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The history and advances in cancer immunotherapy:understanding the characteristics of tumor-infiltrating immune cells and their therapeutic implications 被引量:131
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作者 Yuanyuan Zhang Zemin Zhang 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2020年第8期807-821,共15页
Immunotherapy has revolutionized cancer treatment and rejuvenated the field of tumor immunology.Several types of immunotherapy,including adoptive cell transfer(ACT)and immune checkpoint inhibitors(ICIs),have obtained ... Immunotherapy has revolutionized cancer treatment and rejuvenated the field of tumor immunology.Several types of immunotherapy,including adoptive cell transfer(ACT)and immune checkpoint inhibitors(ICIs),have obtained durable clinical responses,but their efficacies vary,and only subsets of cancer patients can benefit from them.Immune infiltrates in the tumor microenvironment(TME)have been shown to play a key role in tumor development and will affect the clinical outcomes of cancer patients.Comprehensive profiling of tumor-infiltrating immune cells would shed light on the mechanisms of cancer–immune evasion,thus providing opportunities for the development of novel therapeutic strategies.However,the highly heterogeneous and dynamic nature of the TME impedes the precise dissection of intratumoral immune cells.With recent advances in single-cell technologies such as single-cell RNA sequencing(scRNA-seq)and mass cytometry,systematic interrogation of the TME is feasible and will provide insights into the functional diversities of tumor-infiltrating immune cells.In this review,we outline the recent progress in cancer immunotherapy,particularly by focusing on landmark studies and the recent single-cell characterization of tumor-associated immune cells,and we summarize the phenotypic diversities of intratumoral immune cells and their connections with cancer immunotherapy.We believe such a review could strengthen our understanding of the progress in cancer immunotherapy,facilitate the elucidation of immune cell modulation in tumor progression,and thus guide the development of novel immunotherapies for cancer treatment. 展开更多
关键词 IMMUNOTHERAPY tumor microenvironment Single-cell technologies tumor-infiltrating immune cells Phenotypic diversities
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肿瘤微环境的脾虚本质探讨 被引量:93
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作者 韩钦芮 符秀琼 +1 位作者 禹志领 孙学刚 《中医杂志》 CSCD 北大核心 2014年第4期292-294,298,共4页
肿瘤是当今世界面临的最严重的公共卫生问题。肿瘤的免疫编辑理论补充、更新了肿瘤细胞中心论观点。肿瘤微环境促进了肿瘤从免疫相持到免疫逃逸的演变过程,慢性炎症和免疫抑制是其核心特征。多种肿瘤脾虚模型和病例均可见到慢性炎症和... 肿瘤是当今世界面临的最严重的公共卫生问题。肿瘤的免疫编辑理论补充、更新了肿瘤细胞中心论观点。肿瘤微环境促进了肿瘤从免疫相持到免疫逃逸的演变过程,慢性炎症和免疫抑制是其核心特征。多种肿瘤脾虚模型和病例均可见到慢性炎症和免疫抑制,脾虚因而可能是肿瘤微环境的核心病机。健脾中药能有效治疗肿瘤并改善肿瘤微环境相关细胞和分子功能,具有逆转肿瘤免疫逃逸的潜能,应用健脾中药通过调控肿瘤微环境抗癌可能是中医肿瘤防治新思路。 展开更多
关键词 肿瘤微环境 免疫编辑 脾虚 炎症
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肿瘤微环境及其中医病机 被引量:77
