白鸟 (2023-12-31 20:28):
#paper The cancer-immunity cycle: Indication, genotype, and immunotype,DOI:https://doi.org/10.1016/j.immuni.2023.09.011. 此文为综述文章,重点介绍了2013年发展的癌症免疫循环(CI),即一系列抗癌免疫反应,文章在此框架下进行更新补充。它强调免疫反应的循环迭代,T细胞杀死肿瘤细胞启动后续多轮次的抗原呈递和T细胞刺激,维持主动免疫并使其适应肿瘤进化。CI循环中的任一步骤都可能成为限速因素,导致免疫系统无法抑制肿瘤生长。 (1) 免疫检查点阻断治疗:必须在CI循环的背景下发挥作用; (2) 3种肿瘤免疫型:免疫炎症、免疫排斥或免疫沙漠型; (3) 免疫检查点阻断-Tex细胞:PD-L1最重要的来源可能不是肿瘤细胞,而是首先刺激肿瘤特异性T细胞的抗原呈递DC; (4) CI循环框架的影响因素:肿瘤环境TME, CAF,髓系细胞,肿瘤细胞的免疫抑制,TLS,宿主相关因素(遗传基因,微生物组);
IF:25.500Q1 Immunity, 2023-10-10. DOI: 10.1016/j.immuni.2023.09.011 PMID: 37820582
The cancer-immunity cycle: Indication, genotype, and immunotype
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Abstract:
The cancer-immunity cycle provides a framework to understand the series of events that generate anti-cancer immune responses. It emphasizes the iterative nature of the response where the killing of tumor cells by T cells initiates subsequent rounds of antigen presentation and T cell stimulation, maintaining active immunity and adapting it to tumor evolution. Any step of the cycle can become rate-limiting, rendering the immune system unable to control tumor growth. Here, we update the cancer-immunity cycle based on the remarkable progress of the past decade. Understanding the mechanism of checkpoint inhibition has evolved, as has our view of dendritic cells in sustaining anti-tumor immunity. We additionally account for the role of the tumor microenvironment in facilitating, not just suppressing, the anti-cancer response, and discuss the importance of considering a tumor's immunological phenotype, the "immunotype". While these new insights add some complexity to the cycle, they also provide new targets for research and therapeutic intervention.
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