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非小细胞肺癌脑转移中肿瘤细胞与脑微环境互作机制研究进展OA

Tumor Cell and Brain Microenvironment Interactions in Non-small Cell Lung Cancer Brain Metastasis:Mechanisms and Emerging Insights

中文摘要英文摘要

非小细胞肺癌(non-small cell lung cancer,NSCLC)脑转移的形成依赖肿瘤细胞与脑特异性微环境的持续互作.脑血管、胶质细胞及免疫细胞共同参与脑内定植、免疫逃逸和治疗抵抗;单细胞与空间组学进一步揭示了细胞状态、互作网络和空间生态位的异质性.本文综述NSCLC脑转移的发生与定植过程、脑内微环境及其互作机制,并讨论单细胞与空间组学揭示的新型异质性及其在治疗反应和患者分层中的潜在价值,为理解脑转移生态系统及微环境导向的精准治疗提供参考.

Brain metastasis in non-small cell lung cancer(NSCLC)is shaped by continuous interactions between tumor cells and the brain-specific microenvironment.Vascular,glial and immune components contribute to intracranial colo-nization,immune escape and therapeutic resistance,while single-cell and spatial omics reveal heterogeneity in cellular states,communication networks and spatial niches.This review summarizes NSCLC brain metastasis and intracranial colonization,the brain metastatic microenvironment and tumor-microenvironment interactions,and discusses the heterogeneity revealed by single-cell and spatial omics and its potential relevance to therapeutic response and patient stratification.

杨贺淇;周清华

610041 成都,四川大学华西医院肺癌研究所/肺癌中心610041 成都,四川大学华西医院肺癌研究所/肺癌中心

肺肿瘤脑转移肿瘤微环境单细胞测序空间组学

Lung neoplasmsBrain metastasisTumor microenvironmentSingle-cell sequencingSpatial omics

《中国肺癌杂志》 2026 (7)

548-556,9

10.3779/j.issn.1009-3419.2026.102.21

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