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作者 郑舞 杨金坤 《中医杂志》 CSCD 北大核心 2015年第20期1720-1724,共5页
肿瘤微环境是指肿瘤细胞在增殖、侵袭和转移过程中密不可分的局部外环境。与正常细胞外环境一样,肿瘤微环境是一个复杂的微生态网络,环境中的低氧、低p H值以及慢性炎症是导致肿瘤组织异常增生、转移、复发的重要因素,与中医因脾虚、痰... 肿瘤微环境是指肿瘤细胞在增殖、侵袭和转移过程中密不可分的局部外环境。与正常细胞外环境一样,肿瘤微环境是一个复杂的微生态网络,环境中的低氧、低p H值以及慢性炎症是导致肿瘤组织异常增生、转移、复发的重要因素,与中医因脾虚、痰、瘀、癌毒等病理因素相互挟杂、交融而致的中医微环境相似。提示可以从微环境角度探究中医肿瘤病因病机,通过探讨两者的关系,为临床运用肿瘤微环境理论指导中医药抗肿瘤治疗提供参考依据。 展开更多
关键词 肿瘤微环境 脾虚
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基于肿瘤微环境的癌毒病机理论研究 被引量:68
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作者 程海波 沈卫星 +1 位作者 吴勉华 周仲瑛 《南京中医药大学学报》 CAS CSCD 北大核心 2014年第2期105-107,共3页
肿瘤的发生、发展不仅取决于肿瘤细胞本身,而且与肿瘤微环境关系密切。目前恶性肿瘤的治疗新策略已转变为通过干预肿瘤微环境,阻断癌变的发生和发展。国医大师周仲瑛教授根据其长期临床实践提出癌毒病机理论,认为癌毒是肿瘤发生、发展... 肿瘤的发生、发展不仅取决于肿瘤细胞本身,而且与肿瘤微环境关系密切。目前恶性肿瘤的治疗新策略已转变为通过干预肿瘤微环境,阻断癌变的发生和发展。国医大师周仲瑛教授根据其长期临床实践提出癌毒病机理论,认为癌毒是肿瘤发生、发展的关键。研究认为癌毒病机理论与肿瘤微环境的机制密切相关,通过探讨两者的关系,诠释癌毒病机理论的科学内涵,为临床运用癌毒病机理论指导中医药抗肿瘤提供科学依据。 展开更多
关键词 癌毒 肿瘤 微环境 病因病机
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Inhibiting effect of Astragalus polysaccharides on the functions of CD4+CD25^highTreg cells in the tumor microenvironment of human hepatocellular carcinoma 被引量:64
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作者 LI Qiang BAO Jian-min +2 位作者 LI Xiao-li ZHANG Ti SHEN Xiao-hong 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第5期786-793,共8页
Background Astragalus polysaccharides (APS), the main active extract from Astragalus membranaceus (a traditional Chinese medicinal herb), is associated with a variety of immunomodulatory activities. The purpose of... Background Astragalus polysaccharides (APS), the main active extract from Astragalus membranaceus (a traditional Chinese medicinal herb), is associated with a variety of immunomodulatory activities. The purpose of the present study was to examine the effect of APS on the function of Treg cells in the tumor microenvironment of human hepatocellular carcinoma (HCC) and to identify the pharmacologic mechanism of APS responsible for the anti-chemotactic activity in CD4+CD25^highTreq cells in tumor site of HCC. 展开更多
关键词 Astragalus polysaccharides hepatocellular carcinoma regulatory T cells tumor microenvironment
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肿瘤微环境——肿瘤转移的关键因素 被引量:57
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作者 杨芳 于雁 《中国肺癌杂志》 CAS CSCD 北大核心 2015年第1期48-54,共7页
肿瘤转移是癌症治疗失败和患者死亡的主要原因,其分子机制复杂,涉及多步骤、多阶段、多基因的变化。作为肿瘤细胞赖以生存的场所,肿瘤微环境在肿瘤转移过程中起到至关重要的作用。因此,研究肿瘤微环境与肿瘤转移的动态关系,阐明微环境... 肿瘤转移是癌症治疗失败和患者死亡的主要原因,其分子机制复杂,涉及多步骤、多阶段、多基因的变化。作为肿瘤细胞赖以生存的场所,肿瘤微环境在肿瘤转移过程中起到至关重要的作用。因此,研究肿瘤微环境与肿瘤转移的动态关系,阐明微环境中不同因子在转移过程中的分子机制是抑制肿瘤转移的关键。 展开更多
关键词 肿瘤微环境 肿瘤转移 分子机制
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缺氧微环境在肿瘤进展中的作用 被引量:49
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作者 秦承东 任正刚 汤钊猷 《肿瘤》 CAS CSCD 北大核心 2016年第1期96-102,共7页
