immune checkpoints

免疫检查点
  • 文章类型: Journal Article
    前列腺癌(PCa)已成为世界上男性发病率最高的恶性肿瘤。肿瘤微环境(TME)是肿瘤生长所必需的。M2巨噬细胞在许多实体瘤中发挥重要作用。本研究旨在探讨M2巨噬细胞在PCa预后中的作用。
    从基因表达综合数据库(GEO)和癌症基因组图谱(TCGA)获得单细胞RNA-seq(scRNA-seq)数据和mRNA表达数据。质量控制,归一化,reduction,聚类,和scRNA-seq数据的细胞注释使用Seruat包进行。分析肿瘤相关巨噬细胞(TAM)的亚群,并选择M2巨噬细胞的标记基因。使用limma鉴定PCa中的差异表达基因(DEGs),并使用CIBERSORTx检测免疫浸润。然后,构建了加权相关网络分析(WGCNA)来鉴定M2巨噬细胞相关模块和基因.整合来自scRNA-seq数据分析的M2巨噬细胞的标记基因和来自WGCNA的hub基因以基于单变量和LASSO回归分析选择预后基因签名。计算了风险评分,还有DEG,生物学功能,探讨了与风险评分相关的免疫特征。并构建了预测列线图。CCK8,Transwell,和伤口愈合用于验证共培养后细胞表型的变化。
    基于scRNA-seq数据和WGCNA总共选择了2431个M2巨噬细胞标记基因和650个hubM2巨噬细胞相关基因。然后,通过重叠scRNA-seq数据和WGCNA结果获得113个M2巨噬细胞相关基因。9个M2巨噬细胞相关基因(SMOC2,PLPP1,HES1,STMN1,GPR160,ABCG1,MAZ,MYC,和EPCAM)被筛选为预后基因特征。计算M2风险评分,DEGs,免疫评分,基质评分,估计得分,肿瘤纯度,免疫细胞浸润,免疫检查点表达,并确定了免疫疗法和化疗的反应。并构建了预测列线图。CCK8Transwell入侵,和伤口愈合进一步验证了M2巨噬细胞促进增殖,入侵,和PCa的迁移(p<0.05)。
    我们发现M2巨噬细胞和相关基因在促进其发生中起关键作用,发展,和PCa的转移,并作为PCa的令人信服的预测因子。
    UNASSIGNED: Prostate cancer (PCa) has become the highest incidence of malignant tumor among men in the world. Tumor microenvironment (TME) is necessary for tumor growth. M2 macrophages play an important role in many solid tumors. This research aimed at the role of M2 macrophages\' prognosis value in PCa.
    UNASSIGNED: Single-cell RNA-seq (scRNA-seq) data and mRNA expression data were obtained from the Gene Expression Omnibus database (GEO) and The Cancer Genome Atlas (TCGA). Quality control, normalization, reduction, clustering, and cell annotation of scRNA-seq data were preformed using the Seruat package. The sub-populations of the tumor-associated macrophages (TAMs) were analysis and the marker genes of M2 macrophage were selected. Differentially expressed genes (DEGs) in PCa were identified using limma and the immune infiltration was detected using CIBERSORTx. Then, a weighted correlation network analysis (WGCNA) was constructed to identify the M2 macrophage-related modules and genes. Integration of the marker genes of M2 macrophage from scRNA-seq data analysis and hub genes from WGCNA to select the prognostic gene signature based on Univariate and LASSO regression analysis. The risk score was calculated, and the DEGs, biological function, immune characteristics related to risk score were explored. And a predictive nomogram was constructed. CCK8, Transwell, and wound healing were used to verify cell phenotype changes after co-cultured.
    UNASSIGNED: A total of 2431 marker genes of M2 macrophage and 650 hub M2 macrophage-related genes were selected based on scRNA-seq data and WGCNA. Then, 113 M2 macrophage-related genes were obtained by overlapping the scRNA-seq data and WGCNA results. Nine M2 macrophage-related genes (SMOC2, PLPP1, HES1, STMN1, GPR160, ABCG1, MAZ, MYC, and EPCAM) were screened as prognostic gene signatures. M2 risk score was calculated, the DEGs, Immune score, stromal score, ESTIMATE score, tumor purity, and immune cell infiltration, immune checkpoint expression, and responses of immunotherapy and chemotherapy were identified. And a predictive nomogram was constructed. CCK8, Transwell invasion, and wound healing further verified that M2 macrophages promoted the proliferation, invasion, and migration of PCa (p < 0.05).
