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免疫肿瘤学当前趋势

英文原题:Current Trends in Immuno-Oncology.

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Current Trends in Immuno-Oncology.

PubMed 2023/01/01(内容时间) Cardiovasc Hematol Agents Med Chem

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中文摘要

直到最近,手术、放疗、化疗和靶向治疗是四种基本的癌症治疗方法。免疫肿瘤学(IO),即通过激活人体免疫系统来损伤癌细胞的理念,已在过去十年中出现,并被解释为治疗不同癌症的一种独特且至关重要的方法。美国食品药品监督管理局和欧洲药品管理局均在2020年批准了这种新近被认可的治疗癌症的方式。在IO领域内,已经出现了不同的治疗类别,这些正是本文的主题。免疫检查点抑制剂目前是免疫肿瘤学药物中最著名的治疗类别,因为它们在多种肿瘤类型中展现出令人惊叹的疗效能力。通过程序性死亡配体1(PD-L1)检查点及其靶点,已对胃肠道癌、全头颈部癌以及宫颈癌等不同肿瘤进行了生物标志物检测,并且目前正在通过使用Pembrolizumab在治疗前加以利用。

然而,PD-L1表达对于其他/不同肿瘤类型中免疫检查点抑制治疗的重要意义仍不明确。最近已对免疫肿瘤学药物与常规治疗的均质化联合进行了研究,临床疗效结果显示出显著改善。尽管IO药物正在迅速改变癌症患者的市场治疗方案,但在将其不良反应相关联以及确认不同医疗保健系统(例如为这些昂贵疗法提供资金)方面,仍有若干障碍需要克服。除癌症疫苗和CAR-T 细胞治疗外,其他IO药物也在研发中,包括CAR-T 细胞疗法;早期的这些疗法有其自身的毒性及高成本相关的挑战。

展开英文摘要原文

Surgery, radiation, chemotherapy, and targeted therapy were the four basic kinds of cancer treatment until recently. Immuno-oncology (IO), or the concept that cancer cells were damaged by activating the body's immune system, has emerged and is explained as a unique and crucial method for treating different cancers over the last decade. The US Food and Drug Administration and the European Medicines Agency both approved this newly recognized way of treating cancer in 2020.

Within IO, different therapeutic classes have arisen, which are the subject of this article. Immune checkpoint inhibitors are currently the most well-known therapeutic class of immuno-oncology medications due to their amazing ability to show efficacy in a variety of tumor types.

Biomarkers were tested for different tumors like gastrointestinal cancer, whole Head, lower and upper part Neck cancer, and also cervical cancer by programmed death-ligand 1 (PD-L1) check point and their targets and are currently being utilized prior to treatment by using Pembrolizumab.

However, the significance of PD-L1 expression for immune check point reticence therapy in other/different onco-cancer types remains unclear. Homogenized immuneoncology drugs with regular therapy have been recently studied and clinical efficacy outcomes have shown to be significantly improved.

While IO agents are fast transforming the marketed treatment for cancer patients, there are still a number of obstacles to overcome in terms of associating their adverse effects and confirming those different healthcare systems, such as financing these expensive therapies.

In addition to cancer vaccines and chimeric antigen receptor T-cell treatments, other IO drugs are in pipeline containing chimeric antigen receptor T-cell therapies; earlier ones have their own set of toxicities and high cost related challenges.

论文信息

作者
Patel TD、Vanteddu VG、Sweta B
第一作者单位
School of Pharmacy, Sharda University, Knowledge Park III, Greater Noida, 201310, Uttar Pradesh, India.India
通讯作者单位
Amity Institute of Pharmacy, Amity University Campus, Sector-125, Noida-201313, Gautam Buddha Nagar, Uttar Pradesh, India.India
文献类型
综述
期刊
Cardiovascular & hematological agents in medicinal chemistry2023
原文标识
PubMed 36043741 · DOI 10.2174/1871525720666220829142225