Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy

Lung cancer (LC) is one of the leading causes of cancer-related deaths worldwide, with a significant morbidity and mortality rate, endangering human life and health. The introduction of immunotherapies has significantly altered existing cancer treatment strategies and is expected to improve immune r...

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Main Authors: Jingtao Zhang, Shuai Liu, Xiubao Chen, Xiangdong Xu, Fei Xu
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332223011277
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author Jingtao Zhang
Shuai Liu
Xiubao Chen
Xiangdong Xu
Fei Xu
author_facet Jingtao Zhang
Shuai Liu
Xiubao Chen
Xiangdong Xu
Fei Xu
author_sort Jingtao Zhang
collection DOAJ
description Lung cancer (LC) is one of the leading causes of cancer-related deaths worldwide, with a significant morbidity and mortality rate, endangering human life and health. The introduction of immunotherapies has significantly altered existing cancer treatment strategies and is expected to improve immune responses, objective response rates, and survival rates. However, a better understanding of the complex immunological networks of LC is required to improve immunotherapy efficacy further. Tumor-associated antigens (TAAs) and tumor-specific antigens (TSAs) are significantly expressed by LC cells, which activate dendritic cells, initiate antigen presentation, and activate lymphocytes to exert antitumor activity. However, as tumor cells combat the immune system, an immunosuppressive microenvironment forms, enabling the enactment of a series of immunological escape mechanisms, including the recruitment of immunosuppressive cells and induction of T cell exhaustion to decrease the antitumor immune response. In addition to the direct effect of LC cells on immune cell function, the secreting various cytokines, chemokines, and exosomes, changes in the intratumoral microbiome and the function of cancer-associated fibroblasts and endothelial cells contribute to LC cell immune escape. Accordingly, combining various immunotherapies with other therapies can elicit synergistic effects based on the complex immune network, improving immunotherapy efficacy through multi-target action on the tumor microenvironment (TME). Hence, this review provides guidance for understanding the complex immune network in the TME and designing novel and effective immunotherapy strategies for LC.
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spelling doaj.art-f808af9f1d884975a565280ca03ae91d2023-09-14T04:52:41ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-10-01166115336Non-immune cell components in tumor microenvironment influencing lung cancer ImmunotherapyJingtao Zhang0Shuai Liu1Xiubao Chen2Xiangdong Xu3Fei Xu4College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, ChinaCentral Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, ChinaDepartment of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, ChinaCentral Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China; Correspondence to: Central Laboratory, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.Department of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China; First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250014, China; Correspondence to: Department of Geriatric Medicine, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.Lung cancer (LC) is one of the leading causes of cancer-related deaths worldwide, with a significant morbidity and mortality rate, endangering human life and health. The introduction of immunotherapies has significantly altered existing cancer treatment strategies and is expected to improve immune responses, objective response rates, and survival rates. However, a better understanding of the complex immunological networks of LC is required to improve immunotherapy efficacy further. Tumor-associated antigens (TAAs) and tumor-specific antigens (TSAs) are significantly expressed by LC cells, which activate dendritic cells, initiate antigen presentation, and activate lymphocytes to exert antitumor activity. However, as tumor cells combat the immune system, an immunosuppressive microenvironment forms, enabling the enactment of a series of immunological escape mechanisms, including the recruitment of immunosuppressive cells and induction of T cell exhaustion to decrease the antitumor immune response. In addition to the direct effect of LC cells on immune cell function, the secreting various cytokines, chemokines, and exosomes, changes in the intratumoral microbiome and the function of cancer-associated fibroblasts and endothelial cells contribute to LC cell immune escape. Accordingly, combining various immunotherapies with other therapies can elicit synergistic effects based on the complex immune network, improving immunotherapy efficacy through multi-target action on the tumor microenvironment (TME). Hence, this review provides guidance for understanding the complex immune network in the TME and designing novel and effective immunotherapy strategies for LC.http://www.sciencedirect.com/science/article/pii/S0753332223011277ImmunotherapyLCTMETumor vaccineICIsAdoptive T cell therapy
spellingShingle Jingtao Zhang
Shuai Liu
Xiubao Chen
Xiangdong Xu
Fei Xu
Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
Biomedicine & Pharmacotherapy
Immunotherapy
LC
TME
Tumor vaccine
ICIs
Adoptive T cell therapy
title Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
title_full Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
title_fullStr Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
title_full_unstemmed Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
title_short Non-immune cell components in tumor microenvironment influencing lung cancer Immunotherapy
title_sort non immune cell components in tumor microenvironment influencing lung cancer immunotherapy
topic Immunotherapy
LC
TME
Tumor vaccine
ICIs
Adoptive T cell therapy
url http://www.sciencedirect.com/science/article/pii/S0753332223011277
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