缺氧微环境是实体肿瘤的重要特征。在缺氧条件下,肿瘤细胞会分泌多种血管生长因子以促进异常血管的形成。同时为了寻找更佳适宜的土壤,肿瘤细胞的侵袭与转移能力也会得到进一步的提高。此外,缺氧微环境对肿瘤细胞具有筛选作用,使肿瘤的... 缺氧微环境是实体肿瘤的重要特征。在缺氧条件下,肿瘤细胞会分泌多种血管生长因子以促进异常血管的形成。同时为了寻找更佳适宜的土壤,肿瘤细胞的侵袭与转移能力也会得到进一步的提高。此外,缺氧微环境对肿瘤细胞具有筛选作用,使肿瘤的恶性程度进一步提高,导致肿瘤细胞对化疗药物或放射治疗不敏感。由此可见,缺氧微环境是肿瘤的不良预后的重要因素。相较于肿瘤组织,正常组织中很少存在缺氧区域,所以缺氧微环境也为肿瘤的靶向治疗提供了有利条件。本文就缺氧微环境的成因、与肿瘤的相互关系和干预策略等进行综述,以期为靶向肿瘤缺氧微环境的治疗提供一些理论依据。 展开更多
关键词 肿瘤 缺氧 肿瘤微环境 肿瘤转移 肿瘤干细胞
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痰浊与肿瘤微环境的相关性探讨 被引量:47
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作者 张慈安 魏品康 李勇进 《中西医结合学报》 CAS 2010年第3期215-219,共5页
肿瘤细胞由于生长迅速,能量代谢异常以及特定蛋白的自身调节,导致形成和维持一个不适合正常细胞生存的细胞微环境,同时这种微环境又保证了其发生、增殖、侵袭与转移。细胞生存的微环境主要由细胞间质及其所含成分参与构成,其对细胞内外... 肿瘤细胞由于生长迅速,能量代谢异常以及特定蛋白的自身调节,导致形成和维持一个不适合正常细胞生存的细胞微环境,同时这种微环境又保证了其发生、增殖、侵袭与转移。细胞生存的微环境主要由细胞间质及其所含成分参与构成,其对细胞内外物质传递及代谢的作用,与津液的滋润和濡养作用相似,而痰浊正是体内津液代谢异常导致的最主要病理产物。因此探讨痰浊与肿瘤细胞微环境的相关性,有助于阐明痰浊的物质基础,并且有可能成为中西医结合抗肿瘤研究的新切入点。 展开更多
关键词 肿瘤微环境 痰浊 中西医结合 相关性
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炎症细胞因子在肿瘤微环境中的作用及其作为治疗靶点的研究进展 被引量:41
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作者 马守宝 林丹丹 刘海燕 《生命科学》 CSCD 2016年第2期182-191,共10页
肿瘤相关炎症是近年来肿瘤免疫领域的研究热点。炎症被称为恶性肿瘤的第八大生物学特征,其在肿瘤发生发展、侵袭转移过程中发挥重要作用。肿瘤微环境中存在大量的炎症细胞因子,如IL-1、IL-6、IL-12、IL-17、TNF-α和TGF-β,它们不仅可... 肿瘤相关炎症是近年来肿瘤免疫领域的研究热点。炎症被称为恶性肿瘤的第八大生物学特征,其在肿瘤发生发展、侵袭转移过程中发挥重要作用。肿瘤微环境中存在大量的炎症细胞因子,如IL-1、IL-6、IL-12、IL-17、TNF-α和TGF-β,它们不仅可以募集炎症细胞到肿瘤部位,放大炎症效应,还可促进肿瘤细胞生长和转移,促进肿瘤血管、淋巴管生成。现主要从炎症细胞因子及肿瘤微环境入手,旨在探讨炎症细胞因子介导的慢性炎症在肿瘤发生发展过程中的重要作用,及其作为肿瘤治疗靶点的转化医学的研究进展及展望。 展开更多
关键词 炎症 肿瘤 肿瘤微环境 细胞因子 治疗
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结直肠癌及腺瘤患者CD4^+、CD8^+和CD28^+T淋巴细胞的亚群变化及临床意义 被引量:39
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作者 张泉 邱思芳 +4 位作者 赵逵 朱蓉 汪煜鹏 张海 牟兰兰 《中国癌症杂志》 CAS CSCD 北大核心 2018年第8期577-583,共7页
背景与目的:结直肠癌(colorectal cancer,CRC)严重影响患者生存。探讨肿瘤微环境(tumor microenvironment,TME)T细胞亚群在CRC和腺瘤中的表达及意义。方法:用免疫组织化学法和流式细胞术对51例健康人(对照组)、46例结直肠腺瘤(腺瘤组)、... 背景与目的:结直肠癌(colorectal cancer,CRC)严重影响患者生存。探讨肿瘤微环境(tumor microenvironment,TME)T细胞亚群在CRC和腺瘤中的表达及意义。方法:用免疫组织化学法和流式细胞术对51例健康人(对照组)、46例结直肠腺瘤(腺瘤组)、100例CRC(癌症组)和15例CRC术后(癌术后组)患者进行T细胞亚群检测。结果:(1)对照组、腺瘤组及癌症组3组中CD4^+T细胞的阳性率分别是90.00%、43.75%及32.65%,CD8^+T淋巴细胞的阳性率分别是30.00%、56.25%及75.51%,CD28^+T淋巴细胞的阳性率分别是42.86%、30.00%及20.00%。(2)对照组、腺瘤组及癌症组3组中CD4^+、CD4^+/CD8^+、CD28^+、CD8^+CD28^+和CD8^-CD28^+逐渐降低,CD8^+、CD8^+CD28-逐渐增加(P<0.05);癌术前术后T细胞亚群差异有统计学意义(P<0.05)。结论:(1)CRC微环境T细胞亚群中CD4^+、CD4^+/CD8^+、CD28^+、CD8^+CD28^+和CD8^-CD28^+呈递减趋势,CD8^+、CD8^+CD28^-呈递增趋势,且在癌前病变腺瘤中已逐步出现上述趋势变化。(2)CRC患者行肿瘤切除术后,其T细胞亚群有所恢复,故在一定程度上,CRC中T细胞亚群的变化可以早期预测结直肠疾病的发展。 展开更多
关键词 肿瘤微环境 结直肠癌 结直肠腺瘤 T淋巴细胞亚群 流式细胞术
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肿瘤微环境中免疫与炎症的调节 被引量:39
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作者 黄波 《中国肿瘤生物治疗杂志》 CAS CSCD 北大核心 2012年第2期111-115,共5页
免疫和炎症构成肿瘤微环境的两大核心,但两者之间关系并不清楚。髓源抑制性细胞(myeloid derived suppressorcell,MDSC)和调节性T细胞(regulatory T cell,Treg)等抑制性细胞趋化至肿瘤部位可抑制炎症,而非介导肿瘤免疫逃逸;肥大细胞则... 免疫和炎症构成肿瘤微环境的两大核心,但两者之间关系并不清楚。髓源抑制性细胞(myeloid derived suppressorcell,MDSC)和调节性T细胞(regulatory T cell,Treg)等抑制性细胞趋化至肿瘤部位可抑制炎症,而非介导肿瘤免疫逃逸;肥大细胞则通过对MDSC和Treg的调节,介导免疫和炎症的对话;作为肿瘤微环境中基本信号通路的Toll样信号可以直接调节免疫和炎症,并通过微颗粒途径精细调控肿瘤炎症的稳定。不管肿瘤炎症和免疫的关系如何复杂而交错,一般认为,肿瘤微环境的抗肿瘤免疫和炎症呈现出一种负相关关系,即在肿瘤的早期,免疫反应较强而炎症较弱;但在肿瘤的后期,免疫反应较弱而炎症较强。 展开更多
