Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy

IF 27.7 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Shuyan He, Lu Zheng, Chunjian Qi
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引用次数: 0

Abstract

The advent of immunotherapy represents a significant breakthrough in cancer treatment, with immune checkpoint inhibitors (ICIs) targeting PD-1 and CTLA-4 demonstrating remarkable therapeutic efficacy. However, patient responses to immunotherapy vary significantly, with immunosuppression within the tumor microenvironment (TME) being a critical factor influencing this variability. Immunosuppression plays a pivotal role in regulating cancer progression, metastasis, and reducing the success rates of immunotherapy. Myeloid-derived suppressor cells (MDSCs), due to their potent immunosuppressive capabilities, emerged as major negative regulators within the TME, facilitating tumor immune evasion by modulating various immune cells. In addition to their immunosuppressive functions, MDSCs also promote tumor growth and metastasis through non-immunological mechanisms, such as angiogenesis and the formation of pre-metastatic niches. Consequently, MDSCs in the TME are key regulators of cancer immune responses and potential therapeutic targets in cancer treatment. This review describes the origins and phenotypes of MDSCs, their biological roles in tumor progression, and regulatory mechanisms, with a focus on current therapeutic approaches targeting tumor-associated MDSCs. Furthermore, the synergistic effects of targeting MDSCs in combination with immunotherapy are explored, aiming to provide new insights and directions for cancer therapy.
骨髓源性抑制细胞(MDSCs)在肿瘤微环境中的作用及其在癌症治疗中的靶向作用
免疫疗法的出现代表了癌症治疗的重大突破,针对PD-1和CTLA-4的免疫检查点抑制剂(ICIs)显示出显着的治疗效果。然而,患者对免疫治疗的反应差异很大,肿瘤微环境(TME)内的免疫抑制是影响这种差异的关键因素。免疫抑制在调节肿瘤进展、转移和降低免疫治疗成功率方面起着关键作用。髓源性抑制细胞(MDSCs)由于其强大的免疫抑制能力,在TME中成为主要的负调节因子,通过调节各种免疫细胞促进肿瘤免疫逃避。除了具有免疫抑制功能外,MDSCs还通过非免疫机制促进肿瘤生长和转移,如血管生成和转移前生态位的形成。因此,TME中的MDSCs是癌症免疫反应的关键调节因子和癌症治疗的潜在治疗靶点。本文综述了MDSCs的起源和表型,它们在肿瘤进展中的生物学作用和调控机制,重点介绍了目前针对肿瘤相关MDSCs的治疗方法。进一步探讨靶向MDSCs联合免疫治疗的协同效应,旨在为癌症治疗提供新的见解和方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Molecular Cancer
Molecular Cancer 医学-生化与分子生物学
CiteScore
54.90
自引率
2.70%
发文量
224
审稿时长
2 months
期刊介绍: Molecular Cancer is a platform that encourages the exchange of ideas and discoveries in the field of cancer research, particularly focusing on the molecular aspects. Our goal is to facilitate discussions and provide insights into various areas of cancer and related biomedical science. We welcome articles from basic, translational, and clinical research that contribute to the advancement of understanding, prevention, diagnosis, and treatment of cancer. The scope of topics covered in Molecular Cancer is diverse and inclusive. These include, but are not limited to, cell and tumor biology, angiogenesis, utilizing animal models, understanding metastasis, exploring cancer antigens and the immune response, investigating cellular signaling and molecular biology, examining epidemiology, genetic and molecular profiling of cancer, identifying molecular targets, studying cancer stem cells, exploring DNA damage and repair mechanisms, analyzing cell cycle regulation, investigating apoptosis, exploring molecular virology, and evaluating vaccine and antibody-based cancer therapies. Molecular Cancer serves as an important platform for sharing exciting discoveries in cancer-related research. It offers an unparalleled opportunity to communicate information to both specialists and the general public. The online presence of Molecular Cancer enables immediate publication of accepted articles and facilitates the presentation of large datasets and supplementary information. This ensures that new research is efficiently and rapidly disseminated to the scientific community.
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