    UNASSIGNED: We uncovered that M2 macrophages and relevant genes played key roles in promoting the occurrence, development, and metastases of PCa and played as convincing predictors in PCa.
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  • 文章类型: Journal Article
    免疫球蛋白G亚类缺陷(IgGsd)包括从无症状到反复呼吸道感染和发展肺损伤的风险的广泛临床谱。我们的目的是研究IgGsd患者的免疫表型是否反映在IgGsd的临床特征中。
    30例IgGsd患者纳入这项18个月IgRT的前瞻性研究,随后7-18个月的IgRT停药。当患者开启和关闭IgRT时,收集血液样本,并与来自34个横断面健康对照的样本进行比较。通过流式细胞术进行深入的淋巴细胞表型鉴定,并评估免疫检查点的血浆水平。
    IgG3亚类缺乏症最为常见。IgGsd患者的活化T细胞和B细胞水平降低,阴性免疫检查点分子的血浆水平与T细胞和B细胞活化呈负相关。降低的T细胞活化水平不受IgRT的影响,而B细胞活化部分恢复。值得注意的是,在IgGsd患者中发现活化的调节性T细胞(Tregs)水平降低,并且在IgRT期间部分恢复。合并症的概况与Treg水平无关。
    IgGsd与减少的B细胞和T细胞活化相关,包括Tregs,以及阴性免疫检查点分子的血浆水平升高。IgGsd中活化Tregs减少的后果尚不清楚。免疫细胞活化降低在IgRT期间部分恢复,证明IgRT可能有助于改善IgGsd患者的免疫功能。
    UNASSIGNED: Immunoglobulin G subclass deficiencies (IgGsd) comprise a wide clinical spectrum from no symptoms to repeated respiratory infections and risk for the development of lung damage. Our aims were to investigate whether the immunological phenotype of IgGsd patients on and off immunoglobulin replacement therapy (IgRT) was reflected in the clinical features of IgGsd.
    UNASSIGNED: Thirty patients with IgGsd were included in this prospective study of 18 months of IgRT, followed by 7-18 months of IgRT discontinuation. Blood samples were collected when patients were on and off IgRT and compared with samples from 34 cross-sectional healthy controls. An in-depth lymphocyte phenotyping was performed by flow cytometry and plasma levels of immune checkpoints were assessed.
    UNASSIGNED: IgG3 subclass deficiency was most common. Patients with IgGsd had decreased levels of activated T cells and B cells and plasma levels of negative immune checkpoint molecules correlated negatively with T cell and B cell activation. The decreased T cell activation level was unaffected by IgRT, while the B cell activation was partly restored. Of note, decreased levels of activated regulatory T cells (Tregs) were found in IgGsd patients and was partly restored during IgRT. The profile of comorbidities did not associate with Treg levels.
    UNASSIGNED: IgGsd is associated with decreased B cell and T cell activation including Tregs, and increased plasma levels of negative immune checkpoint molecules. The consequence of reduced activated Tregs in IgGsd remains unclear. Decreased immune cell activation was partly restored during IgRT, demonstrating that IgRT may contribute to improved immune function in patients with IgGsd.
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  • 文章类型: Journal Article
    尽管非小细胞肺癌(NSCLC)治疗取得了重大进展,非癌基因驱动肿瘤患者的五年生存率仍然很低,需要组合方法来改善结果。我们先前的高通量RNAi筛选将Aurora激酶A(AURKA)鉴定为顺铂耐药的潜在关键参与者。在这项研究中,我们研究了AURKA在多种NSCLC细胞系和异种移植小鼠模型中的铂和辐射敏感性中的作用,以及它对免疫检查点的影响,包括PD-L1,B7x,B7-H3和HHLA2。94例NSCLC患者肿瘤标本,91.5%的AURKA表达检测呈阳性,34%的人处于中高水平。在NSCLC细胞系PC9和A549中顺铂处理后,AURKA表达上调。阿利塞替抑制AURKA和诱导型AURKA敲除都增强了顺铂和辐射的细胞毒性作用,导致多西环素诱导的异种移植小鼠肿瘤消退。共处理的细胞表现出增加的DNA双链断裂,凋亡,和衰老。此外,阿利塞替单独抑制AURKA增加PD-L1和B7-H3表达。总之,我们的研究表明,抑制AURKA可增强基于铂的化疗在NSCLC细胞中的疗效,并调节多个免疫检查点的表达.因此,与AURKA抑制剂的联合治疗方案应进行策略性设计,并在不断发展的化学免疫疗法领域内进行进一步研究.
