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EBV 相关鼻咽癌的免疫治疗策略

英文原题:Immunotherapeutic approaches in EBV-associated nasopharyngeal carcinoma.

PubMed 2023/01/11(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

研究概要

鼻咽癌(NPC)约占全球每年由 EBV 感染引起的 200,000 例新发肿瘤病例的 60%。

中文摘要

EB病毒(EBV)是人类发现的首个肿瘤病毒。全球每年由EBV感染导致的约20万例新发肿瘤中,鼻咽癌(NPC)约占60%。NPC起病隐匿、恶性程度高,初诊时超过70%的患者已处于中晚期;EBV与上皮癌以及恶性淋巴瘤、NK/T细胞淋巴瘤均有密切关联。确诊为未分化型NPC的患者中,超过90%感染EBV。近几十年来,人们对NPC分子机制的认识和治疗方法的开发取得了显著进展。放疗和化疗是NPC的主要治疗选择,但对局部晚期或远处转移性肿瘤疗效有限。包括疫苗、过继细胞疗法和免疫检查点阻断在内的肿瘤免疫疗法,是治疗NPC的有前景方法。近期免疫疗法用于复发或转移性NPC(RM-NPC)患者取得重大突破,显示出NPC免疫治疗的广阔前景。本文综述NPC免疫疗法的重要研究发现,并为未来研究提供参考。

展开英文摘要原文

Epstein-Barr virus (EBV) was the first tumor virus in humans. Nasopharyngeal carcinoma (NPC) accounts for approximately 60% of the 200,000 new tumor cases caused by EBV infection worldwide each year. NPC has an insidious onset and is highly malignant, with more than 70% of patients having intermediate to advanced disease at the time of initial diagnosis, and is strongly implicated in epithelial cancers as well as malignant lymphoid and natural killer/T cell lymphomas. Over 90% of patients with confirmed undifferentiated NPC are infected with EBV. In recent decades, much progress has been made in understanding the molecular mechanisms of NPC and developing therapeutic approaches. Radiotherapy and chemotherapy are the main treatment options for NPC; however, they have a limited efficacy in patients with locally advanced or distant metastatic tumors. Tumor immunotherapy, including vaccination, adoptive cell therapy, and immune checkpoint blockade, represents a promising therapeutic approach for NPC. Significant breakthroughs have recently been made in the application of immunotherapy for patients with recurrent or metastatic NPC (RM-NPC), indicating a broad prospect for NPC immunotherapy. Here, we review important research findings regarding immunotherapy for NPC patients and provide insights for future research.

论文信息

作者
Li W、Duan X、Chen X、Zhan M、Peng H、Meng Y、Li X、Li XY
单位
Guangdong Provincial Key Laboratory of Tumor Interventional Diagnosis and Treatment, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, 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 36713430 · DOI 10.3389/fimmu.2022.1079515