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间充质干细胞及其衍生细胞外囊泡在小细胞肺癌与非小细胞肺癌细胞中的免疫调节特性综述

英文原题:A review of the immunomodulatory properties of mesenchymal stem cells and their derived extracellular vesicles in small-cell and non-small-cell lung cancer cells.

PubMed 2024/12/16(内容时间) Int Immunopharmacol Q1 · IF 5.6(JCR 2025)

研究概要

最难治疗的疾病之一是肺癌(LC)。

中文摘要

肺癌(LC)是最具治疗挑战的疾病之一。免疫治疗的发展历程虽有起伏,但近期显示出治疗肺癌的巨大前景,全球对这一新方法的兴趣日增。间充质干细胞(MSC)免疫疗法也日益受到关注。再生医学、细胞治疗和免疫调节均是MSC研究的重点领域。此外,MSC能够天然归巢至肿瘤部位,近期也因而被视为潜在抗癌药物递送载体。然而,MSC也可能具有促癌特性,使其成为对抗肿瘤疾病的一把双刃剑。多项研究还提出,MSC分泌的细胞外囊泡(EV)可作为潜在治疗药物或抗癌药物递送方式。但MSC或MSC-EV对癌细胞行为的影响存在相互矛盾的证据,确切机制仍未明确。本研究关注MSC及其关键特征,特别是其在癌症治疗中的免疫调节能力;还探讨利用MSC免疫调节特性治疗小细胞和非小细胞肺癌(SCLC和NSCLC)的潜力。文章最后总结该治疗方法的利弊,以及未来为提高其用于肺癌临床治疗适用性而拟开展的研究。

展开英文摘要原文

Among the most challenging diseases to treat is lung cancer (LC). While immunotherapy has a checkered history, it has lately shown great promise in the treatment of LC, and interest in this promising new approach is on the rise around the globe. Immunotherapy using mesenchymal stem cells (MSCs) is gaining popularity. Regenerative medicine, cell therapy, and immune modulation are three areas that have shown significant interest in MSCs. More than that, MSCs have recently attracted attention as potential anti-cancer drug delivery vehicles due to their inherent ability to go home to tumor locations. Making MSCs a double-edged sword in the fight against neoplastic illnesses, they are also known to impart pro-oncogenic properties. Additionally, multiple studies have proposed extracellular vesicles (EVs) secreted by MSCs as a potential therapeutic agent or method for delivering anti-cancer drugs. However, there has been conflicting evidence regarding the impact of MSCs or MSC-EV on the behavior of cancer cells, and the exact mechanism for this effect is still unknown. Our research has focused on MSCs and their key characteristics, such as their immunomodulatory capabilities for cancer therapy. Our research has also explored the potential of MSCs and their derivatives to treat small-cell and non-small-cell lung cancers (NSCLC and SCLC, respectively) by leveraging MSCs' immunomodulatory characteristics. At the end of this article, we covered the pros and cons of this therapy procedure, as well as what researchers want to do in the future to make it more suitable for clinical application in LC treatment.

论文信息

作者
Kareem RA、Sameer HN、Yaseen A、Athab ZH、Adil M、Ahmed HH
第一作者单位
Ahl Al Bayt University, Kerbala, Iraq.
通讯作者单位
College of Pharmacy, Alnoor University, Mosul, Iraq. Electronic address: hanan.hasan@alnoor.edu.iq.
文献类型
综述
期刊
International immunopharmacology2025 Jan 27
原文标识
PubMed 39689606 · DOI 10.1016/j.intimp.2024.113848