    Despite major advances in non-small-cell lung cancer (NSCLC) treatment, the five-year survival rates for patients with non-oncogene-driven tumors remain low, necessitating combinatory approaches to improve outcomes. Our prior high-throughput RNAi screening identified Aurora kinase A (AURKA) as a potential key player in cisplatin resistance. In this study, we investigated AURKA\'s role in platinum and radiation sensitivity in multiple NSCLC cell lines and xenograft mouse models, as well as its effect on immune checkpoints, including PD-L1, B7x, B7-H3, and HHLA2. Of 94 NSCLC patient tumor specimens, 91.5% tested positive for AURKA expression, with 34% showing moderate-to-high levels. AURKA expression was upregulated following cisplatin treatment in NSCLC cell lines PC9 and A549. Both AURKA inhibition by alisertib and inducible AURKA knockdown potentiated the cytotoxic effects of cisplatin and radiation, leading to tumor regression in doxycycline-inducible xenograft mice. Co-treated cells exhibited increased DNA double-strand breaks, apoptosis, and senescence. Additionally, AURKA inhibition alone by alisertib increased PD-L1 and B7-H3 expression. In conclusion, our study demonstrates that AURKA inhibition enhances the efficacy of platinum-based chemotherapy in NSCLC cells and modulates the expression of multiple immune checkpoints. Therefore, combinatory regimens with AURKA inhibitors should be strategically designed and further studied within the evolving landscape of chemo-immunotherapy.
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  • 文章类型: Journal Article
    淋巴细胞抗原9(LY9)参与了多种肿瘤和疾病的发生发展,但在肺腺癌(LUAD)中尚未见报道。
    首先,我们分析了LY9在泛癌症中的表达和预后价值,包括LUAD.此外,我们使用TIMER数据库和CIBERSORT算法对LUAD中LY9表达与免疫细胞浸润进行了相关性分析,以及使用GEPIA数据库的免疫检查点。此外,我们为LY9构建了一个潜在的ceRNA网络。此外,我们通过基因集富集分析(GSEA)探索了LY9相关通路。最后,从GEO数据库获得mRNA水平差异表达的验证。我们收集LUAD组织进行定量实时PCR(qRT-PCR)以验证LY9,CD8和CD4的表达并计算它们之间的相关性。我们还进行了免疫组织化学(IHC)来验证LY9的蛋白表达。
    结果显示LY9在多种肿瘤中高表达,包括LUAD.此外,LY9高表达患者的总生存期(OS)更长,淋巴细胞浸润更多.LY9在LUAD中的表达与多个免疫细胞浸润和免疫检查点呈强正相关。功能富集分析表明LY9参与多种免疫相关通路和非小细胞肺癌。此外,LINC00943-hsa-miR-141-3p-LY9的CERNA调控网络可能参与其中。最后,GSE68465数据集证实了LUAD中LY9mRNA水平的差异表达,qRT-PCR结果验证了LY9与CD4和CD8T细胞具有强且正相关。不幸的是,IHC未检测到LY9蛋白在肿瘤组织中的表达水平,并且WB实验验证了LY9在OCI-AML-2细胞系中的蛋白表达。
    因此,我们假设LY9可以作为一种潜力,LUAD的新型预后生物标志物,可以预测mRNA水平的免疫治疗疗效。
    UNASSIGNED: Lymphocyte antigen 9 (LY9) participates in the development of several tumors and diseases but has not been reported yet in lung adenocarcinoma (LUAD).
