溶瘤肽的抗癌免疫潜力:最新进展和新前景。

N Khranovska, O Skachkova, O Gorbach, I Semchuk, Yu Shvets, I Komarov
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摘要

溶瘤肽来源于多种生命形式产生的天然宿主防御肽/抗菌肽。在过去二十年里,它们在基础研究和临床应用方面都引起了广泛关注。人们认为溶瘤肽主要作用于肿瘤细胞,同时也会引发免疫性细胞死亡。长期以来,它们在重塑肿瘤微环境和增强抗癌免疫力方面的能力一直被忽视。尽管溶瘤肽取得了令人鼓舞的成果,但由于其生物活性和对正常细胞的毒性不尽人意,其临床应用仍然受到阻碍。为了确保更安全的治疗,目前正在开发各种方法。乌克兰研究小组的想法是在多肽分子上安装 "分子光开关"--一种能发生光异构化的二元乙烯片段,从而在肿瘤内局部光激活多肽,减少副作用。这种溶瘤肽可诱导膜裂解介导的癌细胞死亡,随后产生抗癌免疫反应,同时对正常细胞毒性低,为癌症治疗提供了新的范例。本综述概述了溶瘤肽在抗癌免疫中的广泛作用和前景,强调了在癌症免疫疗法中使用溶瘤肽的潜在问题。我们总结了基于肽的肿瘤免疫疗法与其他疗法(包括免疫检查点抑制剂、化疗和靶向疗法)相结合的研究现状。
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ANTICANCER IMMUNOGENIC POTENTIAL OF ONCOLYTIC PEPTIDES: RECENT ADVANCES AND NEW PROSPECTS.

Oncolytic peptides are derived from natural host defense peptides/antimicrobial peptides produced in a wide variety of life forms. Over the past two decades, they have attracted much attention in both basic research and clinical applications. Oncolytic peptides were expected to act primarily on tumor cells and also trigger the immunogenic cell death. Their ability in the tumor microenvironment remodeling and potentiating the anticancer immunity has long been ignored. Despite the promising results, clinical application of oncolytic peptides is still hindered by their unsatisfactory bioactivity and toxicity to normal cells. To ensure safer therapy, various approaches are being developed. The idea of the Ukrainian research group was to equip peptide molecules with a "molecular photoswitch" - a diarylethene fragment capable of photoisomerization, allowing for the localized photoactivation of peptides within tumors reducing side effects. Such oncolytic peptides that may induce the membrane lysis-mediated cancer cell death and subsequent anticancer immune responses in combination with the low toxicity to normal cells have provided a new paradigm for cancer therapy. This review gives an overview of the broad effects and perspectives of oncolytic peptides in anticancer immunity highlighting the potential issues related to the use of oncolytic peptides in cancer immunotherapy. We summarize the current status of research on peptide-based tumor immunotherapy in combination with other therapies including immune checkpoint inhibitors, chemotherapy, and targeted therapy.

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