中文摘要
卵巢癌常被称为“沉默的杀手”,在早期阶段极难被发现,导致许多患者预后不良。诊断往往延迟到癌症已进展时才被发现,主要原因是其临床症状模糊且经常出现。卵巢癌导致的死亡人数超过任何其他女性生殖系统癌症。高死亡率的主要原因包括诊断延迟和治疗耐药。因此,迫切需要改进卵巢癌的诊断和治疗方案。标准治疗通常包括减瘤手术以及以铂类为基础的化疗。在初始对当前疗法有反应的晚期癌症患者中,50-75%会经历复发。近年来,基于免疫治疗的方法通过增强机体免疫反应来对抗肿瘤生长,已显示出前景。免疫检查点抑制剂在治疗其他类型肿瘤方面已显示出有希望的结果。然而,在卵巢癌中,只有少数此类抑制剂有效,因为肿瘤环境抑制免疫系统并形成治疗障碍。这削弱了现有免疫疗法的有效性。尽管如此,基于纳米技术的先进免疫治疗技术和递送系统在克服这些挑战方面仍具有前景。
展开英文摘要原文
Ovarian cancer, often referred to as the "silent killer," is notoriously difficult to detect in its early stages, leading to a poor prognosis for many patients. Diagnosis is often delayed until the cancer has advanced, primarily due to its ambiguous and frequently occurring clinical symptoms. Ovarian cancer leads to more deaths than any other cancer of the female reproductive system. The main reasons for the high mortality rates include delayed diagnosis and resistance to treatment.
As a result, there is an urgent need for improved diagnostic and treatment options for ovarian cancer. The standard treatments typically involve debulking surgery along with platinum-based chemotherapies. Among patients with advanced-stage cancer who initially respond to current therapies, 50-75% experience a recurrence. Recently, immunotherapy-based approaches to enhance the body's immune response to combat tumor growth have shown promise. Immune checkpoint inhibitors have shown promising results in treating other types of tumors.
However, in ovarian cancer, only a few of these inhibitors have been effective because the tumor's environment suppresses the immune system and creates barriers for treatment. This hampers the effectiveness of existing immunotherapies. Nonetheless, advanced immunotherapy techniques and delivery systems based on nanotechnology hold promise for overcoming these challenges.
论文信息
- 作者
- Kaur P、Singh SK、Mishra MK、Singh S、Singh R
- 第一作者单位
- Department of Microbiology, Biochemistry and Immunology, Cancer Health Equity Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA.United States
- 通讯作者单位
- Department of Microbiology, Biochemistry and Immunology, Cancer Health Equity Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA. rsingh@msm.edu.United States
- 文献类型
- 综述
- 期刊
- Journal of ovarian research2024 Oct 14