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CD47 靶向治疗在癌症免疫治疗中的机遇与挑战

英文原题:Opportunities and challenges of CD47-targeted therapy in cancer immunotherapy.

查看英文原题

Opportunities and challenges of CD47-targeted therapy in cancer immunotherapy.

PubMed 2023/11/15(内容时间) Oncol Res Q2 · IF 4.6(JCR 2025)

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中文摘要

癌症免疫治疗已成为一种有前景的癌症治疗策略,其中肿瘤微环境(TME)在调节免疫反应中发挥着关键作用。CD47是一种细胞表面蛋白,已被确定为TME的关键调节因子和癌症治疗的潜在治疗靶点。

然而,CD47在癌症患者免疫治疗期间TME中的精确功能和作用仍未完全阐明。这篇综合性综述旨在概述CD47在TME调节和免疫逃逸中的多方面作用,阐明其对各类型免疫治疗结局的影响,包括检查点抑制剂和CAR-T 细胞治疗。

值得注意的是,CD47靶向治疗为改善癌症治疗结局提供了一条有前景的途径,尤其是与其他免疫治疗方法联合使用时。本综述还讨论了目前正在探索用于癌症治疗的CD47靶向治疗及其潜在疗法,并深入探讨了靶向CD47所固有的相关挑战和机遇。尽管CD47靶向治疗已显示出有效性,但仍存在潜在问题,包括对健康细胞的非预期影响、血液学毒性以及耐药性的产生。

因此,需要进一步的研究努力来充分理解耐药性的潜在机制,并通过创新的联合策略优化CD47靶向治疗,最终改善癌症治疗结局。总体而言,这篇综合性综述强调了CD47作为癌症免疫治疗有前景靶点的重要性,并为开发有效的CD47靶向癌症治疗所面临的挑战和机遇提供了有价值的见解。

展开英文摘要原文

Cancer immunotherapy has emerged as a promising strategy for the treatment of cancer, with the tumor microenvironment (TME) playing a pivotal role in modulating the immune response. CD47, a cell surface protein, has been identified as a crucial regulator of the TME and a potential therapeutic target for cancer therapy.

However, the precise functions and implications of CD47 in the TME during immunotherapy for cancer patients remain incompletely understood. This comprehensive review aims to provide an overview of CD47's multifaced role in TME regulation and immune evasion, elucidating its impact on various types of immunotherapy outcomes, including checkpoint inhibitors and CAR T-cell therapy.

Notably, CD47-targeted therapies offer a promising avenue for improving cancer treatment outcomes, especially when combined with other immunotherapeutic approaches. The review also discusses current and potential CD47-targeted therapies being explored for cancer treatment and delves into the associated challenges and opportunities inherent in targeting CD47.

Despite the demonstrated effectiveness of CD47-targeted therapies, there are potential problems, including unintended effects on healthy cells, hematological toxicities, and the development if resistance. Consequently, further research efforts are warranted to fully understand the underlying mechanisms of resistance and to optimize CD47-targeted therapies through innovative combination approaches, ultimately improving cancer treatment outcomes.

Overall, this comprehensive review highlights the significance of CD47 as a promising target for cancer immunotherapy and provides valuable insight into the challenges and opportunities in developing effective CD47-targeted therapies for cancer treatment.

论文信息

作者
Chen Q、Guo X、Ma W
第一作者单位
Key Laboratory for Translational Medicine, The First Affiliated Hospital, Huzhou University School of Medicine, Huzhou, 313000, China.China
通讯作者单位
Department of Medicine, Moores Cancer Center, Sanford Stem Cell Institute, University of California San Diego, La Jolla, San Diego, 92093, USA.United States
文献类型
综述
期刊
Oncology research2023
原文标识
PubMed 38188674 · DOI 10.32604/or.2023.042383