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在非小细胞肺癌中利用 NK 细胞

英文原题:Harnessing Natural Killer Cells in Non-Small Cell Lung Cancer.

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Harnessing Natural Killer Cells in Non-Small Cell Lung Cancer.

PubMed 2022/02/10(内容时间) Cells Q2 · IF 6(JCR 2025)

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中文摘要

肺癌是全球癌症相关死亡的首要原因,主要分为小细胞肺癌(SCLC)和非小细胞肺癌(NSCLC);NSCLC约占肺癌诊断的85%。早期肺癌常无特异症状,许多患者确诊时已处于晚期。尽管目前已有多种治疗方法,许多患者仍会复发或产生治疗耐药,凸显对更有效疗法的需求。免疫疗法通过增强机体自身免疫系统对抗癌症,已改变癌症治疗格局。自然杀伤(NK)细胞是重要的抗肿瘤免疫细胞,其被排斥于肿瘤微环境之外与较差生存相关。已有充分证据表明,NSCLC患者NK细胞数量和功能受损,因此NK细胞免疫疗法是治疗该恶性肿瘤的一种理想概念。免疫检查点抑制剂等免疫疗法正在改变NSCLC结局。本文综述NSCLC当前治疗格局、NK细胞在癌症中的作用及功能障碍、NK细胞疗法进展,以及其未来在NSCLC中的应用价值。

展开英文摘要原文

Lung cancer is the leading cause of cancer-related deaths worldwide. There are two main subtypes: small cell lung cancer (SCLC), and non-small cell lung cancer (NSCLC). NSCLC accounts for 85% of lung cancer diagnoses. Early lung cancer very often has no specific symptoms, and many patients present with late stage disease. Despite the various treatments currently available, many patients experience tumor relapse or develop therapeutic resistance, highlighting the need for more effective therapies. The development of immunotherapies has revolutionized the cancer treatment landscape by enhancing the body's own immune system to fight cancer.

Natural killer (NK) cells are crucial anti-tumor immune cells, and their exclusion from the tumor microenvironment is associated with poorer survival. It is well established that NK cell frequencies and functions are impaired in NSCLC; thus, placing NK cell-based immunotherapies as a desirable therapeutic concept for this malignancy.

Immunotherapies such as checkpoint inhibitors are transforming outcomes for NSCLC. This review explores the current treatment landscape for NSCLC, the role of NK cells and their dysfunction in the cancer setting, the advancement of NK cell therapies, and their future utility in NSCLC.

论文信息

作者
Russell É、Conroy MJ、Barr MP
第一作者单位
Cancer Immunology Research Group, Department of Physiology, School of Medicine, Trinity College Dublin, D02 R590 Dublin, Ireland.Ireland
通讯作者单位
Thoracic Oncology Research Group, Trinity St. James's Cancer Institute, St James's Hospital, D08 W9RT Dublin, Ireland.Ireland
文献类型
综述
期刊
Cells2022 Feb 10
原文标识
PubMed 35203256 · DOI 10.3390/cells11040605