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肝细胞癌治疗进展:2024 ASCO 年会更新

英文原题:Therapeutic advances in hepatocellular carcinoma: an update from the 2024 ASCO annual meeting.

PubMed 2024/10/25(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

研究概要

近期在 ASCO 会议上公布的研究凸显了 HCC 治疗的进展,强调了持续创新的重要性。

中文摘要

肝细胞癌(HCC)仍是全球癌症相关死亡的主要原因之一。近年来,免疫治疗、靶向治疗和联合治疗的进展显著改善了许多HCC患者的结局。本综述总结2024年美国临床肿瘤学会(ASCO)年会的关键发现,重点介绍新兴疗法,包括免疫检查点抑制剂(ICI)、CAR-T细胞疗法、溶瘤病毒,以及经动脉化疗栓塞(TACE)和肝动脉灌注化疗(HAIC)等局部区域治疗。ICI,尤其是与其他药物联合时,显示出令人鼓舞的疗效,但免疫相关不良事件和耐药机制等挑战仍然存在。CAR-T细胞疗法和溶瘤病毒为晚期HCC提供了新型治疗途径,但其治疗实体瘤的长期疗效仍在研究中。局部区域疗法,尤其与全身治疗联合时,在不可切除HCC管理及提高转化切除率方面仍发挥关键作用。此外,研究者正在探索缺氧评分和CTNNB1突变等生物标志物,以更好地实现治疗个体化并预测患者应答。这些标志物有望推动更具靶向性和疗效的治疗策略。总体而言,ASCO年会上报告的近期研究凸显了HCC治疗进展,也强调持续创新的重要性。未来研究应聚焦克服耐药机制、优化联合疗法并整合由生物标志物驱动的方法,以改善患者结局并优化个体化治疗策略。

展开英文摘要原文

Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related deaths worldwide. Recent advances in immunotherapies, targeted therapies, and combination treatments have significantly improved outcomes for many patients with HCC. This review summarizes key findings from the 2024 ASCO Annual Meeting, focusing on emerging therapies, including immune checkpoint inhibitors (ICIs), CAR-T cell therapies, oncolytic viruses, and locoregional treatments like transarterial chemoembolization (TACE) and hepatic arterial infusion chemotherapy (HAIC). ICIs, particularly when combined with other agents, have shown promising efficacy, though challenges such as immune-related adverse events and resistance mechanisms remain. CAR-T cell therapies and oncolytic viruses offer novel therapeutic avenues for advanced HCC, but their long-term efficacy in solid tumors is still under investigation. Locoregional therapies, especially in combination with systemic treatments, continue to play a critical role in managing unresectable HCC and improving conversion rates to surgical resection. Additionally, the potential of biomarkers, such as hypoxia scores and CTNNB1 mutations, is being explored to better personalize treatment and predict patient responses. These biomarkers could pave the way for more targeted and effective therapeutic strategies. Overall, the recent studies presented at the ASCO meeting highlight progress in HCC treatment, underscoring the importance of continued innovation. Future research should focus on overcoming resistance mechanisms, optimizing combination therapies, and integrating biomarker-driven approaches to improve patient outcomes and enhance personalized treatment strategies.

论文信息

作者
Yang H、Liu Y、Zhang N、Tao F、Yin G
单位
Department of Infectious Diseases, Weifang People's Hospital, Weifang, Shandong, China.China
文献类型
综述
期刊
Frontiers in oncology2024
原文标识
PubMed 39512765 · DOI 10.3389/fonc.2024.1453412