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间变性甲状腺癌的免疫治疗:现状与未来

英文原题:Immunotherapy for anaplastic thyroid carcinoma: the present and future.

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Immunotherapy for anaplastic thyroid carcinoma: the present and future.

PubMed 2021/12/25(内容时间) Zhejiang Da Xue Xue Bao Yi Xue Ban

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中文摘要

甲状腺未分化癌(ATC)是内分泌系统恶性程度最高的肿瘤,是亟待解决的医学难题。目前针对ATC的免疫治疗研究主要包括切断肿瘤相关巨噬细胞(TAM)的招募、诱导TAM重编程并恢复其吞噬功能、靶向T细胞和NK 细胞上的相关免疫检查点、基于溶瘤病毒和树突状细胞的肿瘤疫苗以及过继性免疫治疗。其中,以免疫检查点程序性死亡-1/程序性死亡配体-1靶向阻断为代表的免疫治疗策略已初步证实可使ATC患者获益,尤其是分子靶向抑制剂与免疫治疗的联合应用已显示出优异的治疗效果。由于ATC具有高度异质性,通过开展包括生物治疗、免疫治疗和细胞治疗在内的多种免疫治疗研究,并探索下一代免疫检查点抑制剂的治疗潜力,有望为ATC患者提供更多治疗策略。本文就ATC潜在的免疫治疗靶点及免疫治疗进展作一综述。

甲状腺未分化癌(ATC)是内分泌系统恶性程度最高的肿瘤,是亟待解决的医学难题。目前针对ATC的免疫治疗研究主要包括切断肿瘤相关巨噬细胞(TAM)的招募、诱导TAM重编程并恢复其吞噬功能、靶向T细胞和NK 细胞上的相关免疫检查点、基于溶瘤病毒和树突状细胞的肿瘤疫苗以及过继性免疫治疗。其中,以免疫检查点程序性死亡受体-1/程序性死亡配体-1靶向阻断为代表的免疫治疗策略已被初步证实可使ATC患者获益,尤其是分子靶向抑制剂与免疫治疗的联合应用已显示出优异的治疗效果。由于ATC具有高度异质性,通过开展包括生物治疗、免疫治疗和细胞治疗在内的多种免疫治疗研究,并探索下一代免疫检查点抑制剂的治疗潜力,有望为ATC患者提供更多治疗策略。本文就ATC潜在的免疫治疗靶点及免疫治疗进展进行综述。

展开英文摘要原文

Anaplastic thyroid carcinoma (ATC) is the most malignant tumor of endocrine system, which is an urgent medical problem to be solved. At present, immunotherapy studies on ATC mainly include cutting off the recruitment of tumor-associated macrophage (TAM), inducing the reprogramming of TAM and restoring its phagocytic function, targeting related immune checkpoints on T cells and natural killer cells, tumor vaccines based on oncolytic viruses and dendritic cells, and adoptive immunotherapy. Among them, immunotherapy strategies represented by targeted blocking of programmed death-1/programmed death ligand-1 at immune checkpoint have been preliminarily confirmed to benefit ATC patients, especially the combination of molecular targeted inhibitors and immunotherapy has shown excellent therapeutic effects. Due to the great heterogeneity of ATC, it is expected to provide more therapeutic strategies for patients of ATC by carrying out various immunotherapy studies including biological, immune and cellular therapies and exploring the therapeutic potential of the next generation of immune checkpoint inhibitors. This article reviews the potential immunotherapeutic targets of ATC and the progress of immunotherapy.

Anaplastic thyroid carcinoma (ATC) is the most malignant tumor of endocrine system, which is an urgent medical problem to be solved. At present, immunotherapy studies on ATC mainly include cutting off the recruitment of tumor-associated macrophage (TAM), inducing the reprogramming of TAM and restoring its phagocytic function, targeting related immune checkpoints on T cells and natural killer cells, tumor vaccines based on oncolytic viruses and dendritic cells, and adoptive immunotherapy.

Among them, immunotherapy strategies represented by targeted blocking of programmed death-1/programmed death ligand-1 at immune checkpoint have been preliminarily confirmed to benefit ATC patients, especially the combination of molecular targeted inhibitors and immunotherapy has shown excellent therapeutic effects.

Due to the great heterogeneity of ATC, it is expected to provide more therapeutic strategies for patients of ATC by carrying out various immunotherapy studies including biological, immune and cellular therapies and exploring the therapeutic potential of the next generation of immune checkpoint inhibitors. This article reviews the potential immunotherapeutic targets of ATC and the progress of immunotherapy.

论文信息

作者
Lu X、Bao L、Pan Z、Ge M
单位
1. Department of Head and Neck Surgery, Center of Otolaryngology, Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou 310014, China.China
文献类型
综述
期刊
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences2021 Dec 25
原文标识
PubMed 35347912 · DOI 10.3724/zdxbyxb-2021-0273