中文摘要
免疫治疗已经彻底改变了晚期和转移性肾细胞癌患者的治疗格局。然而,许多患者未能获益或最终复发,这凸显了寻找新型免疫靶点以克服原发性和获得性耐药的必要性。本综述讨论了目前正在研究的2种策略:解除维持免疫抑制的抑制性刺激(“刹车”)以及启动免疫系统靶向肿瘤细胞(“油门”)。我们探讨了每一类新型免疫治疗,包括其背后的原理、支持性临床前和临床证据以及局限性。
展开英文摘要原文
Immunotherapy has revolutionized treatment for patients with advanced and metastatic renal cell carcinoma. Nevertheless, many patients do not benefit or eventually relapse, highlighting the need for novel immune targets to overcome primary and acquired resistance. This review discusses 2 strategies currently being investigated: disabling inhibitory stimuli that maintain immunosuppression ("brakes") and priming the immune system to target tumoral cells ("gas pedals").
We explore each class of novel immunotherapy, including the rationale behind it, supporting preclinical and clinical evidence, and limitations.
论文信息
- 作者
- Saad E、Saliby RM、Labaki C、Xu W、Viswanathan SR、Braun DA、Bakouny Z
- 第一作者单位
- Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02115, USA.United States
- 通讯作者单位
- Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: ziad_elbakouny@dfci.harvard.edu.United States
- 文献类型
- 综述 · 美国政府(非公共卫生署)资助研究 · 非美国政府资助研究 · 美国 NIH 资助研究
- 期刊
- Hematology/oncology clinics of North America2023 Oct