LI Nana,MA Zhenhui,ZHANG Ying,et al.Exploring regulation of tumor immune microenvironment and immune cells by traditional Chinese medicine based on theory of "yin⁃yang self⁃harmony"[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(12):22-27.
LI Nana,MA Zhenhui,ZHANG Ying,et al.Exploring regulation of tumor immune microenvironment and immune cells by traditional Chinese medicine based on theory of "yin⁃yang self⁃harmony"[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(12):22-27. DOI: 10.16305/j.1007-1334.2024.z20240519003.
Exploring regulation of tumor immune microenvironment and immune cells by traditional Chinese medicine based on theory of "yin⁃yang self⁃harmony"
The tumor immune microenvironment(TIME) contains numerous immune cells, including tumor-associated neutrophils(TANs), tumor-associated macrophages (TAMs), regulatory T cells(Tregs), and dendritic cells(DCs). Under normal physiological conditions, the human body's immune cells maintain a dynamic balance, playing a critical role in immune responses and homeostasis. Tumor immunotherapy targets the immunosuppressive cells within the TIME to restore the immune system's immunogenicity. Both the body's natural immune response and the mechanisms behind modern tumor immunotherapy share significant parallels with the traditional Chinese medicine(TCM) theory of "yin-yang self-harmony". Investigating the correlation between immune cell imbalance in tumors and the "yin-yang self-harmony" theory in TCM offers a new perspective on how TCM can regulate immune cells to restore immune balance and circulation based on the guidance of yin-yang theory.
关键词
肿瘤微环境免疫调控阴阳自和中医理论中医药疗法
Keywords
tumor microenvironmentimmune regulationyin-yang self-harmonytraditional Chinese medicine theorytraditional Chinese medicine therapy
references
YANG L, WANG Q, HE L, et al. The critical role of tumor microbiome in cancer immunotherapy[J]. Cancer Biol Ther, 2024, 25(1): 2301801.
张朋.《周易》对阴阳观念的三重表述[J]. 中州学刊, 2023(3): 131-136.
DAGHER O K, SCHWAB R D, BROOKENS S K, et al. Advances in cancer immunotherapies[J]. Cell, 2023, 186(8): 1814.
MILLS K H G. IL-17 and IL-17-producing cells in protection versus pathology[J]. Nat Rev Immunol, 2023, 23(1): 38-54.
PAN Y, YANG W, TANG B, et al. The protective and pathogenic role of Th17 cell plasticity and function in the tumor microenvironment[J]. Front Immunol, 2023, 14: 1192303.
ITAHASHI K, IRIE T, NISHIKAWA H. Regulatory T-cell development in the tumor microenvironment[J]. Eur J Immunol, 2022, 52(8): 1216-1227.
ZHENG X, DONG L, WANG K, et al. MiR-21 participates in the PD-1/PD-L1 pathway-mediated imbalance of Th17/Treg cells in patients after gastric cancer resection[J]. Ann Surg Oncol, 2019, 26(3): 884-893.
BUI I, BONAVIDA B. Polarization of M2 tumor-associated macrophages (TAMs) in cancer immunotherapy[J]. Crit Rev Oncog, 2024, 29(4): 75-95.
MA R Y, BLACK A, QIAN B Z, et al. Macrophage diversity in cancer revisited in the era of single-cell omics[J]. Trends Immunol, 2022, 43(7): 546-563.
MULDER K, PATEL A A, KONG W T, et al. Cross-tissue single-cell landscape of human monocytes and macrophages in health and disease[J]. Immunity, 2021, 54(8): 1883-1900.
JUNG M, BONAVIDA B. Immune evasion in cancer is regulated by tumor-asociated macrophages (TAMs): targeting TAMs[J]. Crit Rev Oncog, 2024, 29(4): 1-17.
ROGOZYNSKI N P, DIXON B. The Th1/Th2 paradigm: A misrepresentation of helper T cell plasticity[J]. Immunol Lett, 2024, 268: 106870.
SPEISER D E, CHIJIOKE O, SCHAEUBLE K, et al. CD4+ T cells in cancer[J]. Nat Cancer, 2023, 4(3): 317-329.
FRAFJORD A, BUER L, HAMMARSTRÖM C, et al. The immune landscape of human primary lung tumors is Th2 skewed[J]. Front Immunol, 2021, 12: 764596.
LEE Y H, TSAI K W, LU K C, et al. Cancer as a dysfunctional immune disorder: pro-tumor TH1-like immune response and anti-tumor THαβ immune response based on the complete updated framework of host immunological pathways[J]. Biomedicines, 2022, 10(10): 2497.
LIU G, LIU F. Bach2: A key regulator in Th2-related immune cells and Th2 immune response[J]. J Immunol Res, 2022, 2022: 2814510.
BASU A, RAMAMOORTHI G, ALBERT G, et al. Differentiation and regulation of T cells: a balancing act for cancer immunotherapy[J]. Front Immunol, 2021, 12: 669474.
XIAO Y, HUANG Y, JIANG J, et al. Identification of the prognostic value of Th1/Th2 ratio and a novel prognostic signature in basal-like breast cancer[J]. Hereditas, 2023, 160(1): 2.
CHEN Y, SUN J, LUO Y, et al. Pharmaceutical targeting Th2-mediated immunity enhances immunotherapy response in breast cancer[J]. J Transl Med, 2022, 20(1): 615.
