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靶向肿瘤:微环境与免疫治疗创新

英文原题:Targeting Cancer: Microenvironment and Immunotherapy Innovations.

查看英文原题

Targeting Cancer: Microenvironment and Immunotherapy Innovations.

PubMed 2024/12/18(内容时间) Int J Mol Sci Q1 · IF 5.6(JCR 2025)

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中文摘要

预计2024年美国将新增约200万癌症病例,癌症相关死亡约611,720例;这一趋势反映了更广泛的全球负担,预计到2050年癌症病例将超过3500万。尽管自1991年以来癌症死亡率已下降31%,不断增加的疾病负担仍凸显癌症治疗面临的持续挑战。关键障碍包括疾病本身的异质性和复杂性,如治疗耐药、癌症干细胞及多方面作用的肿瘤微环境(TME)。TME由多种肿瘤和免疫细胞、血管及生化因子组成,在肿瘤生长和治疗耐药中发挥关键作用。癌症治疗近期创新,尤其是肿瘤免疫学领域的进展,利用了对TME相互作用的认识。新兴实例之一是FDA批准的TIL(肿瘤浸润淋巴细胞)疗法,展示了细胞疗法用于实体瘤的潜力。然而,TIL疗法只是正在探索的众多策略之一。本综述全面介绍肿瘤免疫学这一新兴领域,重点探讨靶向或利用TME组分的新型疗法如何提高治疗效果并应对癌症照护中持续存在的挑战。

展开英文摘要原文

In 2024, the United States was projected to experience 2 million new cancer diagnoses and approximately 611,720 cancer-related deaths, reflecting a broader global trend in which cancer cases are anticipated to exceed 35 million by 2050. This increasing burden highlights ongoing challenges in cancer treatment despite significant advances that have reduced cancer mortality by 31% since 1991. Key obstacles include the disease's inherent heterogeneity and complexity, such as treatment resistance, cancer stem cells, and the multifaceted tumor microenvironment (TME).

The TME-comprising various tumor and immune cells, blood vessels, and biochemical factors-plays a crucial role in tumor growth and resistance to therapies. Recent innovations in cancer treatment, particularly in the field of immuno-oncology, have leveraged insights into TME interactions. An emerging example is the FDA-approved therapy using tumor-infiltrating lymphocytes (TILs), demonstrating the potential of cell-based approaches in solid tumors.

However, TIL therapy is just one of many strategies being explored. This review provides a comprehensive overview of the emerging field of immuno-oncology, focusing on how novel therapies targeting or harnessing components of the TME could enhance treatment efficacy and address persistent challenges in cancer care.

论文信息

作者
Padzińska-Pruszyńska IB、Taciak B、Kiraga Ł、Smolarska A、Górczak M、Kucharzewska P、Kubiak M、Szeliga J
单位
Center of Cellular Immunotherapies, Warsaw University of Life Sciences, 02-787 Warsaw, Poland.Poland
文献类型
综述
期刊
International journal of molecular sciences2024 Dec 18
原文标识
PubMed 39769334 · DOI 10.3390/ijms252413569