紫杉醇与肿瘤免疫的研究进展

被引:31
作者
罗光华 [1 ,2 ]
郭莉莉 [2 ]
刘丽华 [1 ]
机构
[1] 河北医科大学第四医院临床生物治疗科
[2] 邯钢医院肿瘤内科
关键词
紫杉醇; 免疫细胞; 肿瘤; 过继细胞免疫治疗;
D O I
暂无
中图分类号
R730.5 [肿瘤治疗学];
学科分类号
100214 [肿瘤学];
摘要
紫杉醇(paclitaxel,PTX)是一种有丝分裂抑制剂,通过促进微管蛋白聚合、抑制解聚、保持微管蛋白稳定、抑制细胞有丝分裂和促进肿瘤细胞凋亡发挥抗肿瘤作用。通过研究紫杉醇的结构和功能,发现紫杉醇对免疫细胞包括效应性T细胞、树突状细胞(dendritic cell,DC)、自然杀伤细胞(Natural cell,NK)、调节性T细胞(regulatory T cell,Treg)和巨噬细胞(mac-rophage)等具有广泛调节作用,紫杉醇杀伤肿瘤细胞的同时逆转肿瘤的免疫逃逸。紫杉醇与过继细胞免疫治疗联合可减轻化疗的不良反应、增加化疗效果。紫杉醇在非小细胞肺癌化疗中抑制调节性T细胞的数量和功能,在乳腺癌化疗过程中增强NK细胞抗肿瘤活性,在卵巢癌化疗中增加肿瘤抗原的免疫原性及促进DC的抗原提呈作用。总之,紫杉醇的免疫调节功能在抗肿瘤领域有广泛的应用前景。
引用
收藏
页码:251 / 254
页数:4
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