    UNASSIGNED: First, we analyzed the expression and prognostic value of LY9 in pan-cancer, including LUAD. Additionally, we conducted a correlation analysis of LY9 expression in LUAD with immune cell infiltration using the TIMER database and the CIBERSORT algorithm, and with immune checkpoints using the GEPIA database. Also, we constructed a potential ceRNA network for LY9. Furthermore, we explored LY9-related pathways by Gene Set Enrichment Analysis (GSEA). Finally, validation of differential expression at the mRNA level was obtained from the GEO database. We collected LUAD tissues for Quantitative Real-time PCR (qRT-PCR) to verify the expression of LY9, CD8, and CD4 and calculated the correlation between them. We also conducted immunohistochemistry (IHC) to verify the protein expression of LY9.
    UNASSIGNED: Results showed that LY9 was highly expressed in various tumors, including LUAD. Besides, patients with high LY9 expression presented longer overall survival (OS) and more multiple lymphocyte infiltrations. The expression of LY9 in LUAD strongly and positively correlates with multiple immune cell infiltration and immune checkpoints. The functional enrichment analysis indicated that LY9 was involved in multiple immune-related pathways and non-small cell lung cancer. Moreover, a ceRNA regulatory network of LINC00943-hsa-miR-141-3p-LY9 might be involved. Finally, GSE68465 dataset confirmed differential expression of LY9 mRNA levels in LUAD and the qRT-PCR results verified LY9 had a strong and positive correlation with CD4 and CD8 T cells. Unfortunately, IHC did not detect the expression of LY9 protein level in tumor tissues and WB experiments validated the protein expression of LY9 in the OCI-AML-2 cell line.
    UNASSIGNED: Therefore, we hypothesized that LY9 could serve as a potential, novel prognostic biomarker for LUAD and could predict immunotherapy efficacy at the mRNA level.
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  • 文章类型: Journal Article
    诱导型T细胞共刺激因子(ICOS)是一种表达于活化T细胞表面的阳性免疫检查点受体,经ICOS配体(ICOS-L)刺激后可促进细胞功能。尽管已经报道了基于ICOS调制的癌症和自身免疫性疾病治疗的临床益处,电流调制器在生物制剂中受到限制,而缺乏ICOS靶向的小分子。为了填补这个空白,我们使用15,600个分子的文库进行了亲和选择质谱(ASMS)筛选ICOS结合.据我们所知,这是第一项利用ASMS筛查来发现靶向免疫检查点的小分子的研究.选择具有有希望的ICOS/ICOS-L抑制谱(IC50=29.38±3.41μM)的化合物9作为修饰的模板。经过初步的结构-活性关系(SAR)研究和分子动力学(MD)模拟,揭示了化合物9上的邻羟基在ICOS结合中的关键作用,因为它可以通过与聚糖上的残留物形成氢键来稳定相互作用,消耗可能导致活动丢失。这项工作验证了ICOS/ICOS-L相互作用的有前途的抑制剂,我们预计未来的修改可以为这种相互作用提供更有效的调节剂。
    Inducible T cell co-stimulator (ICOS) is a positive immune checkpoint receptor expressed on the surface of activated T cells, which could promote cell function after being stimulated with ICOS ligand (ICOS-L). Although clinical benefits have been reported in the ICOS modulation-based treatment for cancer and autoimmune disease, current modulators are restricted in biologics, whereas ICOS-targeted small molecules are lacking. To fill this gap, we performed an affinity selection mass spectrometry (ASMS) screening for ICOS binding using a library of 15,600 molecules. To the best of our knowledge, this is the first study that utilizes ASMS screening to discover small molecules targeting immune checkpoints. Compound 9 with a promising ICOS/ICOS-L inhibitory profile (IC50 = 29.38 ± 3.41 μM) was selected as the template for the modification. Following preliminary structure-activity relationship (SAR) study and molecular dynamic (MD) simulation revealed the critical role of the ortho-hydroxy group on compound 9 in the ICOS binding, as it could stabilize the interaction via the hydrogen bond formation with residuals on the glycan, and the depletion could lead to an activity lost. This work validates a promising inhibitor for the ICOS/ICOS-L interaction, and we anticipate future modifications could provide more potent modulators for this interaction.
