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肺癌 TIL(肿瘤浸润淋巴细胞)治疗及其未来范式

英文原题:Tumor-infiltrating lymphocyte therapy for lung cancer and its future paradigms.

PubMed 2022/05/04(内容时间) Expert Opin Biol Ther Q2 · IF 4(JCR 2025)

研究概要

肺癌因其高突变负荷而可能成为TIL治疗的合适候选者。具体而言,TIL疗法在免疫检查点抑制剂耐药的non-small cell lung cancer中已显示出有希望的结果。尽管如此,TIL的ex vivo扩增和递送仍存在许多限制,制约了其可及性。因此,将TIL应用于肺癌治疗尚未得到广泛研究,仅有少数临床试验显示TIL疗法在肺癌患者中取得了良好结果。因此,促进这一昂贵、劳动密集且耗时的过程至关重要,以增加开展的研究数量,并识别出最可能从该治疗模式中获益的合格患者。

研究思路结论见上方概要

肺癌是癌症死亡的主要原因,2020年估计有180万人死于该癌症。尽管治疗方案取得了进展并尝试了各种方法,但生存率仍然很低。涵盖领域:在这篇综述中,我们旨在基于现有临床试验,概述TIL(肿瘤浸润淋巴细胞)疗法对肺癌的疗效。我们还讨论了这种治疗模式的当前挑战和未来前景。

展开英文摘要原文

INTRODUCTION: Lung cancer is the leading cause of cancer death, with an estimated 1.8 million deaths contributing to this cancer in 2020. Despite advances in treatment options and various approaches being attempted, the survival rate remains low. AREAS COVERED: In this review, we aim to provide an overview of the efficacy of tumor-infiltrating lymphocyte (TIL) therapy for lung cancer based on existing clinical trials. We also discuss the current challenges and future landscape of this treatment modality. EXPERT OPINION: Lung cancer can be a suitable candidate for TIL therapy due to its high mutational burden. Specifically, it has shown promising results for non-small cell lung cancer resistant to immune checkpoint inhibitors. Still, there are many restrictions associated with the ex vivo expansion and delivery of TILs, limiting their availability. For this reason, applying TIL for the treatment of lung cancer has not been extensively investigated yet and only a few clinical trials have shown favorable results of TIL therapy in patients with lung cancer. Thus, facilitating this costly, labor-intensive and time-consuming process is of utmost importance to increase the number of performed studies and to detect eligible patients who could benefit most from this treatment modality.

论文信息

作者
Nowroozi A、Khalili N、Razi S、Keshavarz-Fathi M、Rezaei N
第一作者单位
Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran.Iran
通讯作者单位
Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Iran
文献类型
综述
期刊
Expert opinion on biological therapy2022 Jun
原文标识
PubMed 35477305 · DOI 10.1080/14712598.2022.2072206