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:IFN-gamma in the tumor microenvironment: dual roles in cancer progression and therapy.
IFN-gamma in the tumor microenvironment: dual roles in cancer progression and therapy.
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干扰素-γ(IFN-γ)作为一种多效性细胞因子,在抗肿瘤免疫中发挥着关键作用。其显著的免疫刺激、抗增殖和促凋亡效应使其成为肿瘤免疫治疗中一个有前景的候选分子。
在此,我们重点阐述IFN-γ在肿瘤发生发展和治疗过程中在肿瘤微环境中的双重作用。IFN-γ能够增强抗原呈递,提升细胞毒性T细胞和NK 细胞的活性,并抑制血管生成,从而促进肿瘤消退并与良好的治疗结局相关。
然而,长期暴露可能诱导免疫检查点分子如程序性死亡配体 1的上调,引发T细胞耗竭,并招募调节性T细胞,这些现象与癌症治疗中治疗耐药性的产生相关。这种双重性质为在肿瘤治疗中利用IFN-γ带来了重大挑战,需要深入理解其在特定微环境中的机制。尽管大量研究探索了基于IFN-γ的肿瘤治疗,但其结果并不一致。
因此,尽管基于IFN-γ的治疗策略具有相当大的前景,其临床转化需要精确调控,以充分发挥其抗肿瘤效应,同时减轻潜在的促肿瘤风险。另见图解摘要(图1)。
Interferon-gamma (IFN-γ), as a pleiotropic cytokine, plays a pivotal role in antitumor immunity. Its remarkable immunostimulatory, antiproliferative, and pro-apoptotic effects make it a promising candidate for tumor immunotherapy.
Here, we highlight the dual role of IFN-γ in the tumor microenvironment during tumor development and treatment. IFN-γ can enhance antigen presentation, boost cytotoxic T cell and natural killer cell activity, and inhibit angiogenesis, promoting tumor regression and correlating with favorable therapeutic outcomes.
However, prolonged exposure may induce the upregulation of immune checkpoint molecules such as programmed death-ligand 1, trigger T cell exhaustion, and recruit regulatory T cells, phenomena associated with the development of treatment resistance in cancer therapy. This dual nature poses significant challenges for harnessing IFN-γ in tumor treatment, necessitating an in-depth understanding of its mechanisms within specific microenvironments. Although numerous studies have explored IFN-γ-based tumor therapies, their outcomes have been inconsistent.
Thus, although IFN-γ-based therapeutic strategies hold considerable promise, their clinical translation requires precise modulation to fully exploit its antitumor effects while mitigating potential protumor risks. See also the graphical abstract(Fig. 1).
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