Dysfunction of T cell in tumor microenvironment and strategy of reversing the dysfunction
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Abstract:
T cell dysfunction in tumor microenvironment is the key mechanism of tumor escaping from immune surveillance. T cell dysfunction induced by up-regulating expression of immune checkpoint molecules is a hot point of the current research. The clinical trials of blocking immune checkpoint, PD-1 and CTLA-1, have shown encouraging efficacy in the many patients with advanced cancer. It was confirmed that there was T cell dysfunction in tumor microenvironment and reversing T cell dysfunction could play a potentiality in tumor therapy. However, the novel immunotherapy methods exhibited a long-lasting clinical efficacy in a small number of the patients with cancer only,which suggest heterogeneity and complexity of the tumor microenvironment. Recently, the research in unicellular level further clarified phenotypic characteristics and clinical significance of T cell dysfunction in tumor microenvironment, which reveals that epigenetics and metabolic changes are the important mechanisms resulting in T cell dysfunction in the tumor microenvironment and suggests the novel methods for reversing T cell dysfunction in the tumor microenvironment. This paper focus on the latest research progresses of the T cell dysfunction in the tumor microenvironment and strategy of reversing the T cell dysfunction.
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Project supported by the National Natural Science Foundation of China (No.31100641, No.31270946), and the Basic and Advanced Technology Research Program of Henan Province (No. 142300410387)