研究概要
肿瘤微环境(TME)在动态调控癌症进展和影响治疗结果中发挥重要作用。
中文摘要
肿瘤微环境(TME)在动态调控癌症进展和影响治疗结果方面发挥着重要作用。靶向肿瘤微环境是近年来一种有前景的癌症治疗方法。超声联合微泡对肿瘤免疫微环境的调控作用现已得到广泛认可。超声与微泡协同作用,通过机械效应或热效应诱导肿瘤细胞抗原释放,促进抗原呈递以及T细胞对肿瘤细胞的识别和杀伤,并改善肿瘤免疫抑制微环境,这将成为改善免疫检查点阻断(ICB)和嵌合抗原受体(CAR)-T细胞疗法等传统治疗难题的突破口。为了提高TME靶向肿瘤治疗的治疗效果和免疫调控作用,有必要开发和优化针对特定器官或疾病的微泡超声应用体系。因此,超声与微泡在TME领域的联合应用将持续聚焦于开发更有效的策略来调控免疫抑制机制,从而激活抗肿瘤免疫和/或提高免疫靶向药物的疗效。目前,超声联合微泡在TME靶向治疗中的潜在价值已在乳腺癌、结肠癌、胰腺癌和前列腺癌的实验研究和应用中得到证实,为临床肿瘤治疗提供了新的替代思路。本文综述了超声联合微泡在肿瘤治疗中的研究进展及其在肿瘤微环境中的应用。
展开英文摘要原文
The tumor microenvironment (TME) plays an important role in dynamically regulating the progress of cancer and influencing the therapeutic results. Targeting the tumor microenvironment is a promising cancer treatment method in recent years. The importance of tumor immune microenvironment regulation by ultrasound combined with microbubbles is now widely recognized. Ultrasound and microbubbles work together to induce antigen release of tumor cell through mechanical or thermal effects, promoting antigen presentation and T cells' recognition and killing of tumor cells, and improve tumor immunosuppression microenvironment, which will be a breakthrough in improving traditional treatment problems such as immune checkpoint blocking (ICB) and himeric antigen receptor (CAR)-T cell therapy. In order to improve the therapeutic effect and immune regulation of TME targeted tumor therapy, it is necessary to develop and optimize the application system of microbubble ultrasound for organs or diseases. Therefore, the combination of ultrasound and microbubbles in the field of TME will continue to focus on developing more effective strategies to regulate the immunosuppression mechanisms, so as to activate anti-tumor immunity and/or improve the efficacy of immune-targeted drugs, At present, the potential value of ultrasound combined with microbubbles in TME targeted therapy tumor microenvironment targeted therapy has great potential, which has been confirmed in the experimental research and application of breast cancer, colon cancer, pancreatic cancer and prostate cancer, which provides a new alternative idea for clinical tumor treatment. This article reviews the research progress of ultrasound combined with microbubbles in the treatment of tumors and their application in the tumor microenvironment.
论文信息
- 作者
- Wu Y、Li J、Shu L、Tian Z、Wu S、Wu Z
- 单位
- Department of Ultrasound, Affiliated Hospital of Zunyi Medical University, Zunyi, China.China
- 文献类型
- 综述
- 期刊
- Frontiers in pharmacology2024