帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
英文原题:Exploring the dual role of B cells in solid tumors: implications for head and neck squamous cell carcinoma.
在头颈部鳞状细胞癌(HNSCC)的肿瘤环境中,存在不同的 B 细胞亚群,它们发挥促肿瘤或抗肿瘤活性。
头颈部鳞状细胞癌(HNSCC)肿瘤微环境中存在不同B细胞亚群,可发挥促肿瘤或抗肿瘤作用。缺氧、细胞因子、肿瘤细胞相互作用及其他TIL(肿瘤浸润淋巴细胞)等多种因素,会改变B细胞双重作用之间的平衡并促进癌变。肿瘤微环境(TME)中某些B细胞亚群具有免疫抑制功能,称为调节性B细胞(Breg)。Breg可通过分泌IL-10、IL-35、TGF-β、颗粒酶B和腺苷等多种免疫抑制因子,或通过细胞间接触抑制效应TIL。人类和小鼠肿瘤模型中均已发现多种Breg表型。然而,在三级淋巴结构(TLS)内,B细胞主要发挥抗肿瘤作用。成熟TLS包含CD20+ B细胞区,其中有多种重要B细胞类型,包括生发中心样B细胞、抗体分泌型浆细胞和记忆B细胞。这些细胞可通过抗体依赖性细胞毒作用、吞噬作用及局部补体活化杀伤肿瘤细胞;TLS还是T细胞和B细胞在局部协调及活化的重要部位。尽管如此,某些情况下TLS也可能成为隐匿肿瘤细胞的生态位,并提示预后不良。因此,TIL-B具有双向免疫调节作用,并可响应多种免疫疗法。本文聚焦HNSCC患者肿瘤,讨论免疫抑制性Breg与在TLS中成熟的免疫原性效应B细胞之间的功能差异,并综述靶向TIL-B的当前免疫疗法。要开发补充T细胞免疫治疗的创新方案,必须充分理解效应B细胞和Breg。
In the tumor milieu of head and neck squamous cell carcinoma (HNSCC), distinct B cell subpopulations are present, which exert either pro- or anti-tumor activities. Multiple factors, including hypoxia, cytokines, interactions with tumor cells, and other immune infiltrating lymphocytes (TILs), alter the equilibrium between the dual roles of B cells leading to cancerogenesis. Certain B cell subsets in the tumor microenvironment (TME) exhibit immunosuppressive function. These cells are known as regulatory B (Breg) cells. Breg cells suppress immune responses by secreting a series of immunosuppressive cytokines, including IL-10, IL-35, TGF- , granzyme B, and adenosine or dampen effector TILs by intercellular contacts. Multiple Breg phenotypes have been discovered in human and mouse cancer models. However, when compartmentalized within a tertiary lymphoid structure (TLS), B cells predominantly play anti-tumor effects. A mature TLS contains a CD20 + B cell zone with several important types of B cells, including germinal-center like B cells, antibody-secreting plasma cells, and memory B cells. They kill tumor cells via antibody-dependent cytotoxicity and phagocytosis, and local complement activation effects. TLSs are also privileged sites for local T and B cell coordination and activation. Nonetheless, in some cases, TLSs may serve as a niche for hidden tumor cells and indicate a bad prognosis. Thus, TIL-B cells exhibit bidirectional immune-modulatory activity and are responsive to a variety of immunotherapies. In this review, we discuss the functional distinctions between immunosuppressive Breg cells and immunogenic effector B cells that mature within TLSs with the focus on tumors of HNSCC patients. Additionally, we review contemporary immunotherapies that aim to target TIL-B cells. For the development of innovative therapeutic approaches to complement T-cell-based immunotherapy, a full understanding of either effector B cells or Breg cells is necessary.
MEMBER ACCOUNT
登录成功会直接打开下一页。