研究概要
肿瘤异质性是癌症进展的关键因素,肿瘤微环境(TME)内的免疫反应对治疗耐药和免疫治疗结局有重要影响。
中文摘要
肿瘤异质性是癌症进展的关键因素,肿瘤微环境(TME)内的免疫反应对治疗耐药和免疫治疗结局有重要影响。单细胞RNA测序(scRNA-seq)的最新进展为深入了解浸润肿瘤的多种免疫细胞群体提供了前所未有的见解,包括树突状细胞、中性粒细胞、巨噬细胞和自然杀伤(NK)细胞等固有免疫细胞,以及T淋巴细胞等适应性免疫细胞。肿瘤的免疫格局复杂且动态,其特征是激活与抑制免疫状态的混合,并随时间演变。免疫细胞浸润程度因肿瘤类型和疾病分期而异,影响肿瘤对治疗的反应。例如,与黑色素瘤和非小细胞肺癌等癌症相比,卵巢癌通常表现出较弱的免疫浸润。CD8+ T细胞浸润增加通常与良好预后相关,而调节性T细胞(Tregs)升高可抑制抗肿瘤免疫反应。scRNA-seq的应用使得对免疫细胞进行详细分析成为可能,揭示了耗竭T细胞和免疫抑制性巨噬细胞在TME中的作用。这种高分辨率方法有助于识别不同的免疫细胞亚群及其功能状态,为开发更具针对性、个性化的免疫疗法提供了平台。这些发现为通过精细免疫分析改善卵巢癌和其他恶性肿瘤的临床结局提供了有前景的途径。
展开英文摘要原文
Tumour heterogeneity is a key factor in cancer progression, with immune responses within the tumour microenvironment (TME) contributing significantly to treatment resistance and immunotherapy outcomes. Recent advances in single-cell RNA sequencing (scRNA-seq) have provided unprecedented insights into the diverse immune cell populations infiltrating tumours, including both innate immune cells like dendritic cells, neutrophils, macrophages, and natural killer (NK) cells, as well as adaptive immune cells such as T lymphocytes. The immune landscape of tumours is complex and dynamic, characterised by a mixture of activated and suppressed immune states that evolve over time. The degree of immune cell infiltration varies among tumour types and disease stages, influencing tumour response to therapies. For example, ovarian cancer typically exhibits weaker immune infiltration compared to cancers like melanoma and non-small cell lung cancer. Increased CD8+ T cell infiltration is generally associated with favourable prognosis, while elevated regulatory T cells (Tregs) can suppress anti-tumour immune responses. The use of scRNA-seq has enabled detailed profiling of immune cells, revealing the roles of exhausted T cells and immunosuppressive macrophages in the TME. This high resolution approach facilitates the identification of distinct immune cell subsets and their functional states, providing a platform for developing more targeted, personalised immunotherapies. The findings offer promising avenues for improving clinical outcomes in ovarian cancer and other malignancies through refined immune profiling.
论文信息
- 作者
- Chen S、Elhessewi GMS、Cai H、Alawad WM、Mishra MK、Sayed U
- 第一作者单位
- ENT Clinical Fellow, University Hospitals Bristol and Weston, Bristol Royal Infirmary, Bristol, UK.United Kingdom
- 通讯作者单位
- Faculty of Allied Medical Sciences, Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan.United States
- 文献类型
- 综述 · 非美国政府资助研究
- 期刊
- Journal of cellular and molecular medicine2026 Jun