摘要
尽管乳腺癌在诊断和治疗方面取得了进展,但它仍然是女性中最常见的恶性肿瘤,在全球女性中与癌症相关的死亡率最高。随着对乳腺癌和免疫系统之间复杂相互作用的进一步了解,免疫疗法在临床管理中显示出巨大的潜力,有可能增加当前的治疗方式。这些免疫治疗方法包括过继细胞转移治疗、癌症疫苗接种、单克隆抗体治疗和溶瘤病毒治疗。根据存在的免疫细胞和细胞因子,肿瘤微环境(TME)可能具有免疫抑制作用,也可能有利于产生免疫反应。效应淋巴细胞在抗癌免疫反应中发挥重要作用,但它们的活动可被敌对的TME抑制。许多研究在调节免疫反应以识别和消除肿瘤细胞方面取得了良好的进展。然而,这些免疫疗法的疗效是患者特异性的,高度依赖于肿瘤及其TME的免疫学特性。本文将对乳腺癌、免疫系统以及它们之间的复杂关系进行综述。本文还将讨论利用淋巴细胞参与乳腺癌治疗的免疫治疗潜力的策略和方法,以及它们目前面临的挑战。
关键词: 乳腺癌、免疫逃避、免疫治疗、新抗原、肿瘤浸润淋巴细胞、TME。
Current Medicinal Chemistry
Title:Therapeutic Potential of Lymphoid Infiltrates in Breast Cancer
Volume: 28 Issue: 25
关键词: 乳腺癌、免疫逃避、免疫治疗、新抗原、肿瘤浸润淋巴细胞、TME。
摘要: Despite diagnostic and therapeutic advances in breast cancer, it remains the most frequently diagnosed malignancy in females, with the highest cancer-related mortality rate in women globally. With an improved understanding of the complex interactions between breast cancer and the immune system, immunotherapy has shown great potential in clinical management, potentially adding to current treatment modalities. These immunotherapeutic approaches include adoptive cell transfer therapy, cancer vaccination, monoclonal antibody therapy, and oncolytic virus therapy. Depending on the immune cells and cytokines present, the tumour microenvironment (TME) can be immunosuppressive or favourable for mounting an immune response. Effector lymphocytes play an essential role during an anticancer immune response, but their activities can be suppressed by the hostile TME. Many studies have made good progress in the modulation of the immune response to allow the identification and elimination of tumour cells. However, the efficacy of these immunotherapies is patient-specific and highly dependent on the immunological profile of the tumour and its TME. This review will give an overview of breast cancer, the immune system as well as their complex relationship. Strategies and approaches that can harness the potential of immunotherapy that engages lymphocytes in the treatment of breast cancer, along with their current challenges, will also be discussed.
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Cite this article as:
Therapeutic Potential of Lymphoid Infiltrates in Breast Cancer, Current Medicinal Chemistry 2021; 28 (25) . https://dx.doi.org/10.2174/0929867328666210430132701
DOI https://dx.doi.org/10.2174/0929867328666210430132701 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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