关键词 肿瘤微环境 免疫 炎症 调节机制
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癌毒病机科学内涵的现代诠释 被引量:38
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作者 程海波 周仲瑛 《南京中医药大学学报》 CAS CSCD 北大核心 2021年第5期637-641,共5页
癌毒病机理论是程海波教授团队创建的中医肿瘤创新病机理论,近年来被广泛应用于指导恶性肿瘤的临床辨治,并取得了较好的临床疗效。癌毒是导致恶性肿瘤的一类特异性致病因子,是恶性肿瘤发生、发展的关键病机。团队长期围绕癌毒病机的科... 癌毒病机理论是程海波教授团队创建的中医肿瘤创新病机理论,近年来被广泛应用于指导恶性肿瘤的临床辨治,并取得了较好的临床疗效。癌毒是导致恶性肿瘤的一类特异性致病因子,是恶性肿瘤发生、发展的关键病机。团队长期围绕癌毒病机的科学内涵开展研究,通过探讨癌毒病机理论与肿瘤微环境的关系、癌毒病机与肿瘤微环境中的特异性致病物质的相关性,提出癌毒的科学内涵是肿瘤微环境中影响肿瘤发生、发展的一类特异性致病物质,炎症因子、乳酸、血管生成因子、免疫抑制因子、外泌体非编码RNA等可能是癌毒病机的生物学基础。结合现代肿瘤学研究进展,诠释癌毒病机的科学内涵,为进一步推广癌毒病机理论及临床应用提供科学依据。 展开更多
关键词 癌毒 病机理论 恶性肿瘤 肿瘤微环境 科学内涵
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The application of nanoparticles in cancer immunotherapy:Targeting tumor microenvironment 被引量:36
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作者 Muyue Yang Jipeng Li +1 位作者 Ping Gu Xianqun Fan 《Bioactive Materials》 SCIE 2021年第7期1973-1987,共15页
The tumor development and metastasis are closely related to the structure and function of the tumor microenvironment(TME).Recently,TME modulation strategies have attracted much attention in cancer immunotherapy.Despit... The tumor development and metastasis are closely related to the structure and function of the tumor microenvironment(TME).Recently,TME modulation strategies have attracted much attention in cancer immunotherapy.Despite the preliminary success of immunotherapeutic agents,their therapeutic effects have been restricted by the limited retention time of drugs in TME.Compared with traditional delivery systems,nanoparticles with unique physical properties and elaborate design can efficiently penetrate TME and specifically deliver to the major components in TME.In this review,we briefly introduce the substitutes of TME including dendritic cells,macrophages,fibroblasts,tumor vasculature,tumor-draining lymph nodes and hypoxic state,then review various nanoparticles targeting these components and their applications in tumor therapy.In addition,nanoparticles could be combined with other therapies,including chemotherapy,radiotherapy,and photodynamic therapy,however,the nanoplatform delivery system may not be effective in all types of tumors due to the heterogeneity of different tumors and individuals.The changes of TME at various stages during tumor development are required to be further elucidated so that more individualized nanoplatforms could be designed. 展开更多
关键词 NANOPARTICLES tumor microenvironment Cancer immunotherapy HYPOXIA
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肿瘤炎症微环境与免疫的关系及中医药干预策略 被引量:36
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作者 田同德 岳立云 +3 位作者 田同良 范伊晓 张新峰 马旭辉 《中医杂志》 CSCD 北大核心 2017年第3期207-211,共5页
