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晚期胃癌免疫治疗的最新进展与未来展望

英文原题:Recent Progress and Future Perspectives of Immunotherapy in Advanced Gastric Cancer.

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Recent Progress and Future Perspectives of Immunotherapy in Advanced Gastric Cancer.

PubMed 2022/07/01(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

胃癌是最常见的实体瘤之一,已被证实为全球第三大癌症死亡原因。胃癌症状通常不明显,早期难以发现,因此患者确诊时往往已处于晚期;由于治疗效果有限且耐药机制多,预后较差。近期对癌症微环境认识的进展显著推动了晚期胃癌免疫治疗的发展。免疫治疗可诱导胃癌患者产生免疫应答,进而破坏癌细胞。与传统治疗相比,免疫治疗疗效较强且毒性可耐受,因此这一晚期胃癌新策略越来越受关注。本综述总结晚期胃癌免疫治疗的近期进展,包括免疫检查点抑制剂、过继细胞治疗、VEGF抑制剂、癌症疫苗和CAR-T 细胞疗法,并重点介绍临床应用中的免疫治疗,讨论现有挑战及克服局限的前景策略。

展开英文摘要原文

As one of the most common forms of solid tumours, gastric carcinoma has been revealed as the third leading cause of death worldwide. The symptom of gastric cancer is usually not obvious and thus difficult to detect at earlier stages.

Therefore, gastric cancer is already in the advanced stage once detected in patients, which has a poor prognosis due to ineffective therapies and multiple resistance. Recent advance in understanding the microenvironment of cancer has significantly promoted the development of immunotherapy for advanced gastric cancer. Immunotherapy can induce immune responses in gastric cancer patients thus leads to the destruction of cancer cells. In comparison of traditional therapy, immunotherapy has demonstrated robust efficacy and tolerable toxicity.

Therefore, this novel strategy for treatment of advanced gastric cancer has gain increasingly popularity. In this review, we summarize recent progress of immunotherapy in advanced gastric cancer, such as immune check point inhibitors, adoptive cell therapy, VEGF inhibitors, cancer vaccines and CAR-T cell therapy.

We highlight immunotherapies involved in clinical applications and discuss the existing challenges of current immunotherapies and promising strategies to overcome these limitations.

论文信息

作者
Jin X、Liu Z、Yang D、Yin K、Chang X
单位
Department of Gastrointestinal Surgery, Changhai Hospital, Naval Medical University, Shanghai, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2022
原文标识
PubMed 35844558 · DOI 10.3389/fimmu.2022.948647