中文摘要
卵巢癌是最常见的妇科恶性肿瘤之一,其特点是死亡率高、预后差。肿瘤细胞减灭术和化疗仍是卵巢癌治疗的主要手段,大多数女性在标准治疗后会出现复发。有令人信服的证据表明,卵巢癌是一种免疫原性肿瘤。例如,TIL(肿瘤浸润淋巴细胞)的积聚与生存期延长相关,而免疫抑制性调节性T细胞的增加则与不良临床结局相关。因此,针对肿瘤微环境组分的免疫疗法已逐渐被整合到现有治疗方案中,包括免疫检查点阻断、过继细胞疗法和癌症疫苗。免疫疗法改变了维持治疗的指南,并确立了卵巢癌治疗的新范式。尽管针对DNA修复机制、免疫检查点和血管生成的单一免疫疗法带来了令人鼓舞的疗效,但只有一部分患者能从中显著获益。因此,多免疫疗法的研究仍然是卵巢癌治疗的一个活跃领域。本综述概述了各种面向临床的多免疫疗法形式,并探讨了卵巢癌潜在有效的联合治疗。
展开英文摘要原文
Ovarian cancer, one of the most common gynecological malignancies, is characterized by high mortality and poor prognosis. Cytoreductive surgery and chemotherapy remain the mainstay of ovarian cancer treatment, and most women experience recurrence after standard care therapies. There is compelling evidence that ovarian cancer is an immunogenic tumor. For example, the accumulation of tumor-infiltrating lymphocytes is associated with increased survival, while increases in immunosuppressive regulatory T cells are correlated with poor clinical outcomes.
Therefore, immunotherapies targeting components of the tumor microenvironment have been gradually integrated into the existing treatment options, including immune checkpoint blockade, adoptive cell therapy, and cancer vaccines. Immunotherapies have changed guidelines for maintenance treatment and established a new paradigm in ovarian cancer treatment. Despite single immunotherapies targeting DNA repair mechanisms, immune checkpoints, and angiogenesis bringing inspiring efficacy, only a subset of patients can benefit much from it.
Thus, the multi-immunotherapy investigation remains an active area for ovarian cancer treatment. The current review provides an overview of various clinically oriented forms of multi-immunotherapy and explores potentially effective combinational therapies for ovarian cancer.
论文信息
- 作者
- Hu X、Bian C、Zhao X、Yi T
- 单位
- Department of Gynecology and Obstetrics, Development and Related Disease of Women and Children Key Laboratory of Sichuan Province, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, China.China
- 文献类型
- 综述 · 非美国政府资助研究
- 期刊
- Frontiers in immunology2022