CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Trial watch: chemotherapy-induced immunogenic cell death in oncology.
Trial watch: chemotherapy-induced immunogenic cell death in oncology.
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免疫原性细胞死亡(ICD)是具有独特免疫学特征的调控性细胞死亡过程,可激活而非抑制先天和适应性免疫应答。最终,这类应答会引发由T细胞驱动、针对死亡癌细胞来源抗原的免疫。ICD效力取决于濒死细胞的免疫原性,包括其抗原性,以及暴露损伤相关分子模式(DAMP)和I型干扰素(IFN)等细胞因子等免疫刺激分子的能力。此外,宿主免疫系统必须能够有效识别这些濒死细胞的抗原性及佐剂性。多年来,多种知名化疗药已被证实可强效诱导ICD,包括蒽环类、紫杉醇和奥沙利铂等。此类诱导ICD的化疗药可作为重要联合治疗伙伴,用于治疗高度免疫耐药肿瘤。本期临床试验观察栏目介绍当前将诱导ICD的化疗整合至现有免疫肿瘤治疗模式中的临床前和临床趋势。
Immunogenic cell death (ICD) refers to an immunologically distinct process of regulated cell death that activates, rather than suppresses, innate and adaptive immune responses. Such responses culminate into T cell-driven immunity against antigens derived from dying cancer cells. The potency of ICD is dependent on the immunogenicity of dying cells as defined by the antigenicity of these cells and their ability to expose immunostimulatory molecules like damage-associated molecular patterns (DAMPs) and cytokines like type I interferons (IFNs).
Moreover, it is crucial that the host's immune system can adequately detect the antigenicity and adjuvanticity of these dying cells. Over the years, several well-known chemotherapies have been validated as potent ICD inducers, including (but not limited to) anthracyclines, paclitaxels, and oxaliplatin.
Such ICD-inducing chemotherapeutic drugs can serve as important combinatorial partners for anti-cancer immunotherapies against highly immuno-resistant tumors. In this Trial Watch, we describe current trends in the preclinical and clinical integration of ICD-inducing chemotherapy in the existing immuno-oncological paradigms.
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