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基于树突状细胞免疫治疗在非小细胞肺癌中的应用:一项全面的批判性综述

英文原题:Dendritic cell-based immunotherapy in non-small cell lung cancer: a comprehensive critical review.

查看英文原题

Dendritic cell-based immunotherapy in non-small cell lung cancer: a comprehensive critical review.

PubMed 2024/09/06(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

尽管包括抗PD-1/PD-L1疗法在内的免疫治疗取得了进展,NSCLC患者的总体预后仍然较差,这凸显了对能够提供长期临床获益的新方法的需求。本综述考察了过去20年关于该主题的文献,以提供关于树突状细胞免疫治疗NSCLC不断演变格局的最新进展,强调树突状细胞(DCs)在免疫应答启动和调节中的关键作用。这些细胞包括cDC1s、cDC2s和pDCs等异质性亚群,能够通过Th1、Th2和Th17谱系之间的平衡以及调节性T淋巴细胞(Treg)的激活来塑造抗原呈递并影响T细胞活化。DC亚群之间复杂的相互作用以及瘤内成熟DC的高密度塑造了肿瘤特异性免疫应答并影响治疗结局。基于DC的免疫治疗在克服NSCLC治疗中的免疫抵抗方面显示出前景。本文综述提供了关键临床试验结果的最新进展,为未来研究奠定基础,以表征不同类型DC在原位以及与其他疗法(包括DC疫苗)联合时的作用。

展开英文摘要原文

Despite treatment advances through immunotherapies, including anti-PD-1/PD-L1 therapies, the overall prognosis of non-small cell lung cancer (NSCLC) patients remains poor, underscoring the need for novel approaches that offer long-term clinical benefit. This review examined the literature on the subject over the past 20 years to provide an update on the evolving landscape of dendritic cell-based immunotherapy to treat NSCLC, highlighting the crucial role of dendritic cells (DCs) in immune response initiation and regulation.

These cells encompass heterogeneous subsets like cDC1s, cDC2s, and pDCs, capable of shaping antigen presentation and influencing T cell activation through the balance between the Th1, Th2, and Th17 profiles and the activation of regulatory T lymphocytes (Treg). The intricate interaction between DC subsets and the high density of intratumoral mature DCs shapes tumor-specific immune responses and impacts therapeutic outcomes.

DC-based immunotherapy shows promise in overcoming immune resistance in NSCLC treatment. This article review provides an update on key clinical trial results, forming the basis for future studies to characterize the role of different types of DCs in situ and in combination with different therapies, including DC vaccines.

论文信息

作者
de Oliveira JB、Silva SB、Fernandes IL、Batah SS、Herrera AJR、Cetlin ACVA、Fabro AT
单位
Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.Brazil
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2024
原文标识
PubMed 39308861 · DOI 10.3389/fimmu.2024.1376704