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一种制胜的新组合?迈向肿瘤学临床应用

英文原题:A Winning New Combination? Toward Clinical Application in Oncology.

PubMed 2023/01/01(内容时间) Cancer Control Q2 · IF 3.1(JCR 2025)

研究概要

免疫治疗在肿瘤学领域受到了极大关注,这归功于CTLA-4和PD-1抑制剂在治疗黑色素瘤、肺癌、头颈癌、肾细胞癌和霍奇金淋巴瘤方面取得的成功。

中文摘要

免疫治疗在肿瘤学领域备受关注,这得益于CTLA-4和PD-1抑制剂在黑色素瘤、肺癌、头颈癌、肾细胞癌和霍奇金淋巴瘤治疗中的成功。深入了解肿瘤与其环境及免疫系统的相互作用,为肿瘤学研究提供了最佳指导。近期肿瘤学研究已阐明肿瘤如何改变抗原呈递、逃避免疫检测以及激活宿主免疫系统以生存和发展。理解肿瘤与免疫系统之间的联系已催生出多种创新治疗方案。基因治疗的广泛领域已提供了多种前沿药物,预计将在降低癌症相关死亡率方面发挥重要作用。本文阐述了三种独立基因治疗模式的历史、重要突破和未来前景:免疫治疗、溶瘤病毒治疗和基因转移。免疫治疗已彻底改变了癌症的治疗方式,尤其是对于既往被认为无法治愈的患者。实例包括ACT(过继性细胞治疗)和ICB(免疫检查点阻断)。本综述将讨论免疫反应与癌症的关系以及免疫治疗耐药机制。它将涵盖美国食品药品监督管理局批准的组合药物,并全面概述这些药物目前的临床表现。细胞因子、疫苗及其他可溶性免疫调节剂、先天免疫调节剂、ACT、病毒治疗及其他治疗模式都将详细讨论。

展开英文摘要原文

Immunotherapy has substantial attention in oncology due to the success of CTLA-4 and PD-1 inhibitors in the treatment of melanoma, lung cancer, head and neck cancer, renal cell carcinoma, and Hodgkin's lymphoma. A deeper understanding of interaction of tumor with its environment and the immune system provides best guide for oncology research. Recent studies in oncology have explained how a tumor alters antigen presentation, avoids detection, and activation of the host immune system to live and develop. Understanding the connections between the tumor and the immune system has resulted in several innovative therapy options. The extensive field of gene therapy has provided a number of cutting-edge medicines that are expected to play an important role in lowering cancer-related mortality. This article explains the history, important breakthroughs, and future prospects for three separate gene therapy treatment modalities: immunotherapy, oncolytic virotherapy, and gene transfer. Immunotherapies have completely changed how cancer is treated, especially for individuals whose condition was previously thought to be incurable. Examples include ACT (adoptive cell therapy) and ICB (immune checkpoint blockade). This review article will discuss the relationship between the immune response to cancer and the mechanisms of immunotherapy resistance. It will cover combination drugs authorized by the US Food and Drug Administration and provide a thorough overview of how these drugs are doing clinically right now. Cytokines, vaccines, and other soluble immunoregulatory agents, innate immune modifiers, ACT, virotherapy, and other treatment modalities will all be covered in detail.

论文信息

作者
Maqsood Q、Sumrin A、Iqbal M、Hussain N、Mahnoor M、Zafar Saleem M、Perveen R
单位
Centre for Applied Molecular Biology, University of the Punjab Quaid-i-Azam Campus, Lahore, Pakistan.Pakistan
文献类型
综述
期刊
Cancer control : journal of the Moffitt Cancer Center2023 Jan-Dec
原文标识
PubMed 37166227 · DOI 10.1177/10732748231175240