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肝细胞癌的免疫治疗:近期进展与新策略

英文原题:Immunotherapy of hepatocellular carcinoma: recent progress and new strategy.

查看英文原题

Immunotherapy of hepatocellular carcinoma: recent progress and new strategy.

PubMed 2023/05/10(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

由于其广泛发生和高死亡率,肝细胞癌(HCC)是一种令人憎恶的癌症。免疫治疗是癌症治疗领域的热点,以免疫检查点抑制剂(ICIs)为代表,旨在提高免疫系统识别、靶向和消除癌细胞的能力。HCC免疫微环境的组成是免疫抑制细胞、免疫效应细胞、细胞因子环境和肿瘤细胞内在信号通路相互作用的结果,而由于HCC对ICI单药治疗的响应性有限,具有强抗肿瘤免疫力的免疫治疗已受到越来越多的研究关注。有证据表明,放疗、化疗、抗血管生成药物和ICI的有机结合满足了HCC未满足的医疗需求。此外,过继细胞治疗(ACT)、癌症疫苗和细胞因子等免疫疗法也显示出令人鼓舞的疗效。它可以显著提高免疫系统根除肿瘤细胞的能力。本文综述了免疫治疗在HCC中的作用,希望提高免疫治疗的效果并开发个性化治疗方案。

展开英文摘要原文

Due to its widespread occurrence and high mortality rate, hepatocellular carcinoma (HCC) is an abhorrent kind of cancer. Immunotherapy is a hot spot in the field of cancer treatment, represented by immune checkpoint inhibitors (ICIs), which aim to improve the immune system's ability to recognize, target and eliminate cancer cells.

The composition of the HCC immune microenvironment is the result of the interaction of immunosuppressive cells, immune effector cells, cytokine environment, and tumor cell intrinsic signaling pathway, and immunotherapy with strong anti-tumor immunity has received more and more research attention due to the limited responsiveness of HCC to ICI monotherapy. There is evidence of an organic combination of radiotherapy, chemotherapy, anti-angiogenic agents and ICI catering to the unmet medical needs of HCC.

Moreover, immunotherapies such as adoptive cellular therapy (ACT), cancer vaccines and cytokines also show encouraging efficacy. It can significantly improve the ability of the immune system to eradicate tumor cells. This article reviews the role of immunotherapy in HCC, hoping to improve the effect of immunotherapy and develop personalized treatment regimens.

论文信息

作者
Li J、Xuan S、Dong P、Xiang Z、Gao C、Li M、Huang L、Wu J
第一作者单位
Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.China
通讯作者单位
Department of Clinical Laboratory, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, Jiangsu, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2023
原文标识
PubMed 37234162 · DOI 10.3389/fimmu.2023.1192506