肿瘤细胞治疗研究
英文原题:Novel Immunotherapies for Osteosarcoma.
Novel Immunotherapies for Osteosarcoma.
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骨肉瘤(OS)是最常见的原发性恶性骨肿瘤,主要影响青少年和年轻成人,常发生肺转移并导致患者死亡。OS具有高度异质性,其驱动肿瘤进展和转移的病理机制尚未完全明确。对于局限性OS,手术联合新辅助及术后化疗可将5年生存率提高至70%以上;而复发和/或转移患者的5年生存率仅为20%。因此,需要新的治疗策略克服传统疗法的不足。随着越来越多免疫疗法获批用于常规治疗耐药的恶性肿瘤,免疫治疗在OS治疗中的关注度也不断上升。本综述回顾OS肿瘤微环境,并评估目前用于OS治疗的有前景免疫疗法。
Osteosarcoma (OS) is the most common primary malignant bone sarcoma mainly affecting adolescents and young adults, which often progresses to pulmonary metastasis and leads to the death of OS patients. OS is characterized as a highly heterogeneous cancer type and the underlying pathologic mechanisms triggering tumor progress and metastasis are incompletely recognized.
Surgery combined with neoadjuvant and postoperative chemotherapy has elevated 5-year survival to over 70% for patients with localized OS tumors, as opposed to only 20% of patients with recurrence and/or metastasis.
Therefore, novel therapeutic strategies are needed to overcome the drawbacks of conventional treatments. Immunotherapy is gaining momentum for the treatment of OS with an increasing number of FDA-approved therapies for malignancies resistant to conventional therapies.
Here, we review the OS tumor microenvironment and appraise the promising immunotherapies available in the management of OS.
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