靶向CAF策略在PDAC免疫治疗中的应用研究进展
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1.延安大学;2.空军军医大学实验动物中心

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军队实验动物专项科研课题(SYDW_KY[2021]14)


Research progress of targeted CAF strategy in PDAC immunotherapy
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1.Medical College of Yanan University;2.Laboratory Animal Center, the Air Force Medical University

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Special research project on military experimental animals(SYDW_KY[2021]14)

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    摘要:

    【】 胰腺导管癌(Pancreatic ductal adenocarcinoma,PDAC)是一种常见的胰腺癌,其发病隐匿,发展迅速,恶性程度高。传统的治疗方法对其效果不佳,这与PDAC具有丰富的细胞外基质(extracellular matrix,ECM)密不可分,而癌症相关成纤维细胞(Cancer-associated fibroblasts,CAF)是ECM中最重要的组成部分。CAF可通过分泌大量效应分子,与肿瘤免疫微环境(tumor microenvironment,TME)内的其他免疫成分相互作用,从而形成免疫抑制性TME,使癌细胞能够逃避免疫系统的监视,进而促进肿瘤生长、侵袭、转移、ECM重塑甚至耐药。本文就靶向CAF在PDAC免疫治疗中的应用研究进展进行综述,重点阐述了通过消耗CAF、抑制CAF分泌效应分子、重编程CAF、限制CAF诱导的ECM重塑等方式,促使TME由免疫抑制状态转变为免疫激活状态的研究策略,期望产生更加有效的治疗效果,从而为PDAC的免疫治疗提供新策略。

    Abstract:

    【】 Pancreatic ductal adenocarcinoma (PDAC) is a common type of pancreatic cancer, which is insidious, rapidly development and highly malignant. Traditional treatment strategy are not effective for PDAC due to its rich extracellular matrix (ECM). Cancer associated fibroblasts (CAF) are the most important component of ECM. It can interact with other immune components in the tumor microenvironment (TME) by secreting a large number of effector molecules to form immunosuppressive TME, which could allow cancer cells to evade immune system surveillance, promote tumor growth, invasion and metastasis, induce ECM remodeling and drug resistance. This review provided a summary of the research progress on the application of targeted CAF in PDAC immunotherapy. It focus on exploring research strategies that promote the transition of TME from an immunosuppressive state to an immune activated state through depleting CAF, inhibiting effector molecules secreted by CAF, reprogramming CAF, and limiting CAF-induced ECM remodeling. The aim of this review is expected to produce more effective therapeutic strategies and provide new methods for the immunotherapy of PDAC

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  • 收稿日期:2024-06-20
  • 最后修改日期:2024-08-14
  • 录用日期:2024-10-30
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