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免疫治疗在胃肠癌中作用的新见解(综述)

英文原题:Novel insight into the role of immunotherapy in gastrointestinal cancer (Review).

PubMed 2022/10/11(内容时间) Mol Clin Oncol Q4 · IF 1.9(JCR 2025)

研究概要

迄今为止,在癌症免疫学研究及免疫疗法开发方面已取得巨大进展。

中文摘要

迄今为止,在癌症免疫学研究和免疫疗法的开发方面已取得巨大进展。凭借其独特的特点,免疫疗法已成为癌症治疗的有效临床策略。已证明其可通过增强免疫应答、刺激肿瘤特异性免疫和打破免疫耐受来延缓肿瘤进展、减少肿瘤复发和转移,甚至治愈肿瘤。几种不同的免疫治疗策略和方法正在开发中,包括使用细胞因子、免疫检查点抑制剂、工程化T细胞(如T细胞受体T细胞和CAR-T 细胞)和癌症疫苗。消化系统肿瘤对人类健康构成严重威胁,包括食管癌、胃癌和结直肠癌,免疫疗法被认为是治疗消化系统肿瘤的一种有前景的新途径。然而,由于对肿瘤发生机制的理解尚不完全,免疫疗法的广泛实施仍面临某些挑战。因此,了解各种不同类型的免疫疗法以及消化系统肿瘤中的免疫景观,对于减少这些疗法相关的副作用至关重要。本综述讨论了可用于消化系统肿瘤治疗的现有和新兴免疫治疗方法,以及如何提高其临床疗效。

展开英文摘要原文

To date, great progress has been made in studying the immunology of cancer and the development of immunotherapies. Immunotherapy has become an effective clinical strategy for cancer treatment in courtesy of its unique features. It has been demonstrated to delay tumor progression, reduce tumor recurrence and metastasis, and even cure tumors through enhancing the immune response, stimulating tumor-specific immunity and breaking immune tolerance. Several different immunotherapeutic approaches and methods are in the process of being developed, including the use of cytokines, immune checkpoint inhibitors, engineered T cells (such as T-cell-receptor T cells and chimeric antigen receptor T cells) and cancer vaccines. Digestive system neoplasms pose a serious threat to human health, including esophageal cancer, gastric cancer and colorectal cancer, and immunotherapy is considered to be a promising new avenue for the treatment of digestive system neoplasms. However, certain challenges remain in terms of the broad implementation of immunotherapies due to the incompletely understood mechanisms underlying tumorigenesis. Therefore, it is crucially important to understand both the various different types of immunotherapy and the immune landscapes in digestive system neoplasms in order to reduce the side effects associated with these therapies. The present review discusses existing and newly emerging immunotherapeutic methods that may be applied in the treatment of digestive system neoplasms and how their clinical efficacy may be enhanced.

论文信息

作者
Liu Y、Chen J、Xu Y、Sun Q
第一作者单位
Institute of Medical Artificial Intelligence, Binzhou Medical College, Yantai, Shandong 264003, P.R. China.China
通讯作者单位
Cancer Institute, Xuzhou Medical University, Xuzhou, Jiangsu 221004, P.R. China.China
文献类型
综述
期刊
Molecular and clinical oncology2022 Dec
原文标识
PubMed 36338605 · DOI 10.3892/mco.2022.2590