Meirow Yaron, Baniyash Michal
The Lautenberg Center for General and Tumor Immunology, Faculty of Medicine, Israel-Canada Medical Research Institute, The Hebrew University, POB 12272, 91120, Jerusalem, Israel.
Cancer Immunol Immunother. 2017 Aug;66(8):1089-1101. doi: 10.1007/s00262-017-2035-6. Epub 2017 Jul 3.
Chronic inflammation arising in a diverse range of non-cancerous and cancerous diseases, dysregulates immunity and exposes patients to a variety of complications. These include immunosuppression, tissue damage, cardiovascular diseases and more. In cancer, chronic inflammation and related immunosuppression can directly support tumor growth and dramatically reduce the efficacies of traditional treatments, as well as novel immune-based therapies, which require a functional immune system. Nowadays, none of the immune biomarkers, regularly used by clinicians can sense a developing chronic inflammation, thus complications can only be detected upon their appearance. This review focuses on the necessity for such immune status biomarkers, which could predict complications prior to their appearance. Herein we bring examples for the use of cellular and molecular biomarkers in diagnosis, prognosis and follow-up of patients suffering from various cancers, for prediction of response to immune-based anti-cancer therapy and for prediction of cardiovascular disease in type 2 diabetes patients. Monitoring such biomarkers is expected to have a major clinical impact in addition to unraveling of the entangled complexity underlying dysregulated immunity in chronic inflammation. Thus, newly discovered biomarkers and those that are under investigation are projected to open a new era towards combating the silent damage induced by chronic inflammation.
多种非癌性和癌性疾病中出现的慢性炎症会使免疫功能失调,并使患者面临各种并发症。这些并发症包括免疫抑制、组织损伤、心血管疾病等等。在癌症中,慢性炎症和相关的免疫抑制可直接促进肿瘤生长,并显著降低传统治疗以及新型免疫疗法的疗效,而这些免疫疗法需要一个功能正常的免疫系统。目前,临床医生常用的免疫生物标志物均无法检测到正在发展的慢性炎症,因此并发症只能在出现后才能被检测到。本综述重点关注此类免疫状态生物标志物的必要性,它们可以在并发症出现之前进行预测。在此,我们列举了细胞和分子生物标志物在各类癌症患者的诊断、预后和随访中的应用实例,用于预测基于免疫的抗癌治疗的反应以及2型糖尿病患者心血管疾病的发生。监测此类生物标志物除了能够揭示慢性炎症中免疫失调背后错综复杂的机制外,预计还将产生重大的临床影响。因此,新发现的生物标志物以及正在研究的生物标志物有望开启一个新时代,以对抗慢性炎症引发的隐匿性损害。