摘要
近年来,我们对结肠癌(CRC)进程中遗传和非遗传的分子改变和治疗耐药相关的的认识范围已明显扩大。除了对肿瘤生物学的影响外,靶向治疗也可能对宿主免疫反应产生影响。然而,通过免疫细胞组织的肿瘤微环境去调节T细胞的活性需要更全面的解释。文献中有充分的证据表明,改变不同的MAPK超家族成员(主要是ERK和p38 MAPK)修改的炎症反应和抗肿瘤免疫,提高肿瘤转移特性。此外,过多的改变复发往往集中出现在蛋白激酶的活化中,尤其是ERKs,它在靶向治疗过程中与其他致癌信号协同调节细胞内稳态和克隆进化。在此,我们将讨论如何将这些知识转化为提高肿瘤抗原性和抗肿瘤免疫反应的药物开发策,从这些研究中为针对结肠癌的靶向治疗和免疫疗法的附加组合提供一个思路。
关键词: 促分裂原活化蛋白激酶,结肠癌,免疫性,免疫抑制剂,免疫疗法,细胞外受体活化激酶,p38丝裂原活化蛋白激酶
Current Medicinal Chemistry
Title:Emerging Insight into MAPK Inhibitors and Immunotherapy in Colorectal Cancer
Volume: 24 Issue: 14
关键词: 促分裂原活化蛋白激酶,结肠癌,免疫性,免疫抑制剂,免疫疗法,细胞外受体活化激酶,p38丝裂原活化蛋白激酶
摘要: Our understanding of the genetic and non-genetic molecular alterations associated with colorectal cancer (CRC) progression and therapy resistance has markedly expanded in the recent years. In addition to their effects on tumor biology, targeted therapies can have effects on host immune responses. However, the mechanisms by which immune cells organize tumor microenvironments to regulate T-cell activity need to be comprehensively defined. There is good evidence in the literature that alterations in different members of the MAPK superfamily (mainly ERKs and p38 MAPKs) modify the inflammatory response and antitumor immunity, enhancing metastatic features of the tumors. In addition, a plethora of alterations that emerge at relapse often converge on the activation of MAPKs, particularly, ERKs, which act in concert with other oncogenic signals to modulate cellular homeostasis and clonal evolution during targeted therapies. Herein, we discuss how this knowledge can be translated into drug development strategies aimed at increasing tumor antigenicity and antitumor immune responses. Insights from these studies could provide a framework for considering additional combinations of targeted therapies and immunotherapies for the treatment of CRC.
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Cite this article as:
Emerging Insight into MAPK Inhibitors and Immunotherapy in Colorectal Cancer, Current Medicinal Chemistry 2017; 24 (14) . https://dx.doi.org/10.2174/0929867324666170227114356
DOI https://dx.doi.org/10.2174/0929867324666170227114356 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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