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  • 文章类型: Journal Article
    免疫细胞表达令人难以置信的多种蛋白质;通过测量这些蛋白质的组合,可以精确识别影响疾病的细胞类型。我们开发了terraFlow,一个通过组合蛋白质表达详尽定义细胞亚群的平台。使用高参数检查点聚焦面板和功能聚焦面板,我们研究了经典霍奇金淋巴瘤(cHL),其中系统性T细胞尚未详细研究。terraFlow揭示了患者的免疫扰动,包括高架激活的,筋疲力尽,和白细胞介素(IL)-17+表型,随着早期的减少,干扰素(IFN)γ+,治疗前和肿瘤坏死因子(TNF)T细胞;治疗后仍有许多扰动。与其他工具相比,terraFlow发现了更多与疾病相关的差异,通常具有更好的预测能力,包括非门控方法,消除耗时和主观的手动阈值。它还报告了一种鉴定区分研究组的最小标记的方法。我们的结果为cHL中免疫缺陷的过去报道提供了机制支持,并证明了terraFlow在免疫治疗和生物标志物研究中的价值。
    Immune cells express an incredible variety of proteins; by measuring combinations of these, cell types influencing disease can be precisely identified. We developed terraFlow, a platform that defines cell subsets exhaustively by combinatorial protein expression. Using high-parameter checkpoint-focused and function-focused panels, we studied classical Hodgkin\'s lymphoma (cHL), where systemic T cells have not been investigated in detail. terraFlow revealed immune perturbations in patients, including elevated activated, exhausted, and interleukin (IL)-17+ phenotypes, along with diminished early, interferon (IFN)γ+, and tumor necrosis factor (TNF)+ T cells before treatment; many perturbations remained after treatment. terraFlow identified more disease-associated differences than other tools, often with better predictive power, and included a non-gating approach, eliminating time-consuming and subjective manual thresholds. It also reports a method to identify the smallest set of markers distinguishing study groups. Our results provide mechanistic support for past reports of immune deficiency in cHL and demonstrate the value of terraFlow in immunotherapy and biomarker studies.
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  • 文章类型: Case Reports
    炎性肌纤维母细胞瘤(IMT)是一种罕见的病理实体,最早于1939年描述。这种病变最常见于肺部,但是涉及其他系统的案件,例如称为颅内IMT(IIMT)的中枢神经系统,也有报道。由于缺乏特征性的影像学变化,目前的诊断依赖于病理结果。手术切除是一种有效的治疗方法,虽然这种疾病是侵入性的,可能会复发。以前的文献报道了IMT组织中高水平的程序性死亡1(PD-1)表达,表明免疫疗法可能对这种情况有效。在这个案例报告中,我们介绍了一名中年男性,他在IIMT切除手术后接受了PD-1抑制剂和溶瘤腺病毒(Ad-TD-nsIL12)治疗.这种成功的方法为IIMT的治疗提供了新的方向。
    Inflammatory myofibroblastic tumor (IMT) is a rare pathological entity first described in 1939. This lesion is most commonly found in the lungs, but cases involving other systems, such as the central nervous system known as intracranial IMT (IIMT), have also been reported. Diagnosis currently relies on pathological results due to the lack of characteristic imaging changes. Surgical resection is an effective treatment, though the disease is invasive and may recur. Previous literature has reported a high level of programmed death 1 (PD-1) expression in IMT tissues, suggesting that immunotherapy may be effective for this condition. In this case report, we present a middle-aged male who received PD-1 inhibitor and oncolytic adenovirus (Ad-TD-nsIL12) treatment after IIMT resection surgery. This successful approach provides a new direction for the treatment of IIMT.
