David Kegyes, Paul Alexandru Milea, Andreea-Isabella Mazga, Adrian-Bogdan Tigu, Madalina Nistor, Diana Cenariu, Radu Tomai, Sanda Buruiana, Hermann Einsele, Alina Daniela Tănase, Ciprian Tomuleasa
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引用次数: 0
摘要
简介骨髓微环境（BME）对健康的造血至关重要，但在血液恶性肿瘤中却经常遭到破坏。肿瘤相关巨噬细胞（TAMs）是肿瘤微环境（TME）中的主要细胞类型，在肿瘤生长和进展中发挥着重要作用。靶向 TAMs 并调节其极化是一种很有前景的癌症治疗策略：在这篇综述中，我们讨论了TME的重要性以及调节免疫抑制性TAMs的多种可能靶点，如CD123、Sphingosos等：CD123、1-磷酸卵磷脂受体、CD19/CD1d、CCR4/CCL22、CSF1R (CD115)、CD24、CD40、B7家族蛋白、MARCO、CD47、CD163、CD204、CD206和叶酸受体：抗击血液恶性肿瘤微环境免疫抑制环境的创新方法具有重要的临床意义，可提高生存率、改善生活质量并降低癌症疗法的毒性。标准程序可能会将 CAR T/NK 细胞疗法与其他疗法相结合，从而提供更全面的癌症治疗。
Looking ahead to targeting macrophages by CAR T- or NK-cells in blood cancers.
Introduction: The bone marrow microenvironment (BME) is critical for healthy hematopoiesis and is often disrupted in hematologic malignancies. Tumor-associated macrophages (TAMs) are a major cell type in the tumor microenvironment (TME) and play a significant role in tumor growth and progression. Targeting TAMs and modulating their polarization is a promising strategy for cancer therapy.
Areas covered: In this review, we discuss the importance of TME and different multiple possible targets to modulate immunosuppressive TAMs such as: CD123, Sphingosine 1-Phosphate Receptors, CD19/CD1d, CCR4/CCL22, CSF1R (CD115), CD24, CD40, B7 family proteins, MARCO, CD47, CD163, CD204, CD206 and folate receptors.
Expert opinion: Innovative approaches to combat the immunosuppressive milieu of the tumor microenvironment in hematologic malignancies are of high clinical significance and may lead to increased survival, improved quality of life, and decreased toxicity of cancer therapies. Standard procedures will likely involve a combination of CAR T/NK-cell therapies with other treatments, leading to more comprehensive cancer care.
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Reviews covering novel disease targets at the molecular level and information on early preclinical studies and their implications for future drug development.
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