小W
(2022-11-30 23:58):
#paper doi:https://doi.org/10.1038/s41577-022-00796-z TGFβ control of immune
responses in cancer: a holistic immuno-oncology perspective TGFβ对癌症免疫反应的控制。作为一种进化上古老的调节细胞因子,TGFβ在免疫系统内外具有多效性功能,其促肿瘤或抗肿瘤免疫活性取决于其来源、剂量、环境和白细胞及其靶点,以及癌症类型和疾病阶段。本文使用小鼠肿瘤模型数据,在 TGFβ对不同免疫细胞调节效应 和 TGFβ在癌症先天免疫中的作用 进行了详细的论述,最后介绍了 TGFβ途径的全身阻断 和 靶向阻断TGFβ途径 两类将 TGFβ 用于癌症免疫治疗的尝试。有意思的一点,在本文介绍的 作用于 TGFβ 的 制剂多 与 其他治疗方式连用 ,而去年的 PD-L1/TGFβ双抗 临床试验全都铩羽而归。
TGFβ control of immune responses in cancer: a holistic immuno-oncology perspective
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Abstract:
The immune system responds to cancer in two main ways. First, there are prewired responses involving myeloid cells, innate lymphocytes and innate-like adaptive lymphocytes that either reside in premalignant tissues or migrate directly to tumours, and second, there are antigen priming-dependent responses, in which adaptive lymphocytes are primed in secondary lymphoid organs before homing to tumours. Transforming growth factor-β (TGFβ) - one of the most potent and pleiotropic regulatory cytokines - controls almost every stage of the tumour-elicited immune response, from leukocyte development in primary lymphoid organs to their priming in secondary lymphoid organs and their effector functions in the tumour itself. The complexity of TGFβ-regulated immune cell circuitries, as well as the contextual roles of TGFβ signalling in cancer cells and tumour stromal cells, necessitates the use of rigorous experimental systems that closely recapitulate human cancer, such as autochthonous tumour models, to uncover the underlying immunobiology. The diverse functions of TGFβ in healthy tissues further complicate the search for effective and safe cancer therapeutics targeting the TGFβ pathway. Here we discuss the contextual complexity of TGFβ signalling in tumour-elicited immune responses and explain how understanding this may guide the development of mechanism-based cancer immunotherapy.
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