CD81 通过阻断 CD274/PD-L1 的选择性自噬降解驱动放射抵抗性胶质母细胞瘤的免疫逃逸
CD81 drives immune evasion in radioresistant glioblastoma by blocking selective autophagic degradation of CD274/PD-L1.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The promising cancer treatment approach in cancer immunotherapy: dendritic cell-based vaccines.
The promising cancer treatment approach in cancer immunotherapy: dendritic cell-based vaccines.
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树突状细胞(DC)作为最强大的专业抗原提呈细胞(APC),具有启动和调控适应性免疫应答的卓越能力,使基于DC的疫苗成为肿瘤免疫治疗中极具前景的策略。本综述探讨了DC的生物学特性,为DC疫苗的合理开发奠定基础。
我们进一步全面概述了当前主流的DC疫苗平台,并分析了三种代表性策略:(i)负载肿瘤裂解物的DC疫苗;(ii)个性化新抗原脉冲DC疫苗;(iii)DC来源的外泌体疫苗,一种快速兴起的无细胞治疗模式。在临床转化方面,我们总结了过去五年开展的临床试验结果,特别是针对高死亡率恶性肿瘤的研究。尽管结果令人鼓舞,但广泛的临床应用仍然受限,面临若干需要克服的挑战,包括DC的功能异质性和免疫抑制性肿瘤微环境。联合策略,如DC疫苗接种联合化疗、放疗或免疫检查点阻断,日益被认为是提高治疗效果的关键。随着未来肿瘤免疫生物学和先进生物工程的持续进步,DC疫苗的开发将加速推进,为难治性癌症患者提供新的治疗前景。
Dendritic cells (DCs), as the most protent professional antigen-presenting cells (APCs), possess an exceptional capacity to initiate and modulate adaptive immune responses, rendering DC-based vaccines a highly promising approach in tumor immunotherapy. This review explores the biological properties of DCs, establishing a foundation for the rational development of DC vaccine.
We further provide a comprehensive overview of current mainstream DC vaccine platforms, with analysis of three representative strategies: (i) DC vaccines loaded with tumor lysates; (ii) personalized neoantigen-pulsed DC vaccines; and (iii) DC-derived exosome vaccines, a rapidly emerging cell-free therapeutic modality. With respect to clinical translation, we summarize the outcomes of clinical trials conducted over the past five years, particularly targeting high-mortality malignancies.
While the results are encouraging, the broad clinical application remains limited, posing several challenges, including functional heterogeneity of DCs and immunosuppressive tumor microenvironment, which need to be overcome.
Combination strategies, such as DC vaccination paired with chemotherapy, radiotherapy or immune checkpoint blockade, are increasingly recognized as essential for enhancing therapeutic efficacy. With the sustainable progress in tumor immunobiology and advanced bioengineering in the future, the development of DC vaccines will be accelerated, offering novel therapeutic prospects for patients with refractory cancers.
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