阻断TAMs信号作为癌症治疗策略一部分的潜在应用,以及CAR巨噬细胞、基于TAMs的疫苗和TAMs纳米生物技术。这些研究进展支持靶向TAMs联合常规治疗未来可能作为妇科和乳腺癌的有效治疗手段。

展开英文摘要原文

Gynecological and breast cancers are a group of heterogeneous malignant tumors. Although existing treatment strategies have ameliorated the clinical outcomes of patients, the overall survival rate of advanced diseases remains unsatisfactory. Increasing evidence has indicated that the development and prognosis of tumors are closely related to the tumor microenvironment (TME), which restricts the immune response and provokes malignant progression. Tumor-associated macrophages (TAMs) are the main component of TME and act as a key regulator in tumor metastasis, immunosuppression and therapeutic resistance. Several preclinical trials have studied potential drugs that target TAMs to achieve potent anticancer therapy.

This review focuses on the various functions of TAMs and how they influence the carcinogenesis of gynecological and breast cancers through regulating cancer cell proliferation, tumor angiogenesis and tumor-related immunosuppression.

Besides, we also discuss the potential application of disabling TAMs signaling as a part of cancer therapeutic strategies, as well as CAR macrophages, TAMs-based vaccines and TAMs nanobiotechnology. These research advances support that targeting TAMs combined with conventional therapy might be used as effective therapeutics for gynecological and breast cancers in the future.

论文信息

作者
Xu T、Yu S、Zhang J、Wu S
第一作者单位
Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.China
通讯作者单位
Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China. wsf_sfph@sjtu.edu.cn.China
文献类型
非美国政府资助研究 · 综述
期刊
Journal of hematology & oncology2021 Oct 30
原文标识
PubMed 34717710 · DOI 10.1186/s13045-021-01198-9