为肝细胞癌武装 GPC3 CAR-T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Role of Immunotherapy in the Management of Advanced Hepatocellular Carcinoma: A Systematic Review.
Role of Immunotherapy in the Management of Advanced Hepatocellular Carcinoma: A Systematic Review.
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为充分发挥免疫治疗药物及其联合疗法在改善 aHCC 患者健康结局方面的潜力,仍需开展更多的调查与研究。
原发性肝癌中最常见的组织学亚型是肝细胞癌,它也是全球第三大致死性恶性肿瘤,是癌症死亡的重要原因。确诊时,往往已错过根治性治疗的时机。更困难的是,它对化疗等传统全身性治疗具有耐药性。
近年来,免疫治疗在该病症中的应用受到了更多关注。免疫治疗已对多种恶性肿瘤的结局产生了重大影响;多项研究揭示了免疫治疗在晚期肝细胞癌中的潜在作用。为概述当前关于免疫治疗用于晚期肝细胞癌的文献、依据及临床证据,我们在本研究中采用了系统性文献综述(SLR)方法。此外,我们探讨了多种治疗联合方案的获益与依据,并描述了几种免疫治疗药物耐药背后的分子机制。
共筛选出2013年至2023年8月7日期间发表在可信期刊上的188篇文章。其中8篇文章被选中进行深入研究。本系统综述得出结论,当前的免疫治疗策略有潜力改善aHCC患者的预后;然而,仍需克服若干临床和生物学障碍,并且迫切需要预测性标志物。
Recently, more attention has been given to the use of immunotherapy for this condition. Immunotherapy has had a major impact on the outcome of several malignancies; several studies have revealed the potential role of immunotherapy in advanced hepatocellular carcinoma. To provide an overview of the current literature, justification, and clinical evidence for the use of immunotherapy in advanced hepatocellular carcinoma, we employed a systematic literature review (SLR) approach in this work. Additionally, we explored the benefits and rationales of various treatment combinations and described the molecular mechanisms behind resistance to a number of immunotherapy drugs.
A total of 188 articles from credible journals published between 2013 and August 7, 2023, were screened. Eight of those articles were chosen for in-depth study. This systematic review concluded that the current immunotherapeutic approaches have the potential to improve outcomes for aHCC patients; however, several clinical and biological hurdles have to be overcome, and predictive markers are still eagerly needed.
To fully realize the potential of immunotherapy agents and their combination therapies to enhance health outcomes for patients with aHCC, additional investigation and research are required.
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