Immune parameters affecting the efficacy of chemotherapeutic regimens

被引:557
作者
Zitvogel, Laurence [2 ]
Kepp, Oliver [3 ]
Kroemer, Guido [1 ]
机构
[1] Univ Paris 05, Fac Med, Ctr Rech Cordeliers, INSERM,U872, F-75006 Paris, France
[2] Inst Gustave Roussy, INSERM, U1015, F-94805 Villejuif, France
[3] Inst Gustave Roussy, INSERM, U848, F-94805 Villejuif, France
关键词
TUMOR-INFILTRATING LYMPHOCYTES; REGULATORY T-CELLS; ADVANCED BREAST-CANCER; ACUTE MYELOID-LEUKEMIA; LONG-TERM SURVIVAL; PROGNOSTIC-FACTOR; CALRETICULIN EXPOSURE; COLORECTAL-CANCER; OVARIAN-CANCER; NEOADJUVANT CHEMOTHERAPY;
D O I
10.1038/nrclinonc.2010.223
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The outcome of chemotherapy can be influenced by the host immune system at multiple levels. Chemotherapy can kill cancer cells by causing them to elicit an immune response or alternatively, by increasing their susceptibility to immune attack. In addition, chemotherapy can stimulate anticancer immune effectors either in a direct fashion or by subverting immunosuppressive mechanisms. Beyond cancer-cell-intrinsic factors that determine the cytotoxic or cytostatic response, as well as the potential immunogenicity of tumor cells, the functional state of the host immune system has a major prognostic and predictive impact on the fate of cancer patients treated with conventional or targeted chemotherapies. In this Review, we surmise that immune-relevant biomarkers may guide personalized therapeutic interventions including compensatory measures to restore or improve anticancer immune responses.
引用
收藏
页码:151 / 160
页数:10
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