← 返回

下一代免疫治疗:推进肿瘤治疗中的临床应用

英文原题:Next-Generation Immunotherapy: Advancing Clinical Applications in Cancer Treatment.

查看英文原题

Next-Generation Immunotherapy: Advancing Clinical Applications in Cancer Treatment.

PubMed 2024/10/30(内容时间) J Clin Med Q1 · IF 3.3(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

新一代免疫疗法彻底改变了癌症治疗,为难治性肿瘤患者带来希望。本综述聚焦关键免疫疗法的临床应用和进展,包括免疫检查点抑制剂、CAR-T 细胞疗法,以及旨在利用免疫系统对抗恶性肿瘤的新型癌症疫苗。帕博利珠单抗成功治疗晚期黑色素瘤是典型案例,凸显了这些疗法的变革性影响。将免疫疗法与化疗、放疗及靶向治疗相结合的联合疗法显示出协同获益,并改善患者结局。本综述还探讨由生物标志物、基因组数据和肿瘤环境指导的个体化免疫治疗不断演变的作用,以更精准地靶向个体肿瘤。尽管已取得显著进展,耐药、副作用和治疗费用高昂等挑战仍然存在。本文还探讨纳米技术和人工智能等技术创新如何推动这些疗法未来发展。综述评估了关键临床试验、突破性进展,以及有望提高疗效、降低毒性和扩大免疫治疗可及性的免疫调节药物与先进递送系统。总之,本文强调免疫治疗持续进步正在重塑癌症照护,未来策略有望克服现有挑战并进一步拓展治疗范围。

展开英文摘要原文

Next-generation immunotherapies have revolutionized cancer treatment, offering hope for patients with hard-to-treat tumors. This review focuses on the clinical applications and advancements of key immune-based therapies, including immune checkpoint inhibitors, CAR-T cell therapy, and new cancer vaccines designed to harness the immune system to combat malignancies. A prime example is the success of pembrolizumab in the treatment of advanced melanoma, underscoring the transformative impact of these therapies. Combination treatments, integrating immunotherapy with chemotherapy, radiation, and targeted therapies, are demonstrating synergistic benefits and improving patient outcomes.

This review also explores the evolving role of personalized immunotherapy, guided by biomarkers, genomic data, and the tumor environment, to better target individual tumors. Although significant progress has been made, challenges such as resistance, side effects, and high treatment costs persist.

Technological innovations, including nanotechnology and artificial intelligence, are explored as future enablers of these therapies. The review evaluates key clinical trials, breakthroughs, and the emerging immune-modulating agents and advanced delivery systems that hold great promise for enhancing treatment efficacy, reducing toxicity, and expanding access to immunotherapy.

In conclusion, this review highlights the ongoing advancements in immunotherapy that are reshaping cancer care, with future strategies poised to overcome current challenges and further extend therapeutic reach.

论文信息

作者
Garg P、Pareek S、Kulkarni P、Horne D、Salgia R、Singhal SS
第一作者单位
Department of Chemistry, GLA University, Mathura 281406, Uttar Pradesh, India.India
通讯作者单位
Departments of Medical Oncology & Therapeutics Research, Beckman Research Institute of City of Hope, Comprehensive Cancer Center and National Medical Center, Duarte, CA 91010, USA.United States
期刊
Journal of clinical medicine2024 Oct 30
原文标识
PubMed 39518676 · DOI 10.3390/jcm13216537