摘要
肺癌是最致命的恶性肿瘤之一,非小细胞肺癌(NSCLC)是最常见的组织学亚型。转移导致癌症患者预后不良。肿瘤细胞离开肿瘤病灶,侵入周围基质,并以循环肿瘤细胞(CTC)的形式进入血液。CTC的发展是转移的开始。肿瘤细胞生长和生存的内部环境称为肿瘤微环境(tumor microenvironment, TME)。它包括肿瘤细胞、成纤维细胞、免疫细胞和细胞外基质。TME是复杂和动态的。此外,TME在肿瘤的发展和转移中起着重要作用,并显著影响治疗结果。免疫检查点阻断(ICB)旨在抑制配体与其相应受体的相互作用。ICB具有恢复免疫细胞抗肿瘤作用的功能。本文综述了TME如何与CTC相互作用,使CTC逃避免疫并促进CTC转移。TME不仅影响肿瘤转移的进展,还与肿瘤细胞相互作用,影响免疫治疗的效果。
关键词: 循环肿瘤细胞,肿瘤微环境,免疫检查点阻断,非小细胞肺癌,免疫治疗,化疗。
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