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结直肠癌治疗的当前与未来趋势:探索免疫治疗的进展

英文原题:Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy.

查看英文原题

Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy.

PubMed 2024/05/24(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

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中文摘要

结肠和直肠癌(CRC)已被确定为两性中三种最常见的癌症类型和癌症相关死亡原因之一。尽管与三十年前相比,手术和化疗技术的显著进步已明显改善了无病生存率和总生存率,但近年来这些改善已趋于停滞。这凸显了需要旨在提高患者预后的新疗法。许多新兴策略,如免疫检查点抑制剂(ICIs)和过继细胞疗法(ACT),不仅在临床前而且在临床环境中均展现出有希望的结果。此外,对 underlying 生物学的深入理解已扩展了潜在治疗干预的研究范围。例如,端粒长度改变在早期CRC癌变中的关键作用,导致染色体不稳定和端粒功能障碍,为未来治疗提供了有希望的途径。因此,本综述探讨了CRC免疫治疗和端粒靶向治疗的进展,审视了潜在的协同作用以及这些新型治疗模式如何相互交叉以可能增强彼此的疗效,为未来有希望的治疗进展铺平道路。

展开英文摘要原文

Cancer of the colon and rectum (CRC) has been identified among the three most prevalent types of cancer and cancer-related deaths for both sexes. Even though significant progress in surgical and chemotherapeutic techniques has markedly improved disease-free and overall survival rates in contrast to those three decades ago, recent years have seen a stagnation in these improvements.

This underscores the need for new therapies aiming to augment patient outcomes. A number of emerging strategies, such as immune checkpoint inhibitors (ICIs) and adoptive cell therapy (ACT), have exhibited promising outcomes not only in preclinical but also in clinical settings.

Additionally, a thorough appreciation of the underlying biology has expanded the scope of research into potential therapeutic interventions. For instance, the pivotal role of altered telomere length in early CRC carcinogenesis, leading to chromosomal instability and telomere dysfunction, presents a promising avenue for future treatments.

Thus, this review explores the advancements in CRC immunotherapy and telomere-targeted therapies, examining potential synergies and how these novel treatment modalities intersect to potentially enhance each other's efficacy, paving the way for promising future therapeutic advancements.

论文信息

作者
Nikolouzakis TK、Chrysos E、Docea AO、Fragkiadaki P、Souglakos J、Tsiaoussis J、Tsatsakis A
第一作者单位
Department of General Surgery, University General Hospital of Heraklion, 71110 Heraklion, Greece.Greece
通讯作者单位
Department of Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, Greece.Greece
文献类型
综述
期刊
Cancers2024 May 24
原文标识
PubMed 38893120 · DOI 10.3390/cancers16111995