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  • 文章类型: Journal Article
    抗程序性死亡配体1(PD-L1)抗体是晚期肝细胞癌(HCC)的标准疗法。PD-L1的肿瘤表达可在刺激时诱导。因为细胞周期蛋白依赖性激酶9(CDK9)抑制降低了可诱导蛋白的表达,我们探讨了CDK9抑制对肝癌细胞PD-L1表达的影响。我们发现PD-L1在肝癌细胞中表达较低;然而,IFN-γ处理增加了这种表达。CDK9抑制剂AZD4573和atuveciclib以剂量依赖性方式降低IFN-γ诱导的PD-L1表达。CDK9敲除产生了类似的结果,但CDK9过表达逆转了CDK9抑制剂的影响。在原位小鼠模型中,用CDK9抑制剂和抗PD-L1抗体治疗的小鼠具有明显较小的肿瘤,并且比用这两种药物治疗的小鼠具有更长的存活时间。总之,抑制CDK9可以降低肝癌细胞PD-L1的表达。使用CDK9抑制剂和抗PD-L1抗体比单独使用任一种试剂更有效。
    The anti-programmed death-ligand 1 (PD-L1) antibody is a standard therapy for advanced hepatocellular carcinoma (HCC). Tumor expression of PD-L1 can be induced upon stimulus. Because cyclin-dependent kinase 9 (CDK9) inhibition reduces the expression of inducible proteins, we explored the influence of CDK9 inhibition on PD-L1 expression in HCC cells. We found that PD-L1 expression was low in HCC cells; however, IFN-γ treatment increased this expression. CDK9 inhibitors AZD4573 and atuveciclib reduced the IFN-γ induced PD-L1 expression in a dose-dependent manner. CDK9 knockdown yielded similar results, but CDK9 overexpression reversed the influence of the CDK9 inhibitors. In the orthotopic mouse model, mice treated with a CDK9 inhibitor and an anti-PD-L1 antibody had significantly smaller tumors and exhibited longer survival than mice treated with either agent. In conclusion, CDK9 inhibition could reduce the expression of PD-L1 in HCC cells. Using both CDK9 inhibitors and anti-PD-L1 antibodies is more effective than using either agent alone.
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  • 文章类型: Journal Article
    靶向T细胞上的免疫检查点受体是常见的癌症治疗策略。经常,这是通过靶向抑制性共受体配体的抗体实现的。阻断免疫检查点PD-1与其配体PD-L1和PD-L2的结合防止下游信号传导并增强抗肿瘤T细胞应答。这种方法改善了癌症患者的预后。然而,只有三分之一的患者对这些治疗有反应。为了更好地了解抗PD-1抗体的机制,我们探索了PD-1在免疫突触中的位置。令人惊讶的是,我们发现抗PD-1抗体,除了阻断PD-1和它的配体之间的相互作用,也从突触中去除PD-1。我们证明了通过抗PD-1抗体从突触中去除PD-1与T细胞活化程度之间的相关性。有趣的是,短版本的抗PD-1抗体,F(ab')2未能从突触中移除PD-1并激活T细胞。使用同系肿瘤模型,我们显示抗PD-1抗体的抗肿瘤效果优于较短版本的相同抗体.我们的数据表明,抗PD-1抗体通过从突触中去除PD-1激活T细胞,改变PD-1或其他免疫受体在免疫突触中的位置可以作为替代方案,治疗癌症的有效方法。
    Targeting immune checkpoint receptors on T cells is a common cancer treatment strategy. Frequently, this is accomplished through antibodies targeting the ligand of inhibitory co-receptors. Blocking the immune checkpoint PD-1 binding to its ligands PD-L1 and PD-L2 prevents downstream signaling and enhances anti-tumor T cell responses. This approach improves cancer patients\' outcomes. However, only one-third of the patients respond to these treatments. To better understand the mechanism of anti-PD-1 antibodies, we explored the location of PD-1 within the immune synapse. Surprisingly, we discovered that anti-PD-1 antibodies, besides blocking the interaction between PD-1 and its ligands, also removed PD-1 from the synapse. We demonstrated a correlation between removing PD-1 from the synapse by anti-PD-1 antibodies and the extent of T cell activation. Interestingly, a short version of the anti-PD-1 antibody, F(ab\')2, failed to remove PD-1 from the synapse and activate T cells. Using the syngeneic tumor model, we showed a superior anti-tumor effect of the anti-PD-1 antibody over the shorter version of the same antibody. Our data indicate that anti-PD-1 antibodies activate T cells by removing PD-1 from the synapse, and changing the location of PD-1 or other immune receptors within the immune synapse could serve as an alternative, efficient approach to treat cancer.
