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宫颈癌免疫治疗的最新进展

英文原题:Recent advances in immunotherapy for cervical cancer.

PubMed 2025/01/31(内容时间) Int J Clin Oncol Q3 · IF 3(JCR 2025)

研究概要

宫颈癌在全球女性中发病率和死亡率均居第三位。

中文摘要

宫颈癌在全球女性中发病率和死亡率均居第三位。宫颈癌治疗领域正在迅速发展,各种联合治疗正在被探索,以增强免疫检查点抑制剂(ICI)的疗效,并为不同疾病阶段的患者提供新的治疗选择。在cemiplimab(一种ICI)的3期试验之后,涉及免疫检查点抑制剂的临床试验正在开展,该试验显示晚期或转移性宫颈癌患者的预后有显著改善。这些试验包括单一疗法以及与其他免疫疗法、化疗或放疗的联合治疗。此外,通过免疫系统控制肿瘤的其他方法,如针对特定肿瘤抗原的治疗性疫苗或包括嵌合抗原受体(CAR)-T细胞疗法和TIL(肿瘤浸润淋巴细胞)在内的免疫细胞疗法,也正在研究中。正在进行的试验将继续阐明联合这些疗法的最佳策略,并应对宫颈癌中免疫检查点失败的挑战。在此,我们对与宫颈癌免疫治疗相关的文章进行了综述,并描述了当前通过免疫治疗宫颈癌的治疗策略。

展开英文摘要原文

Cervical cancer is the third most common malignant tumor in women worldwide in terms of both incidence and mortality. The field of cervical cancer treatment is rapidly evolving, and various combination therapies are being explored to enhance the efficacy of immune checkpoint inhibitors (ICI) and provide new treatment options for patients at different disease stages. Clinical trials involving immune checkpoint inhibitors are now being conducted following a phase 3 trial with cemiplimab, an ICI, which demonstrated a significant improvement in prognosis in advanced or metastatic cervical cancer patients. These trials include monotherapy and combination therapy with other immune therapies, chemotherapy, or radiation therapy. Furthermore, other approaches for controlling tumors via the immune system, such as therapeutic vaccination for specific tumor antigens or immune cell therapy including chimeric antigen receptor (CAR)-T cell therapy and tumor-infiltrating lymphocytes are being investigated. Ongoing trials will continue to illuminate the optimal strategies for combining these therapies and addressing challenges associated with immune checkpoint failure in cervical cancer. Herein, we conducted a review of articles related to immunotherapy for cervical cancer and describe current treatment strategies for cervical cancer via immunotherapy.

论文信息

作者
Ogasawara A、Hasegawa K
第一作者单位
Department of Gynecologic Oncology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, 350-1298, Japan.Japan
通讯作者单位
Department of Gynecologic Oncology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, 350-1298, Japan. koseih@saitama-med.ac.jp.Japan
文献类型
综述
期刊
International journal of clinical oncology2025 Mar
原文标识
PubMed 39888529 · DOI 10.1007/s10147-025-02699-0