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肝细胞癌的免疫治疗;成就、挑战与未来前景

英文原题:Immunotherapeutic treatments in hepatocellular carcinoma; achievements, challenges and future prospects.

查看英文原题

Immunotherapeutic treatments in hepatocellular carcinoma; achievements, challenges and future prospects.

PubMed 2021/11/01(内容时间) Int Immunopharmacol Q1 · IF 5.6(JCR 2025)

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中文摘要

肝细胞癌(HCC)是全球范围内最常见且致命的恶性肿瘤之一,其发病趋势令人担忧。疾病早期的常见治疗方法包括手术切除、消融和肝移植。由于HCC的隐匿性,大多数患者确诊时已处于晚期,此时肿瘤扩散或远处转移往往已经发生。免疫治疗策略在一些恶性肿瘤中展现出前景,十年前美国食品药品监督管理局(FDA)批准了首个检查点抑制剂抗细胞毒性T淋巴细胞相关蛋白4(CTLA-4)伊匹木单抗用于治疗黑色素瘤。在过去十年中,许多临床试验研究了抗CTLA-4以及抗程序性细胞死亡蛋白1(PD-1)疗法在包括HCC在内的各种实体瘤中的应用。在这篇小型综述中,我们将讨论免疫检查点抑制剂治疗HCC的临床试验最新临床数据。

展开英文摘要原文

Hepatocellular carcinoma (HCC) is one of the most common and fatal malignancies with an alarming trend all around the world. Common therapeutic approaches in the early stage of disease are surgical resection, ablation, and liver transplantation. Due to the insidious identity of HCC, the majority of the patients are diagnosed at advanced stages, where tumor spreading, or distant metastasis unfortunately have already occurred.

Immunotherapeutic options have elicited a promising approach in some malignancies with Food and Drug Administration (FDA) approving the first checkpoint inhibitor anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) ipilimumab for the treatment of melanoma ten years ago.

In the past decade, many clinical trials have been investigating anti-CTLA-4 as well as anti-programmed cell death protein 1 (PD-1) therapies in various solid tumors, including HCC. In this mini-review we will discuss the latest clinical data from clinical trials for immune-checkpoint inhibitors for the treatment of HCC.

论文信息

作者
Roudi R、D'Angelo A、Sirico M、Sobhani N
第一作者单位
Department of Medicine, University of Minnesota Medical School, Minneapolis, MN 55455, USA.United States
通讯作者单位
Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX 77030, USA. Electronic address: navid.sobhani@bcm.edu.United States
文献类型
综述
期刊
International immunopharmacology2021 Dec
原文标识
PubMed 34735916 · DOI 10.1016/j.intimp.2021.108322