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    光动力疗法(PDT)不仅可以直接消除癌细胞,还能刺激抗肿瘤免疫反应。它还影响免疫检查点的表达。这次审查的目的是收集,分析,总结最近关于PDT和免疫检查点的新闻,以及它们的抑制剂,并确定可能提高这种方法有效性的未来研究方向。在PubMed/MEDLINE上搜索了2023年1月至2024年3月之间发表的研究文章。合格标准如下:(1)描述PDT和免疫检查点的论文,(2)只有原创性研究论文,(3)仅描述PDT和免疫检查点领域的新报告的论文,和(4)体外和体内论文。排除标准包括(1)用波兰语或英语以外的语言撰写的论文,(2)复习论文,(3)2023年1月之前发表的论文。自2023年1月以来,已经发表了24篇描述PDT和免疫检查点新数据的论文。其中包括PDT对免疫检查点影响的信息,并试图将PDT与ICI和其他分子联系起来以调节免疫检查点,改善肿瘤的免疫抑制环境,并解决PDT相关问题。他们还专注于开发新的纳米颗粒,这些纳米颗粒可以改善光敏剂和药物选择性地向肿瘤的递送。PDT对免疫检查点水平和免疫系统相关活性的影响尚未得到进一步充分阐明。这方面的报道有分歧,表明PDT和免疫系统之间相互作用的复杂性。已经显示基于PDT的策略对ICI向肿瘤的递送具有有益效果。PDT通过参与免疫原性细胞死亡的触发来增强抗肿瘤反应的诱导,肿瘤抗原的暴露,以及各种警报信号的释放,共同促进树突状细胞和免疫系统其他成分的激活也已被证明,结果PDT可以增强ICI治疗诱导的抗肿瘤免疫应答。PDT还可以对肿瘤的免疫抑制环境进行多方面的调节,因此,ICI治疗有可能获得更好的抗肿瘤疗效。当前的综述提供了PDT调节免疫检查点水平的能力以及PDT与ICI和其他分子在诱导针对癌细胞的有效免疫反应中的有效性的证据。然而,这些研究还处于早期阶段,需要进行更多的观察以证实其疗效.指出的新研究方向可能有助于制定进一步的战略。
    Photodynamic therapy (PDT) can not only directly eliminate cancer cells, but can also stimulate antitumor immune responses. It also affects the expression of immune checkpoints. The purpose of this review is to collect, analyze, and summarize recent news about PDT and immune checkpoints, along with their inhibitors, and to identify future research directions that may enhance the effectiveness of this approach. A search for research articles published between January 2023 and March 2024 was conducted in PubMed/MEDLINE. Eligibility criteria were as follows: (1) papers describing PDT and immune checkpoints, (2) only original research papers, (3) only papers describing new reports in the field of PDT and immune checkpoints, and (4) both in vitro and in vivo papers. Exclusion criteria included (1) papers written in a language other than Polish or English, (2) review papers, and (3) papers published before January 2023. 24 papers describing new data on PDT and immune checkpoints have been published since January 2023. These included information on the effects of PDT on immune checkpoints, and attempts to associate PDT with ICI and with other molecules to modulate immune checkpoints, improve the immunosuppressive environment of the tumor, and resolve PDT-related problems. They also focused on the development of new nanoparticles that can improve the delivery of photosensitizers and drugs selectively to the tumor. The effect of PDT on the level of immune checkpoints and the associated activity of the immune system has not been fully elucidated further, and reports in this area are divergent, indicating the complexity of the interaction between PDT and the immune system. PDT-based strategies have been shown to have a beneficial effect on the delivery of ICI to the tumor. The utility of PDT in enhancing the induction of the antitumor response by participating in the triggering of immunogenic cell death, the exposure of tumor antigens, and the release of various alarm signals that together promote the activation of dendritic cells and other components of the immune system has also been demonstrated, with the result that PDT can enhance the antitumor immune response induced by ICI therapy. PDT also enables multifaceted regulation of the tumor\'s immunosuppressive environment, as a result of which ICI therapy has the potential to achieve better antitumor efficacy. The current review has presented evidence of PDT\'s ability to modulate the level of immune checkpoints and the effectiveness of the association of PDT with ICIs and other molecules in inducing an effective immune response against cancer cells. However, these studies are at an early stage and many more observations need to be made to confirm their efficacy. The new research directions indicated may contribute to the development of further strategies.
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