免疫抑制是构成肿瘤炎症微环境的核心特征,通过改善肿瘤炎症微环境,解除免疫细胞向抑制性表型转化的压力,重塑肿瘤免疫是提高临床疗效的有效途径。肿瘤炎症微环境属中医微观辨证的范畴,结合现代医学对肿瘤炎症和免疫的认识,认为其与中医... 免疫抑制是构成肿瘤炎症微环境的核心特征,通过改善肿瘤炎症微环境,解除免疫细胞向抑制性表型转化的压力,重塑肿瘤免疫是提高临床疗效的有效途径。肿瘤炎症微环境属中医微观辨证的范畴,结合现代医学对肿瘤炎症和免疫的认识,认为其与中医"癌毒"所属"阴毒"的致病特征类似,存在"寒凝痰瘀"的病机特点,应在中医传统辨证理论的指导下,注重"温补、化痰、通滞"治法对肿瘤炎症微环境的免疫调节作用。 展开更多
关键词 肿瘤 炎症微环境 温补 化痰 通滞
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肿瘤微环境及其中医证本质——中医现代化路径之探索 被引量:35
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作者 马萌 《中华中医药杂志》 CAS CSCD 北大核心 2018年第6期2255-2261,共7页
肿瘤微环境是中医肿瘤辨证论治的物质基础,与肿瘤细胞的免疫逃逸密切相关。肿瘤微环境的改变促进肿瘤细胞的诱导分化,因此,中医肿瘤辨证论治的实质就是干预肿瘤微环境。肿瘤微环境及其表观遗传机制在肿瘤发生机制中发挥了决定性作用。... 肿瘤微环境是中医肿瘤辨证论治的物质基础,与肿瘤细胞的免疫逃逸密切相关。肿瘤微环境的改变促进肿瘤细胞的诱导分化,因此,中医肿瘤辨证论治的实质就是干预肿瘤微环境。肿瘤微环境及其表观遗传机制在肿瘤发生机制中发挥了决定性作用。探索中医证本质是中医现代化的必由之路,肿瘤微环境可望成为中医现代化之路的有效切入点。而中医现代化的路径绝不是目前所谓的"中西医结合"之路。 展开更多
关键词 肿瘤微环境 中医证本质 表观遗传学 中医现代化 基因突变 免疫逃逸 诱导分化
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Progress in research on the effects of traditional Chinese medicine on the tumor microenvironment 被引量:32
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作者 Wan-fu Lin Jian-ying Lu +1 位作者 Bin-bin Cheng Chang-quan Ling 《Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第4期282-287,共6页
Tumor microenvironment (TME) has received more and more attention as modern medical research has begun to understand its importance in tumorigenesis. The occurrence, development, metastasis and drug resistance of tu... Tumor microenvironment (TME) has received more and more attention as modern medical research has begun to understand its importance in tumorigenesis. The occurrence, development, metastasis and drug resistance of tumors are closely related to TME. TME is a complicated system, including nontumor cells, their secreted cytokines, extracellular matrix, among other components. The concepts of wholism and multitarget regulation in traditional Chinese medicine (TCM) make it well suited to the regulation of TME. in this paper, the authors reviewed the progress of TME research and the effect of TCM on TME, providing some views of Chinese medicine in antitumor research. 展开更多
关键词 tumor microenvironment medicine Chinese traditional Chinese medicine monomer Chinesemedicine compound research progress
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Drug resistance and new therapies in colorectal cancer 被引量:32
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作者 Kevin Van der Jeught Han-Chen Xu +2 位作者 Yu-Jing Li Xiong-Bin Lu Guang Ji 《World Journal of Gastroenterology》 SCIE CAS 2018年第34期3834-3848,共15页
