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髓源性抑制细胞对 T 细胞的调控:肺癌中新兴的免疫抑制因子

英文原题:Regulation of T cells by myeloid-derived suppressor cells: emerging immunosuppressor in lung cancer.

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Regulation of T cells by myeloid-derived suppressor cells: emerging immunosuppressor in lung cancer.

PubMed 2023/10/19(内容时间) Discov Oncol Q3 · IF 2.8(JCR 2025)

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中文摘要

髓源性抑制细胞(MDSCs)是维持肺癌免疫抑制微环境的主要成分,通过调控上皮-间质转化、重塑免疫微环境和调节血管生成,与肺癌的侵袭、转移和不良预后相关。MDSCs通过维持强效免疫抑制微环境并促进肿瘤侵袭来调控T细胞免疫功能。这提出了一个问题:逆转MDSCs对T细胞的免疫抑制作用能否改善肺癌治疗。为进一步了解这一问题,本综述探讨了不同MDSCs亚群与调节性T细胞、辅助性T细胞、CD8+ T细胞、自然杀伤T细胞和耗竭T细胞之间的相互作用及具体机制,作为肺癌免疫微环境的一部分。其次,本综述聚焦于通过临床液体活检和组织活检所证实的、不同MDSC亚群改善肺癌预后的指导意义。最后,我们得出结论:通过作用靶点或信号通路靶向MDSCs有助于调控T细胞免疫功能并抑制T细胞耗竭。此外,靶向MDSCs的免疫检查点抑制剂未来可能成为提高肺癌免疫治疗和靶向治疗效率的新途径,为肺癌治疗提供更好的综合选择。

展开英文摘要原文

Myeloid-derived suppressor cells (MDSCs), major components maintaining the immune suppressive microenvironment in lung cancer, are relevant to the invasion, metastasis, and poor prognosis of lung cancer, through the regulation of epithelial-mesenchymal transition, remodeling of the immune microenvironment, and regulation of angiogenesis. MDSCs regulate T-cell immune functions by maintaining a strong immunosuppressive microenvironment and promoting tumor invasion.

This raises the question of whether reversing the immunosuppressive effect of MDSCs on T cells can improve lung cancer treatment. To understand this further, this review explores the interactions and specific mechanisms of different MDSCs subsets, including regulatory T cells, T helper cells, CD8 + T cells, natural killer T cells, and exhausted T cells, as part of the lung cancer immune microenvironment.

Second, it focuses on the guiding significance confirmed via clinical liquid biopsy and tissue biopsy that different MDSC subsets improve the prognosis of lung cancer.

Finally, we conclude that targeting MDSCs through action targets or signaling pathways can help regulate T-cell immune functions and suppress T-cell exhaustion.

In addition, immune checkpoint inhibitors targeting MDSCs may serve as a new approach for enhancing the efficiency of immunotherapy and targeted therapy for lung cancer in the future, providing better comprehensive options for lung cancer treatment.

论文信息

作者
He ZN、Zhang CY、Zhao YW、He SL、Li Y、Shi BL、Hu JQ、Qi RZ
第一作者单位
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.China
通讯作者单位
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. huabaojinxs@126.com.China
文献类型
综述
期刊
Discover oncology2023 Oct 19
原文标识
PubMed 37857728 · DOI 10.1007/s12672-023-00793-1