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靶向肿瘤微环境及调节免疫治疗在胃肠道肿瘤中的治疗潜力

英文原题:The Therapeutic Potential of Targeting Tumor Microenvironment and Modulation of Immunotherapy in Gastrointestinal Cancer.

PubMed 2025/01/01(内容时间) Curr Cancer Drug Targets Q3 · IF 2.5(JCR 2025)

研究概要

胃肠道癌症(GI)占全球发病率的26%和全球死亡人数的35%。

中文摘要

免疫疗法作为一种针对包括癌症在内的多种疾病的新型治疗方法,旨在以高度特异性刺激或抑制免疫系统。该疗法近期在临床试验中取得的成果将改变传统治疗方法。此外,它有望提高转移性癌症和原发阶段癌症患者的生存率。胃肠道癌症(GI)占全球发病率的26%和全球死亡人数的35%。这些癌症可采用靶向免疫疗法进行治疗。如果层级更优,改进可能需要更多努力。由于免疫疗法在GI中的作用如此有前景,仅在严重转移阶段的患者中,文献中已探讨了GI癌症免疫治疗中的免疫检查点抑制剂、CAR-T 细胞、肿瘤微环境调节剂以及免疫治疗中的耐药机制作为GI癌症以及结肠癌、胰腺癌、胃癌和食管癌的有效治疗方法。本综述概述了FDA批准的免疫治疗药物和正在进行的临床前开发。此外,我们提供了对GI癌症患者免疫治疗未来的见解,并探讨了相关挑战。

展开英文摘要原文

Immunotherapy, as a novel treatment approach for various disorders, including cancers, is designed to either stimulate or suppress the immune system with high specificity. The recent achievements of this therapy in clinical trials are set to transform traditional treatment methods. Furthermore, it holds promise for enhancing the survival rates of patients suffering from both metastatic cancers and primary stages. Gastrointestinal Cancers (GI) account for 26% of global incidence and 35% of worldwide deaths. Treatment can be carried out using targeted immunotherapy in these cancers. If the tiers are superior, improvement could require more enterprise. On account that the function of immunotherapy in GI has been so promising, solely in sufferers with severe metastatic levels, within the literature, the immune checkpoint inhibitors in cancer immunotherapy of GI cancers, chimeric antigen receptor T-cell (vehicle-T), modulators of the tumor microenvironment, and drug resistance mechanisms in immunotherapy as an effective treatment approach to GI cancers along with colon, pancreas, gastric, and esophageal cancers have been addressed. This review provides an overview of FDA-approved immunotherapy drugs and ongoing preclinical developments. Additionally, we offer insights into the future of immunotherapy for GI cancer patients, addressing the associated challenges.

论文信息

作者
Sokhangouy SK、Jamialahmadi H、Mortazavi Sani MS、Khalili-Tanha G、Rouzbahani AK、Mahmoudvand G、Goudarzi Z、Fakouri A
第一作者单位
Medical Genetics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Iran
通讯作者单位
Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Italy
文献类型
综述
期刊
Current cancer drug targets2025
原文标识
PubMed 39350554 · DOI 10.2174/0115680096319027240820055043