Colorectal cancer(CRC) is often diagnosed at an advanced stage when tumor cell dissemination has taken place. Chemo-and targeted therapies provide only a limited increase of overall survival for these patients. The ma... Colorectal cancer(CRC) is often diagnosed at an advanced stage when tumor cell dissemination has taken place. Chemo-and targeted therapies provide only a limited increase of overall survival for these patients. The major reason for clinical outcome finds its origin in therapy resistance. Escape mechanisms to both chemo-and targeted therapy remain the main culprits. Here, we evaluate major resistant mechanisms and elaborate on potential new therapies. Amongst promising therapies is α-amanitin antibodydrug conjugate targeting hemizygous p53 loss. It becomes clear that a dynamic interaction with the tumor microenvironment exists and that this dictates therapeutic outcome. In addition, CRC displays a limited response to checkpoint inhibitors, as only a minority of patients with microsatellite instable high tumors is susceptible. In this review, we highlight new developments with clinical potentials to augment responses to checkpoint inhibitors. 展开更多
关键词 COLORECTAL cancer Therapy resistance Antibody-drug CONJUGATES α-amanitin tumor microenvironment Immunotherapy CHECKPOINT inhibitors MICROBIOME
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肿瘤免疫微环境在肿瘤常规治疗效应中的作用 被引量:31
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作者 王盛典 贾明明 《中国肿瘤生物治疗杂志》 CAS CSCD 北大核心 2012年第3期229-238,共10页
机体免疫系统能识别和杀伤恶变的细胞,从而清除肿瘤细胞或控制其生长。在机体免疫选择压力下,肿瘤细胞可以依靠自身的高突变特性,逃避免疫监视,逐步建立起免疫抑制微环境,以抵抗和抑制机体抗肿瘤免疫反应,从而能够突破限制而持续扩增,... 机体免疫系统能识别和杀伤恶变的细胞,从而清除肿瘤细胞或控制其生长。在机体免疫选择压力下,肿瘤细胞可以依靠自身的高突变特性,逃避免疫监视,逐步建立起免疫抑制微环境,以抵抗和抑制机体抗肿瘤免疫反应,从而能够突破限制而持续扩增,最终发展成为临床可见的肿瘤。目前肿瘤治疗的策略主要是着眼于直接抑制肿瘤细胞增殖以及杀伤和清除肿瘤细胞,然而越来越多的研究结果表明,常规治疗导致的肿瘤细胞免疫原性死亡,可以激活先天性免疫信号通路,诱发机体内在的抗肿瘤免疫反应,在肿瘤治疗效应中起着关键作用,尤其对防止残存肿瘤细胞的复发具有非常重要的意义。本文概述肿瘤发生、发展和常规治疗过程中,机体抗肿瘤免疫反应与肿瘤免疫抑制微环境的细胞和分子机制,重点讨论两者在肿瘤常规治疗效应中的作用,解析以肿瘤免疫微环境为靶点的治疗策略,讨论该策略对提高目前肿瘤常规治疗疗效和发展新的肿瘤治疗方案的积极意义。 展开更多
关键词 肿瘤免疫监视 肿瘤治疗 肿瘤微环境 免疫抑制
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Mechanisms of hepatocellular carcinoma progression 被引量:28
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作者 Olorunseun O Ogunwobi Trisheena Harricharran +5 位作者 Jeannette Huaman Anna Galuza Oluwatoyin Odumuwagun Yin Tan Grace X Ma Minhhuyen T Nguyen 《World Journal of Gastroenterology》 SCIE CAS 2019年第19期2279-2293,共15页
Hepatocellular carcinoma(HCC) is the most common primary malignancy of the liver. It is the second leading cause of cancer-related deaths worldwide, with a very poor prognosis. In the United States, there has been onl... Hepatocellular carcinoma(HCC) is the most common primary malignancy of the liver. It is the second leading cause of cancer-related deaths worldwide, with a very poor prognosis. In the United States, there has been only minimal improvement in the prognosis for HCC patients over the past 15 years. Details of the molecular mechanisms and other mechanisms of HCC progression remain unclear. Consequently, there is an urgent need for better understanding of these mechanisms. HCC is often diagnosed at advanced stages, and most patients will therefore need systemic therapy, with sorafenib being the most common at the present time. However, sorafenib therapy only minimally enhances patient