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在现代免疫工程时代,靶向精子蛋白 17 用于上皮性卵巢癌治疗

英文原题:Sperm protein 17 targeting for epithelialovarian cancer treatment in the eraof modern immunoengineering.

查看英文原题

Sperm protein 17 targeting for epithelialovarian cancer treatment in the eraof modern immunoengineering.

PubMed 2021/10/28(内容时间) Mol Ther Oncolytics

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中文摘要

由于该疾病症状模糊且缺乏有效的筛查方法,大多数上皮性卵巢癌(EOC)患者在疾病晚期才就诊。尽管化疗药物取得了进展,但这些患者的预后一直极差。虽然以顺铂为基础的化疗方案在大多数患者中诱导了缓解,但患者无一例外地出现疾病进展或复发。为了尝试使用不同的治疗方法来改善治疗结果,近20年前就开始了免疫治疗的研究。许多可能适合特异性免疫治疗的肿瘤抗原已被鉴定,并尝试了许多免疫治疗方法。然而,尽管观察到一些缓解,临床研究的结果总体上令人失望。免疫工程学的最新进展以及在难治性/复发性血液恶性肿瘤患者中观察到的成功,重新激发了人们对EOC特异性细胞免疫治疗的关注。在这篇综述中,我们提供了EOC免疫治疗的理论依据,讨论了一些历史上关于细胞免疫治疗用于EOC的研究结果,概述了可应用于治疗该疾病的现代免疫工程学原理,并提出利用现代免疫工程技术重新评估癌症-睾丸抗原Sperm protein 17作为靶点。

展开英文摘要原文

Due to the vague symptomatology of the disease and a lack of effective screening methods, most patients with epithelial ovarian cancer (EOC) present late in their disease. Despite advances in chemotherapeutic agents, the prognosis of these patients has uniformly been extremely poor. Although cisplatin-based chemotherapy regimens induce responses in most of these patients, the patients invariably experience disease progression or relapses.

In an attempt to improve the treatment outcome using a different therapeutic approach, immunotherapy was investigated nearly 20 years ago. Many tumor antigens that are potentially suitable for specific immunotherapy were identified, and many immunotherapeutic approaches were attempted.

However, although some responses were observed, the results from clinical studies were generally disappointing. Recent advances in immunoengineering and successes observed among patients treated for refractory/relapsed hematologic malignancies have rekindled the interest to revisit specific cellular immunotherapy in EOC.

In this review, we provide the rationale for immunotherapy of EOC, discuss the results of some of the historical studies on the use of cellular immunotherapy in EOC, outline the principles of modern immunoengineering that could be applied to treat the disease, and propose the re-evaluation of the cancer-testis antigen, Sperm protein 17, for targeting by using modern immunoengineering technology.

论文信息

作者
Poplawska M、Dutta D、Lee Y、Lim SH
单位
Division of Hematology and Oncology, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.United States
文献类型
综述
期刊
Molecular therapy oncolytics2021 Dec 17
原文标识
PubMed 34853809 · DOI 10.1016/j.omto.2021.10.010