微生物群的免疫调控在胰腺癌治疗中的研究进展
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1. 甘肃中医药大学,兰州 730000;2. 空军军医大学基础医学院二大队八队,西安 710032;3. 空军军医大学实验动物中心,西安 710032

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Research progress on immune regulation of microbiota in pancreatic cancer therapy
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1. Gansu University of Chinese Medicine, Lanzhou 730000, China;2. the Eighth Team of the Second Battalion of the Basic Medical College of the Air Force Military Medical University, Xi’an 710032,China;3. Experimental Animal Center, Air Force Medical University, Xi’an 710032, China

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    摘要:

    胰腺癌(pancreatic cancer,PC)恶性程度高、起病隐匿且预后差,现有治疗措施常因肿瘤微环境(tumor microenvironment,TME)所具有的免疫抑制特性,易引起复发和耐药。 TME 的特征常影响肿瘤免疫治疗的效果,尤其在抑制性免疫微环境下常出现肿瘤的免疫逃逸和免疫耐受。 PC 的进展是微生物群、宿主遗传背景及环境因素共同作用的结果,微生物群通过重塑免疫微环境成为核心调控环节之一。 通过靶向特定的微生物群调节免疫细胞功能,可以增强免疫检查点抑制剂的治疗效果。 本文聚焦 PC 的免疫微环境,通过与胃肠道肿瘤相关微生物群的差异性分析,综述了微生物群在影响 PC 免疫微环境和增强免疫治疗效果方面的研究进展;分析了通过干预微生物及其代谢途径,改善 PC 抑制性免疫微环境的效能;阐述了微生物群在 PC 免疫反应中的调控机制,期望为 PC 患者提供新的个性化免疫治疗策略。

    Abstract:

    Pancreatic cancer (PC) is highly malignant, with an insidious onset and poor prognosis. Current treatment measures often fail because of the immunosuppressive characteristics of the tumor microenvironment (TME), leading to recurrence and resistance. The characteristics of the TME frequently affect the efficacy of tumor immunotherapy, especially in suppressive immune microenvironments, where immune evasion and immune tolerance of the tumor commonly occur. The progression of PC result from the combined effects of the microbiota, the host’ s genetic background, and environmental factors. The microbiota plays a central regulatory role by reshaping the immune microenvironment, and targeting specific microbiota to modulate immune cell function can enhance the efficacy of immune checkpoint inhibitors. This review focuses on the immune microenvironment in PC, analyzing the differences in microbiota associated with gastrointestinal tumors, and summarizes research progress on the mechanisms by which the microbiota influences the PC immune microenvironment and enhances the effectiveness of immunotherapy. The review also examines the potential of the microbiota and its metabolic pathways for improving the suppressive immune microenvironment in PC, and discusses the regulatory mechanisms of the microbiota in PC immune responses, aiming to provide new personalized immunotherapeutic strategies for patients with PC.

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董泽君,马一凡,刘洋呈,师长宏.微生物群的免疫调控在胰腺癌治疗中的研究进展[J].中国实验动物学报,2026,34(1):101~111.

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  • 收稿日期:2025-06-30
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  • 在线发布日期: 2026-03-05
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