创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

癌症中免疫细胞代谢调节的研究进展

Research Progress of Metabolic Regulation of Immune Cells in Cancer

  • 摘要: 免疫疗法在肿瘤治疗中取得的突破性进展,显著改变了癌症治疗的传统思路与方法。免疫疗法的疗效依赖机体多种代谢机制与营养物传感机制的协同作用,通过精准响应免疫细胞的物质需求,充分激发其肿瘤杀伤潜能。然而,肿瘤细胞与各类免疫细胞通过分泌细胞因子、代谢产物等生物信号,共同塑造了物质匮乏、低酸、低氧的肿瘤微环境(tumor microenvironment,TME)。这种免疫抑制性微环境可诱发免疫细胞代谢活性失调,导致抗肿瘤免疫效应受损。为适应TME的动态变化并满足自身生长需求,免疫细胞通过代谢重编程实现抗肿瘤或促肿瘤发展的功能转换。因此,深入解析不同亚型免疫细胞的代谢基础和代谢异质性,针对性地进行代谢调控,可为显著增强抗肿瘤免疫应答提供关键支撑。综述癌症发生发展过程中免疫细胞代谢的研究进展与前沿动态,旨在为代谢介入肿瘤免疫治疗的基础研究与临床转化提供理论依据。

     

    Abstract: The breakthrough of immunotherapy in tumor treatment has significantly changed the traditional ideas and methods of cancer therapy. The efficacy of immunotherapy relies on the synergistic effect of various metabolic mechanisms and nutrient sensing mechanisms in the body, which fully stimulate the tumor-killing potential of immune cells by accurately responding to their material needs. However, tumor cells and various immune cells collectively shape a nutrient-deficient, hypoacidic, and hypoxic tumor microenvironment (TME) through secreting biological signals such as cytokines and metabolites. This immunosuppressive microenvironment can induce metabolic dysfunction of immune cells, leading to impaired anti-tumor immune effects. To adapt to the dynamic changes of TME and meet their own growth needs, immune cells achieve functional transformation of anti-tumor or pro-tumor development through metabolic reprogramming. Therefore, in-depth analysis of the metabolic basis and metabolic heterogeneity of different subtypes of immune cells, together with targeted metabolic regulation, can provide key support for significantly enhancing anti-tumor immune responses. This article systematically reviews the research progress and cutting-edge trends of immune cell metabolism during cancer development, aiming to provide a theoretical basis for the basic research and clinical transformation of metabolic intervention in tumor immunotherapy.

     

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