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复发性卵巢癌的免疫治疗

英文原题:Immunotherapy in Recurrent Ovarian Cancer.

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Immunotherapy in Recurrent Ovarian Cancer.

PubMed 2025/01/12(内容时间) Biomedicines Q2 · IF 4.5(JCR 2025)

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研究概要

免疫治疗显著推进了复发性卵巢癌的治疗,各种联合方案可能改善结局。进一步研究预测性生物标志物和免疫微环境特征,对于个体化免疫治疗方法并提高其在复发性卵巢癌管理中的疗效至关重要。

研究思路结论见上方概要

复发性卵巢癌的有效治疗仍然具有挑战性,因为化疗和手术等传统干预措施的长期疗效有限,凸显了对创新方法的迫切需求。免疫治疗在调节针对肿瘤细胞的免疫反应方面具有潜在优势,已成为卵巢癌管理中一种有前景的策略。本综述讨论了用于复发性卵巢癌的各种免疫治疗模式,包括主动和被动免疫策略。

我们系统综述了复发性卵巢癌免疫治疗的最新进展,包括单药及双药免疫检查点抑制剂的疗效与机制、检查点抑制剂与化疗或放疗的联合方案、抗血管生成药物、PARP抑制剂、抗体药物偶联物(ADC)、肿瘤疫苗以及过继性细胞疗法(ACT)。此外,我们还评估了卵巢癌中预测免疫治疗反应性的生物标志物的新兴研究。

研究结果表明,免疫治疗,特别是涉及免疫检查点抑制剂与其他药物联合的方案,在复发性卵巢癌中显示出良好的疗效,部分疗法在特定亚型中表现出更显著的获益。铂敏感和铂耐药病例的免疫微环境呈现出不同的免疫学特征,影响治疗结局。已发现若干潜在生物标志物,可能有助于患者分层和治疗优化。

展开英文摘要原文

We systematically reviewed recent immunotherapy advances for recurrent ovarian cancer, including the efficacy and mechanisms of single and dual immune checkpoint inhibitors, checkpoint inhibitor combinations with chemotherapy or radiotherapy, anti-angiogenic agents, PARP inhibitors, antibody-drug conjugates (ADC), tumor vaccines, and adoptive cell therapies (ACT). Additionally, we assessed emerging research on biomarkers predictive of immunotherapy responsiveness in ovarian cancer.

The findings indicate that immunotherapy, particularly combinations involving immune checkpoint inhibitors and other agents, demonstrates promising efficacy in recurrent ovarian cancer, with some therapies showing enhanced benefits in specific subtypes. The immune microenvironment in platinum-sensitive and -resistant cases exhibits distinct immunological profiles, influencing therapy outcomes. Several potential biomarkers have been identified, potentially aiding in patient stratification and treatment optimization.

Immunotherapy significantly advances recurrent ovarian cancer treatment, with various combinations potentially improving outcomes. Further research on predictive biomarkers and immune microenvironment characteristics is crucial for personalizing immunotherapy approaches and enhancing their efficacy in managing recurrent ovarian cancer.

论文信息

作者
Chen K、Wang J、Yang M、Deng S、Sun L
单位
Gynecology Department, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen 518116, China.China
文献类型
综述
期刊
Biomedicines2025 Jan 12
原文标识
PubMed 39857752 · DOI 10.3390/biomedicines13010168