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肿瘤坏死因子在肿瘤发生发展中的作用及其机制研究进展OA

Research advances in the role of TNF in tumorigenesis and progression and its underlying mechanisms

中文摘要英文摘要

肿瘤坏死因子(TNF)在肿瘤学中扮演着核心的双重角色,既能驱动强效的抗肿瘤免疫,也是促进肿瘤恶性进展与转移的关键因子.其功能分化根植于TNF受体1/2信号通路的动态调控,细胞内信号复合物的精妙组装与关键蛋白(如受体相互作用蛋白激酶1)的棕榈酰化等翻译后修饰,共同决定细胞在凋亡与存活间的命运抉择.在肿瘤微环境中TNF重塑免疫格局,其作用呈高度情境依赖性,一方面,通过调控代谢增强自然杀伤细胞的功能;另一方面,又能诱导具有免疫抑制功能的调节性T淋巴细胞亚群.为破解TNF全身性给药的毒性困境,当前研究范式已转向时空特异性干预.以编码TNF-α、白细胞介素-2的溶瘤病毒TILT-123为代表的策略,通过实现肿瘤局部精准生成,已在临床试验中展现出强大的抗肿瘤效应与诱导全身性免疫记忆的潜力.未来研究将聚焦于开发多特异性分子、智能化药物递送系统,并系统性解析整个TNF超家族的功能网络,以期开启一个更精准的肿瘤免疫干预新纪元.

Tumor necrosis factor(TNF)plays a central dual role in oncology:it not only drives potent antitumor immunity but also serves as a key factor promoting malignant tumor progression and metastasis.This functional differentiation is rooted in the dynamic regulation of the tumor necrosis factor receptor 1/2(TNFR1/2)signaling pathways.The elaborate assembly of intracellular signalosomes and critical post-trans-lational modifications such as the palmitoylation of Receptor-Interacting Serine/Threonine-Protein Kinase 1(RIPK1)and others collectively determine the cellular fate choice between apoptosis and survival.Within the tumor microenvironment,TNF reshapes the immune landscape in a highly context-dependent manner,by ei-ther enhancing the metabolic fitness of natural killer cells or inducing immunosuppressive regulatory T cell subsets.To address the toxicity dilemma of systemic TNF administration,the current research paradigm has shifted towards spatiotemporal control.Strategies exemplified by the oncolytic virus TILT-123,which enables precise localized intratumoral production of TNF-α and Interleukin-2,have demonstrated potent antitumor ef-ficacy and the potential to induce systemic antitumor immune memory in clinical trials.Future research will focus on developing multispecific molecules,intelligent drug delivery systems,and systematically deciphering the functional network of the entire TNF superfamily,aiming to usher in a new era of more precise tumor im-munological intervention.

丁一凡;何非凡;储熙;蔡宏宙

江苏省肿瘤医院/南京医科大学附属肿瘤医院/江苏省肿瘤防治研究所,江苏 南京 210009江苏省肿瘤医院/南京医科大学附属肿瘤医院/江苏省肿瘤防治研究所,江苏 南京 210009江苏省肿瘤医院/南京医科大学附属肿瘤医院/江苏省肿瘤防治研究所,江苏 南京 210009江苏省肿瘤医院/南京医科大学附属肿瘤医院/江苏省肿瘤防治研究所,江苏 南京 210009

医药卫生

肿瘤坏死因子肿瘤微环境免疫治疗溶瘤病毒生物标志物综述

Tumor necrosis factorTumor microenvironmentImmunotherapyOncolytic virusBiomarkersReview

《现代医药卫生》 2026 (3)

517-521,526,6

10.3969/j.issn.1009-5519.2026.03.008

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