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胃癌的免疫学与免疫治疗

英文原题:Immunology and immunotherapy in gastric cancer.

PubMed 2023/06/15(内容时间) Clin Exp Med Q2 · IF 4.5(JCR 2025)

研究概要

胃癌是全球癌症相关死亡的第五大原因。

中文摘要

胃癌是全球癌症相关死亡的第五大原因。由于早期胃癌难以诊断,多数患者确诊时已处于癌症晚期。以手术或内镜切除和化疗为基础的现有治疗确实改善了患者结局。免疫检查点抑制剂为癌症治疗开辟了新时代,通过重塑宿主免疫系统来对抗肿瘤细胞;具体策略因患者免疫状态而异。因此,深入了解不同免疫细胞在胃癌进展中的作用,有助于实施免疫治疗并发现新靶点。本文介绍胃癌发生发展中不同免疫细胞的功能,重点讨论T细胞、B细胞、巨噬细胞、NK 细胞、树突状细胞、中性粒细胞,以及肿瘤细胞分泌的趋化因子和细胞因子。文章还讨论免疫检查点抑制剂、CAR-T和疫苗等免疫相关治疗的最新进展,以揭示胃癌治疗的潜在和有前景策略。

展开英文摘要原文

Gastric cancer is the fifth leading cause of cancer-related deaths worldwide. As the diagnosis of early gastric cancer is difficult, most patients are at a late stage of cancer progression when diagnosed. The current therapeutic approaches based on surgical or endoscopic resection and chemotherapy indeed improve patients' outcomes. Immunotherapy based on immune checkpoint inhibitors has opened a new era for cancer treatment, and the immune system of the host is reshaped to combat tumor cells and the strategy differs according to the patient's immune system. Thus, an in-depth understanding of the roles of various immune cells in the progression of gastric cancer is beneficial to application for immunotherapy and the discovery of new therapeutic targets. This review describes the functions of different immune cells in gastric cancer development, mainly focusing on T cells, B cells, macrophages, natural killer cells, dendritic cells, neutrophils as well as chemokines or cytokines secreted by tumor cells. And this review also discusses the latest advances in immune-related therapeutic approaches such as immune checkpoint inhibitors, CAR-T or vaccine, to reveal potential and promising strategies for gastric cancer treatment.

论文信息

作者
Xu X、Chen J、Li W、Feng C、Liu Q、Gao W、He M
第一作者单位
Department of Pharmacy, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, Henan, People's Republic of China.China
通讯作者单位
Department of Pharmacy, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, Henan, People's Republic of China. hemeng053@163.com.China
文献类型
综述
期刊
Clinical and experimental medicine2023 Nov
原文标识
PubMed 37322134 · DOI 10.1007/s10238-023-01104-2