下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Role of Virus-Directed Therapy in Soft Tissue Sarcoma.
骨与软组织肉瘤是起源于间充质的罕见癌症,具有异质性和多样性的特征,占实体恶性肿瘤不到1%。
骨与软组织肉瘤是罕见的间充质来源肿瘤,具有异质性和多样性特征,占实体恶性肿瘤不足1%。常规化疗仍是标准治疗,缓解率为10-15%,通常取决于组织学亚型,因为某些亚型对化疗耐药。临床对新颖治疗选择存在巨大未满足需求,推动了免疫治疗等有前景治疗方案的开发。肉瘤有80多种不同亚型,其异质性要求精心设计临床试验。在肉瘤领域,近期突破发生在基于肿瘤基础生物学的组织学特异性方法背景下。为此,免疫治疗方法也需要采取类似策略。溶瘤病毒(OVs)已成为许多实体瘤的有前景治疗方法,并在肉瘤中显示出令人鼓舞的结果。本综述主要聚焦于汇总的临床数据,强调OVs作为免疫治疗在软组织肉瘤(STS)和骨肉瘤中的应用作用。将OVs与T细胞激活检查点抑制、过继细胞治疗或靶向治疗相结合,可能产生更强效力,提高溶瘤病毒治疗的抗肿瘤疗效,并为肉瘤治疗提供新的前景。
Bone and soft tissue sarcoma are rare cancers of mesenchymal origin with the characteristics of heterogeneity and diversity that account for less than 1% of solid malignant cancers. Conventional chemotherapy remains standard of care with response rates of 10-15% that are usually dependent on histologic subtype as some subtypes are chemotherapy resistant. There remains a large unmet clinical need for new and novel options promoting the development of promising therapeutic options such as immunotherapy. With more than 80 different subtypes, the heterogeneity of sarcoma requires thoughtful clinical trial design. In the sarcoma field, recent breakthroughs have occurred in the context of histology-specific approach based on underlying tumor biology. To that end, immunotherapy approaches will need to take a similar approach. Oncolytic viruses (OVs) have emerged as a promising treatment for many solid tumors and shown encouraging results in sarcoma. This review mainly focuses on collective clinical data highlighting the role of OVs as immunotherapy being used in soft tissue sarcoma (STS) and bone sarcomas. Combining OVs with T cell-activating checkpoint inhibition, adoptive cell therapy or targeted therapies may yield increased potency, improve antitumor efficacy of oncolytic virotherapy, and offer a new prospect for the treatment of sarcoma.
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