survival. This review provides a summary of some of the known mechanisms that either cause HCC or contribute to its progression. Included in this review are the roles of viral hepatitis, non-viral hepatitis, chronic alcohol intake, genetic predisposition and congenital abnormalities, toxic exposures, and autoimmune diseases of the liver. Well-established molecular mechanisms of HCC progression such as epithelial-mesenchymal transition, tumor-stromal interactions and the tumor microenvironment, cancer stem cells, and senescence bypass are also discussed. Additionally, we discuss the roles of circulating tumor cells,immunomodulation, and neural regulation as potential new mechanisms of HCC progression. A better understanding of these mechanisms could have implications for the development of novel and more effective therapeutic and prognostic strategies, which are critically needed. 展开更多
关键词 Hepatocellular carcinoma Viral/non-viral hepatitis Alcohol consumption Epithelial-mesenchymal transition tumor-stromal interactions tumor microenvironment Cancer stem CELLS Circulating tumor CELLS IMMUNOMODULATION Neural regulation
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Repurposing vitamin D for treatment of human malignancies via targeting tumor microenvironment 被引量:28
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作者 Xu Wu Wei Hu +11 位作者 Lan Lu Yueshui Zhao Yejiang Zhou Zhangang Xiao Lin Zhang Hanyu Zhang Xiaobing Li Wanping Li Shengpeng Wang Chi Hin Cho Jing Shen Mingxing Li 《Acta Pharmaceutica Sinica B》 SCIE CSCD 2019年第2期203-219,共17页
Tumor cells along with a small proportion of cancer stem cells exist in a stromal microenvironment consisting of vasculature, cancer-associated fibroblasts, immune cells and extracellular components.Recent epidemiolog... Tumor cells along with a small proportion of cancer stem cells exist in a stromal microenvironment consisting of vasculature, cancer-associated fibroblasts, immune cells and extracellular components.Recent epidemiological and clinical studies strongly support that vitamin D supplementation is associated with reduced cancer risk and favorable prognosis. Experimental results suggest that vitamin D not only suppresses cancer cells, but also regulates tumor microenvironment to facilitate tumor repression. In this review, we have outlined the current knowledge on epidemiological studies and clinical trials of vitamin D. Notably, wesummarized and discussed the anticancer action of vitamin D in cancer cells, cancer stem cells and stroma cells in tumor microenvironment, providing a better understanding of the role of vitamin D in cancer. We presently re-propose vitamin D to be a novel and economical anticancer agent. 展开更多
关键词 Vitamin D 25-Dihydroxyvitamin D3 tumor microenvironment CANCER stem CELL tumor-infiltrating LYMPHOCYTE tumor-derived endothelial CELL Cancer-associated FIBROBLAST
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