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胃癌中的治疗性免疫调节

英文原题:Therapeutic Immunomodulation in Gastric Cancer.

PubMed 2024/01/28(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

研究概要

胃癌是最常见的实体瘤类型之一,已成为全球第三大死因。

中文摘要

胃癌是最常见的实体肿瘤之一,已成为全球第三大死因。胃癌(GC)的症状通常较为复杂,这使得早期发现具有挑战性。免疫检查点抑制已成为晚期或转移性GC新的标准靶向治疗。目前正在临床试验中探索其与化疗联合或不联合的多种治疗方案。免疫治疗可以激发GC患者的免疫反应,导致癌细胞被破坏。与传统疗法相比,免疫治疗已显示出强大的有效性且毒性水平可耐受。因此,这种治疗晚期GC的创新方法已日益受到欢迎。在这篇综述中,我们概述了晚期GC免疫治疗的最新进展,包括免疫检查点抑制剂、癌症疫苗、血管内皮生长因子-A抑制剂和CAR-T 细胞疗法。我们目前的重点是在于审视当前临床环境中使用的免疫疗法,探讨与这些治疗方法相关的现有挑战,并探索克服其局限性的有前景的策略。

展开英文摘要原文

Gastric carcinoma, being one of the most prevalent types of solid tumors, has emerged as the third leading cause of death worldwide. The symptoms of gastric cancer (GC) are typically complex, which makes early detection challenging. Immune checkpoint inhibition has become the new standard targeted therapy for advanced or metastatic GC. It is currently being explored in various combinations, both with and without chemotherapy, across multiple therapies in clinical trials. Immunotherapy can stimulate immune responses in GC patients, leading to the destruction of cancer cells. Compared with traditional therapies, immunotherapy has shown strong effectiveness with tolerable toxicity levels. Hence, this innovative approach to the treatment of advanced GC has gained popularity. In this review, we have outlined the recent advancements in immunotherapy for advanced GC, including immune checkpoint inhibitors, cancer vaccines, vascular endothelial growth factor-A inhibitors, and chimeric antigen receptor T-cell therapy. Our current emphasis is on examining the immunotherapies presently employed in clinical settings, addressing the existing challenges associated with these therapeutic approaches, and exploring promising strategies to overcome their limitations.

论文信息

作者
Akkanapally V、Bai XF、Basu S
单位
Department of Pathology, The Ohio State University, Columbus, OH 43210, USA.United States
文献类型
综述
期刊
Cancers2024 Jan 28
原文标识
PubMed 38339311 · DOI 10.3390/cancers16030560