RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
肿瘤细胞治疗研究
英文原题:NK Cell-Based Cancer Immunotherapies: Current Progress, Challenges and Emerging Opportunities.
NK Cell-Based Cancer Immunotherapies: Current Progress, Challenges and Emerging Opportunities.
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自然杀伤(NK)细胞是重要的先天免疫细胞,在癌症治疗中发挥关键作用。现有疗法旨在体内调节、维持和增强NK细胞的抗肿瘤功能。除全细胞治疗外,NK细胞来源外泌体(NDE)具有较高的免疫安全性,且易于进行化学、生物学和免疫学修饰。因此,NDE适合与多种现有癌症疗法联合使用,以增强体内疗效和治疗结局并减少副作用。本综述旨在概述NK细胞的抗肿瘤潜能,并总结NK细胞免疫疗法(如异体和自体NK细胞移植、CAR-NK细胞疗法,以及细胞因子和单克隆抗体的应用)当前面临的挑战和机遇。本文还探讨肿瘤外泌体对NK细胞的双重调节作用,并强调NDE单独使用或与其他抗肿瘤疗法联合,可能重塑免疫抑制性肿瘤微环境,并在未来临床研究中加速癌症免疫治疗的疗效显现。
Natural killer (NK) cells are vital innate immune cells that play a crucial role in cancer therapy. They are targeted by therapies designed to modulate, retain, and enhance their antitumor function in vivo.
In addition to whole-cell therapy, NK cell-derived exosomes (NDEs) offer high immune safety and are easily subject to chemical, biological, and immunological modifications. This makes them suitable for use in combination with various current cancer therapies to enhance efficacy, treatment outcomes, and reduce side effects in vivo.
This review aims to outline summarizes the antitumor potential of NK cells, as well as the current challenges and opportunities in NK cell-based immunotherapies such as allogeneic and autologous NK cell transplantation, CAR NK cell therapy, and the use of cytokines and monoclonal antibodies.
The review also explores the dual regulatory effects of tumor exosomes on NK cells, and highlights the potential of NDEs, either alone or in combination with other antitumor therapies, to reprogram the immunosuppressive tumor microenvironment and expedite the therapeutic effects of cancer immunotherapy in future clinical research.
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