研究概要
口腔鳞状细胞癌(OSCC)是头颈癌的主要亚型,由于其侵袭性特征和传统治疗疗效有限,带来了重大挑战。
中文摘要
口腔鳞状细胞癌(OSCC)是头颈癌的主要亚型,由于其侵袭性特征和传统治疗疗效有限,带来了重大挑战。为应对这些挑战,自然杀伤(NK)细胞作为先天免疫系统的重要组成部分,因其固有的无需预先致敏即可靶向和消灭癌细胞的能力,正在被探索用于OSCC的治疗潜力。本综述独特地聚焦于NK细胞在OSCC中不断演变的作用,纳入了CAR-NK细胞工程和个性化治疗方法的最新进展,而这些内容在既往综述中尚未得到全面涵盖。NK细胞对肿瘤细胞发挥细胞毒性效应的机制包括通过自然细胞毒性受体参与的直接杀伤和抗体依赖性细胞介导的细胞毒性(ADCC),使其成为癌症免疫治疗中颇具前景的制剂。此外,本文探讨了通过工程化改造NK细胞以增强其抗肿瘤活性的最新进展,例如利用嵌合抗原受体(CAR)进行修饰以靶向特定肿瘤抗原。本文还审视了基于NK细胞疗法的临床意义,包括将这些治疗与现有方案整合所面临的挑战以及个性化治疗的潜力。本综述强调了NK细胞疗法在改善OSCC患者预后方面的前景,并概述了肿瘤免疫治疗这一动态领域的未来研究方向。
展开英文摘要原文
Oral squamous cell carcinoma (OSCC), a major subtype of head and neck cancers, presents significant challenges due to its aggressive feature and limited therapeutic efficacy of conventional treatments. In response to these challenges, Natural Killer (NK) cells, a vital component of the innate immune system, are being explored for their therapeutic potential in OSCC due to their inherent ability to target and eliminate cancer cells without prior sensitization. This review uniquely focuses on the evolving role of NK cells specifically in OSCC, incorporating recent advancements in CAR-NK cell engineering and personalized therapy approaches that have not been comprehensively covered in previous reviews. The mechanisms through which NK cells exert cytotoxic effects on tumor cells include direct killing through the engagement of natural cytotoxic receptors and antibody-dependent cellular cytotoxicity (ADCC), making them promising agents in cancer immunotherapy. Additionally, the article explores recent advancements in engineering NK cells to enhance their antitumor activity, such as the modification with chimeric antigen receptors (CARs) to target specific tumor antigens. Clinical implications of NK cell-based therapies, including the challenges of integrating these treatments with existing protocols and the potential for personalized therapy, are examined. The review highlights the promise of NK cell therapies in improving outcomes for OSCC patients and outlines future directions for research in this dynamic field of oncological immunotherapy.
论文信息
- 作者
- Zhang Y、Xie J、Wu H、Huang J、Zheng D、Wang S、Jia X、He Z
- 单位
- Department of Stomatology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.China
- 文献类型
- 综述
- 期刊
- Frontiers in immunology2024