JI T, LI H. T-helper cells and their cytokines in pathogenesis and treatment of asthma[J]. Front Immunol, 2023, 14: 1149203.
AWASTHI D, SARODE A. Neutrophils at the crossroads: Unraveling the multifaceted role in the tumor microenvironment[J]. Int J Mol Sci, 2024, 25(5): 2929.
VILLAR V H, SUBOTIČKI T, ĐIKIĆ D, et al. Transforming growth factor-β1 in cancer immunology: Opportunities for immunotherapy[J]. Adv Exp Med Biol, 2023, 1408: 309-328.
GEH D, LESLIE J, RUMNEY R, et al. Neutrophils as potential therapeutic targets in hepatocellular carcinoma[J]. Nat Rev Gastroenterol Hepatol, 2022, 19(4): 257‐273.
CHEN X, WANG N, JING C, et al. The TGF-β/MMP9/RAGE axis induces sRAGE secretion by neutrophils and promotes oral carcinogenesis[J]. Biochem Biophys Rep, 2024, 38: 101676.
MURAO A, AZIZ M, WANG P. Neutrophil heterogeneity in sepsis: the role of damage-associated molecular patterns[J]. Shock, 2023, 59(2): 239-246.
ZHANG J, GU J, WANG X, et al. Engineering and targeting neutrophils for cancer therapy[J]. Adv Mater, 2024, 36(19): e2310318.
JAILLON S, PONZETTA A, DI MITRI D, et al. Neutrophil diversity and plasticity in tumour progression and therapy[J]. Nat Rev Cancer, 2020, 20(9): 485-503.
TAUCHER E, TAUCHER V, FINK-NEUBOECK N, et al. Role of tumor-associated neutrophils in the molecular carcinogenesis of the lung[J]. Cancers, 2021, 13(23): 5972.
ZHENG W, WU J, PENG Y, et al. Tumor-associated neutrophils in colorectal cancer development, progression and immunotherapy[J]. Cancers (Basel), 2022, 14(19): 4755.
MASUCCI M T, MINOPOLI M, CARRIERO M V. Tumor associated neutrophils. Their role in tumorigenesis, metastasis, prognosis and therapy[J]. Front Oncol, 2019, 9: 1146.
HILLIGAN K L, RONCHESE F. Antigen presentation by dendritic cells and their instruction of CD4+ T helper cell responses[J]. Cell Mol Immunol, 2020, 17(6): 587-599.
MORANTE-PALACIOS O, FONDELLI F, BALLESTAR E, et al. Tolerogenic dendritic cells in autoimmunity and inflammatory diseases[J]. Trends Immunol, 2021, 42(1): 59-75.
ARABPOUR M, LEBRERO-FERNANDRZ C, SCHÖN K, et al. ADP-ribosylating adjuvant reveals plasticity in cDC1 cells that drive mucosal Th17 cell development and protection against influenza virus infection[J]. Mucosal Immunol, 2022, 15(4): 745-761.
SHANG Q, YU X, SUN Q, et al. Polysaccharides regulate Th1/Th2 balance: A new strategy for tumor immunotherapy[J]. Biomed Pharmacother, 2024, 170: 115976.
KIDDANE A T, KIM G D. Anticancer and immunomodulatory effects of polysaccharides[J]. Nutr Cancer, 2021, 73(11-12): 2219-2231.
WANG X E, WANG Y H, ZHOU Q, et al. Immunomodulatory effect of lentinan on aberrant T subsets and cytokines profile in non-small cell lung cancer patients[J]. Pathol Oncol Res, 2020, 26(1): 499-505.
HU Q, LIU Y, YU J, et al. The protective effect and antitumor activity of Aconiti Lateralis Radix Praeparata (Fuzi) polysaccharide on cyclophosphamide-induced immunosuppression in H22 tumor-bearing mice[J]. Front Pharmacol, 2023, 14: 1151092.
LUO Y, LIU G, HOU P, et al. Synergism effect of dendrobine on cisplatin in treatment of H1299 by modulating the balance of Treg/Th17[J]. Anticancer Agents Med Chem, 2023, 23(1): 105-112.
WAN Q, HUANG J, XIAO Q, et al. Astragalus polysaccharide alleviates ulcerative colitis by regulating the balance of mTh17/mTreg cells through TIGIT/CD155 signaling[J]. Molecules, 2024, 29(1):241.
LI C, PAN X Y, MA M, et al. Astragalus polysacharin inhibits hepatocellular carcinoma-like phenotypes in a murine HCC model through repression of M2 polarization of tumour-associated macrophages[J]. Pharm Biol, 2021, 59(1): 1533-1539.
HAN S, WANG W, WANG S, et al. Tumor microenvironment remodeling and tumor therapy based on M2-like tumor associated macrophage-targeting nano-complexes[J]. Theranostics, 2021, 11(6): 2892-2916.
LUO N. Advances in targeted immunotherapy in cancers[J]. Int J Mol Sci, 2023, 24(24): 17475.
NAIMI A, MOHAMMED R N, RAJI A, et al. Tumor immunotherapies by immune checkpoint inhibitors (ICIs); the pros and cons[J]. Cell Commun Signal, 2022, 20(1): 44.
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