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攻克冷肿瘤:免疫检查点抑制剂的联合策略

英文原题:Overcoming cold tumors: a combination strategy of immune checkpoint inhibitors.

查看英文原题

Overcoming cold tumors: a combination strategy of immune checkpoint inhibitors.

PubMed 2024/03/13(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

免疫检查点抑制剂(ICI)疗法在恶性肿瘤治疗中取得显著进展,但多数“冷肿瘤”仍无应答。这种耐药主要源于多样的免疫逃逸机制。因此,理解肿瘤从“冷”转“热”的过程,对开发有效癌症治疗至关重要。此外,肿瘤免疫特征分析也很关键,需要借助多种诊断技术和生物标志物进行评估。免疫治疗成功依赖T细胞识别并清除肿瘤细胞;在“冷肿瘤”中,T细胞浸润缺乏导致ICI疗法无效。要提升ICI疗效,必须解决这些挑战,尤其是T细胞活化和归巢受损的问题。与此同时,人们正在广泛探索将“冷肿瘤”转化为“热肿瘤”的策略,包括增强T细胞浸润,以及采用T细胞募集型双特异性抗体和嵌合抗原受体(CAR)T细胞等过继治疗。因此,识别影响肿瘤T细胞浸润的关键因素,对于制定针对“冷肿瘤”的有效治疗方案至关重要。

展开英文摘要原文

Immune Checkpoint Inhibitors (ICIs) therapy has advanced significantly in treating malignant tumors, though most 'cold' tumors show no response. This resistance mainly arises from the varied immune evasion mechanisms. Hence, understanding the transformation from 'cold' to 'hot' tumors is essential in developing effective cancer treatments.

Furthermore, tumor immune profiling is critical, requiring a range of diagnostic techniques and biomarkers for evaluation. The success of immunotherapy relies on T cells' ability to recognize and eliminate tumor cells. In 'cold' tumors, the absence of T cell infiltration leads to the ineffectiveness of ICI therapy.

Addressing these challenges, especially the impairment in T cell activation and homing, is crucial to enhance ICI therapy's efficacy. Concurrently, strategies to convert 'cold' tumors into 'hot' ones, including boosting T cell infiltration and adoptive therapies such as T cell-recruiting bispecific antibodies and Chimeric Antigen Receptor (CAR) T cells, are under extensive exploration.

Thus, identifying key factors that impact tumor T cell infiltration is vital for creating effective treatments targeting 'cold' tumors.

论文信息

作者
Ouyang P、Wang L、Wu J、Tian Y、Chen C、Li D、Yao Z、Chen R
单位
Department of General Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2024
原文标识
PubMed 38545114 · DOI 10.3389/fimmu.2024.1344272