首页|肿瘤相关巨噬细胞在胃癌免疫治疗耐药中的研究进展

肿瘤相关巨噬细胞在胃癌免疫治疗耐药中的研究进展

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目的 总结有关肿瘤相关巨噬细胞(tumor-associated macrophages,TAM)在胃癌免疫治疗及耐药方面的研究进展,为胃癌的治疗提供新的思路.方法 检索国内外近年关于TAM在胃癌免疫治疗及耐药方面的文献并进行综述.结果 我国胃癌的发病率和死亡率远高于其他国家,手术治疗是胃癌的主要治疗方式,靶向治疗联合免疫治疗已经成为了晚期胃癌的一线治疗方案.TAM是大量存在于肿瘤免疫微环境中的免疫细胞,已成为患者个体化治疗中新的治疗靶点和预后指标.随着TAM与恶性肿瘤的关系越来越清晰,TAM有望成为开发新型癌症治疗药物的靶点.然而,有些患者在治疗过程中会出现一定程度耐药.最近的临床前和临床研究显示,针对TAM的治疗在胃癌方面取得了令人满意的疗效.结论 TAM的作用机制以及驱动胃癌肿瘤微环境中TAM表型变化的关键因素仍有待进一步研究.如何抑制TAM的促瘤作用将为未来的胃癌治疗提供新的线索.
Research progress in immunotherapy resistance of tumor-associated macrophages in gastric cancer
Objective To summarize the research progress of tumor-associated macrophages(TAM)in immunotherapy and drug resistance of gastric cancer,and provide new ideas for the treatment of gastric cancer.Method The literatures about tumor-associated macrophages in immunotherapy and drug resistance of gastric cancer at home and abroad in recent years were searched and reviewed.Results The incidence and mortality of gastric cancer in China were significantly higher than those in other countries.Surgical treatment remained the primary approach for gastric cancer,and targeted therapy combined with immunotherapy had become the standard first-line treatment for advanced gastric cancer.TAM were a large population of immune cells present in the tumor immune microenvironment and had emerged as novel therapeutic targets and prognostic indicators in individualized treatment strategies.As the relationship between TAM and malignant tumors was further elucidated,TAM was expected to become a key target for the development of novel cancer therapeutics.However,some patients developed resistance during treatment.Recent preclinical and clinical studies had demonstrated that targeting TAM had yielded promising results in gastric cancer treatment.Conclusions The mechanism of TAM and the key factors driving the phenotypic changes of TAM in the microenvironment of gastric cancer remain to be further study.How to inhibit the tumor promoting effect of TAM will provide new clues for the future treatment of gastric cancer.

tumor-associated macrophagegastric cancerimmunotherapyresistancetumor microenvironment

刘涛、余春燕、李桐桐、黄翌楚、姜雷

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兰州大学第一临床医学院(兰州 730000)

兰州大学第一医院普外科六病区(兰州 730000)

肿瘤相关巨噬细胞 胃癌 免疫治疗 耐药 肿瘤免疫微环境

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(12)