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基于文献计量学与临床试验的甲状腺癌免疫治疗现状与未来

英文原题:Current and future of immunotherapy for thyroid cancer based on bibliometrics and clinical trials.

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Current and future of immunotherapy for thyroid cancer based on bibliometrics and clinical trials.

PubMed 2024/02/25(内容时间) Discov Oncol Q3 · IF 2.8(JCR 2025)

研究概要

该研究的双重方法从不同角度验证了甲状腺癌免疫治疗的快速发展。免疫检查点抑制剂已成为晚期MTC和ATC在后线治疗中的首选方案。然而,由于ICB在ATC中发挥关键作用,当前临床试验数据显示ATC患者占比更多且疗效更确切。预期的未来发展方向倾向于将免疫治疗与化疗或靶向治疗相结合的联合方案。新兴方法,如双特异性抗体、细胞因子疗法以及CAR-T和TCR-T等过继性细胞疗法,正展现出相当大的潜力。未来的研究预计将集中于改善肿瘤免疫微环境以及发现与免疫治疗干预相关的新型生物标志物。

研究思路结论见上方概要

甲状腺癌是主要的内分泌恶性肿瘤,其中未分化和髓样亚型带来治疗挑战。现有疗法疗效有限,凸显了对创新方法的需求。

我们使用文献计量工具和数据库检索分析了658篇文章和87项符合条件的临床试验,包括年度发表和引用趋势,这些分析通过Web of Science、CiteSpace和VOS Viewer执行。

2018年后,甲状腺癌免疫治疗研究激增,主要来自中国和比萨大学。87项试验中,32项为I期,55项为II期,大多探索涉及免疫检查点抑制剂的联合治疗。

展开英文摘要原文

BACKGROUND: Thyroid cancer is a leading endocrine malignancy, with anaplastic and medullary subtypes posing treatment challenges. Existing therapies have limited efficacy, highlighting a need for innovative approaches. METHODS: We analyzed 658 articles and 87 eligible clinical trials using bibliometric tools and database searches, including annual publication and citation trends, were executed using Web of Science, CiteSpace, and VOS Viewer. RESULTS: Post-2018, there is a surge in thyroid cancer immunotherapy research, primarily from China and the University of Pisa. Of the 87 trials, 32 were Phase I and 55 were Phase II, mostly exploring combination therapies involving immune checkpoint inhibitors. CONCLUSION: The study's dual approach verifies the swift advancement of thyroid cancer immunotherapy from diverse perspectives. Immune checkpoint inhibitors have become the preferred regimen for advanced MTC and ATC in late therapeutic lines. However, since ICB plays a pivotal role in ATC, current clinical trial data show that ATC patients account for more and the curative effect is more accurate. Anticipated future developments are inclined toward combination regimens integrating immunotherapy with chemotherapy or targeted therapies. Emerging approaches, such as bispecific antibodies, cytokine-based therapies, and adoptive cell therapies like CAR-T and TCR-T, are exhibiting considerable potential. Upcoming research is expected to concentrate on refining the tumor immune milieu and discovering novel biomarkers germane to immunotherapeutic interventions.

论文信息

作者
Wang K、Zhang Y、Xing Y、Wang H、He M、Guo R
第一作者单位
Department of Clinical Laboratory, The First Hospital of Jilin University, Jilin University, 1 Xinmin Str, Changchun, 130021, Jilin, China.China
通讯作者单位
Department of Clinical Laboratory, The First Hospital of Jilin University, Jilin University, 1 Xinmin Str, Changchun, 130021, Jilin, China. guoruijdyy@jlu.edu.cn.China
文献类型
综述
期刊
Discover oncology2024 Feb 25
原文标识
PubMed 38403820 · DOI 10.1007/s12672-024-00904-6