癌症与免疫学——平衡舞蹈

B. Ekine-Afolabi
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引用次数: 2

摘要

人体不仅由组织和血液组成,还由皮肤、肠道粘膜、泌尿生殖道、肺部和口腔表面的微生物群组成,形成生态位。由于这些微生物群在这些系统中的未知存在,其中一些生态位已经得到了很好的研究,而另一些则研究不足。免疫系统的T细胞反应是癌症-免疫循环的一个步骤,维持自身免疫的预防。癌症细胞具有T细胞抑制信号,包括程序性死亡配体-1,这些信号已被确定用于开发新的免疫疗法,这些疗法专门负责阻碍免疫效应抑制,从而重振和增强先前存在的抗癌免疫反应。先前的免疫治疗活动一直考虑肿瘤微环境中的抑制因素,而没有考虑其他因素,如免疫系统的遗传基础。免疫系统的注意力一直集中在对病原体或具有威胁性的外来目标的反应上,但不集中在负责调节免疫系统的基因上。免疫系统是现有微生物和宿主之间相互作用的协同作用。细胞相互作用的主要工具之一是表观遗传学。表观遗传信息调节分化和发育,从而影响病理状况。因此,了解生态系统中的居民方(成分)、生态系统背后的基本系统以及生态系统内的表观遗传学相互作用(微生物和宿主)对于癌症的发展和治疗至关重要。
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Cancer and Immunology-the Homeostasis Dance
The human body is made up of not only tissues and blood, but also microbiota on the surfaces of the skin, mucosal membrane of the intestine, urogenital, lungs, and mouth, to form ecological niches. Some of these niches have been well studied, while some are understudied, due to the unknown presence of these microbiota in such systems. The T cell response by the immune system is one step of the cancer-immunity cycle, that maintains the prevention of autoimmunity. Cancer cells have T cell inhibitory signals, including programmed death-ligand-1, which have been identified for the development of new immunotherapies that are specifically responsible for hindering immune effector inhibition, thereby reinvigorating, and enhancing pre-existing anticancer immune response. Previous activity in immune therapies has always considered suppressive factors in the tumour microenvironment without consideration to other factors such as the genetic basis of the immune system. Attention to the immune system has always been on the response to the pathogens, or the threatening foreign target, but not on the genes responsible for regulating the immune system. The immune system is a concert of interactions between existing microbes and host. One of the major tools of cellular interaction is epigenetics. Epigenetic information regulates differentiation and development, thus can impact on pathological condition. Therefore, it is vital to understand the resident parties (constituents) in an ecosystem, the basic system behind the ecosystem and epigenetics interaction within the ecosystem (microbes and host) is vital in cancer development and treatment.
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