Bridging the divide: unveiling mutual immunological pathways of cancer and pregnancy.

IF 4.8 3区 医学 Q2 CELL BIOLOGY Inflammation Research Pub Date : 2024-05-01 Epub Date: 2024-03-16 DOI:10.1007/s00011-024-01866-9
Teodora Maria Toadere, Andra Ţichindeleanu, Daniela Andreea Bondor, Ioan Topor, Şerban Ellias Trella, Iuliana Nenu
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Abstract

The juxtaposition of two seemingly disparate physiological phenomena within the human body-namely, cancer and pregnancy-may offer profound insights into the intricate interplay between malignancies and the immune system. Recent investigations have unveiled striking similarities between the pivotal processes underpinning fetal implantation and successful gestation and those governing tumor initiation and progression. Notably, a confluence of features has emerged, underscoring parallels between the microenvironment of tumors and the maternal-fetal interface. These shared attributes encompass establishing vascular networks, cellular mobilization, recruitment of auxiliary tissue components to facilitate continued growth, and, most significantly, the orchestration of immune-suppressive mechanisms.Our particular focus herein centers on the phenomenon of immune suppression and its protective utility in both of these contexts. In the context of pregnancy, immune suppression assumes a paramount role in shielding the semi-allogeneic fetus from the potentially hostile immune responses of the maternal host. In stark contrast, in the milieu of cancer, this very same immunological suppression fosters the transformation of the tumor microenvironment into a sanctuary personalized for the neoplastic cells.Thus, the striking parallels between the immunosuppressive strategies deployed during pregnancy and those co-opted by malignancies offer a tantalizing reservoir of insights. These insights promise to inform novel avenues in the realm of cancer immunotherapy. By harnessing our understanding of the immunological events that detrimentally impact fetal development, a knowledge grounded in the context of conditions such as preeclampsia or miscarriage, we may uncover innovative immunotherapeutic strategies to combat cancer.

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弥合鸿沟:揭示癌症与妊娠的相互免疫途径。
癌症和妊娠这两种看似截然不同的人体生理现象的并置,或许能让人深刻了解恶性肿瘤和免疫系统之间错综复杂的相互作用。最近的研究揭示了胎儿着床和成功妊娠的关键过程与肿瘤发生和发展的关键过程之间惊人的相似之处。值得注意的是,肿瘤的微环境与母胎界面之间出现了相似之处。这些共同特征包括血管网络的建立、细胞动员、辅助组织成分的招募以促进持续生长,以及最重要的免疫抑制机制的协调。在妊娠期,免疫抑制在保护半异体胎儿免受母体宿主潜在的敌对免疫反应方面发挥着至关重要的作用。与此形成鲜明对比的是,在癌症环境中,同样的免疫抑制促使肿瘤微环境转变为肿瘤细胞的庇护所。这些见解有望为癌症免疫疗法领域提供新的思路。通过利用我们对不利于胎儿发育的免疫事件的了解--这种了解是以子痫前期或流产等情况为基础的--我们可能会发现创新的免疫治疗策略来对抗癌症。
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来源期刊
Inflammation Research
Inflammation Research 医学-免疫学
CiteScore
9.90
自引率
1.50%
发文量
134
审稿时长
3-8 weeks
期刊介绍: Inflammation Research (IR) publishes peer-reviewed papers on all aspects of inflammation and related fields including histopathology, immunological mechanisms, gene expression, mediators, experimental models, clinical investigations and the effect of drugs. Related fields are broadly defined and include for instance, allergy and asthma, shock, pain, joint damage, skin disease as well as clinical trials of relevant drugs.
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