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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Prospects and applications of NK therapy in the treatment of gliomas (Review).
Prospects and applications of NK therapy in the treatment of gliomas (Review).
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脑肿瘤因难治及对传统治疗耐药而成为肿瘤研究热点。由于脑部结构特殊,肿瘤切除手术需要高风险开颅;复杂的脑结构也使脑肿瘤通常无法彻底切除。
此外,外源性小分子难以穿过血脑屏障,导致传统药物治疗无法到达脑内肿瘤部位;传统放疗对健康脑组织造成的损伤也不容忽视。因此,以胶质瘤为代表的脑肿瘤迫切需要新治疗方法。胶质瘤是最常见的脑肿瘤,占中枢神经系统恶性肿瘤的81%,具有发病率高、易复发、死亡率高和治愈率低等特点。近年来,胶质瘤自然杀伤(NK)细胞免疫治疗逐渐兴起,多项研究显示出令人惊喜的治疗效果。研究证实NK细胞可穿过血脑屏障,并已通过大量体内外研究证实其能够杀伤胶质瘤细胞。本文首先介绍胶质瘤传统疗法,随后综述NK细胞免疫疗法治疗胶质瘤的潜力,以及NK细胞在胶质瘤免疫微环境中的调控机制;接着总结CAR-NK细胞的临床前研究及NK细胞治疗胶质瘤的临床进展。
最后,本文讨论胶质瘤免疫治疗的近期进展,并探讨将NK细胞免疫疗法与其他治疗方式结合的新策略。
Brain tumours are in the spotlight of oncology research due to their intractability and resistance to conventional treatments. High risk craniotomies must be performed on patients during tumour resection surgeries due to the specificity of the brain structure, and the complexity of the brain structure also leads to the fact that brain tumours usually cannot be removed completely.
Besides, the inability of foreign small molecules to cross the blood brain barrier has led to the inability of conventional drug therapy to reach the tumour location in the brain.
Furthermore, the damage to healthy brain tissue caused by conventional radiotherapy cannot be ignored.
Therefore, brain tumours represented by gliomas are in urgent need for a novel therapeutic approach. Glioma is the most common brain tumour, accounting for 81% of malignant tumours in the central nervous system, and is characterized by high morbidity, recurrence, mortality and low cure rate. In recent years, natural killer (NK) cell immunotherapy for gliomas has gradually emerged and numerous studies have shown surprising therapeutic effects.
NK cells have been demonstrated to traverse the blood brain barrier and numerous studies have confirmed their ability to kill glioma cells both in vivo and in vitro . This article begins by introducing conventional therapies for glioma, followed by an overview of the potential of NK cell based immunotherapy in glioma treatment and the regulatory mechanisms of NK cells within the glioma immune microenvironment. It then summarizes preclinical studies on CAR NK cells and clinical advancements in NK cell therapy for glioma.
Finally, the paper discusses recent progress in immunotherapy for gliomas and explores novel therapeutic strategies combining NK cell immunotherapy with other treatment modalities.
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