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宫颈癌免疫治疗策略疗效与安全性比较的临床试验 Meta 分析

英文原题:Meta-analysis of clinical trial on the comparative efficacy and safety profiles of immunotherapeutic strategies in cervical cancer.

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Meta-analysis of clinical trial on the comparative efficacy and safety profiles of immunotherapeutic strategies in cervical cancer.

PubMed 2025/02/27(内容时间) Crit Rev Oncol Hematol Q1 · IF 6.2(JCR 2025)

研究概要

多年来,宫颈癌研究领域在开发新的治疗方法方面取得了显著进展。

中文摘要

多年来,宫颈癌研究领域在新治疗方法的开发方面取得了显著进展。癌症治疗中的一项重大突破是免疫疗法的出现,其可作为单独治疗或与其他癌症疗法联合使用。免疫疗法在临床试验中显示出有希望的结果,并已成为治疗癌症的可行策略,可改善癌症患者的生活质量和总体生存率。在本系统综述中,我们聚焦于免疫疗法在宫颈癌或HPV感染CIN中的有效性和安全性,并基于临床试验数据进行分析。从这些研究中提取的数据通过特定的统计方法和亚组分析进行分析,以验证并得出我们的结论。使用PubMed和Science direct数据库检索研究,并应用筛选和过滤,最终纳入49篇主要报告。免疫疗法细分为免疫检查点抑制剂、细胞疗法和疫苗,分别通过meta分析得出结论。Pembrolizumab(免疫检查点抑制剂)、T细胞疗法和二价(Ecoli表达)疫苗被分析为更高效。因此,对于宫颈癌免疫疗法的未来探索,我们的研究描述了Ecoli rec HPV二价疫苗序贯Pembrolizumab或T细胞疗法的联合方案,从而改善针对癌症的免疫介导作用。除此之外,还解释了在Ecoli上多表位生产用于疫苗生成的假设模型。

展开英文摘要原文

Over the years, there have been significant advancements in the field of cervical cancer research in developing new treatment approaches. One of the significant breakthroughs in cancer treatment is the emergence of immunotherapy that can be used as a standalone treatment or in combination with other cancer therapies. Immunotherapy has shown promising results in clinical trials and has become a viable strategy for treating cancer and improves the quality of life for cancer patients and overall survival rate. Here in the systematic review we are focusing towards the effectiveness and safety of immunotherapy in cervical cancer or HPV infections CIN with clinical trial data. The data extracted had from those studies were analyzed through certain statistical methods and subgroup analysis for validating and concluding our objective. PubMed and Science direct database were used for searching the studies with applied screening and filtering and 49 main reports were included for the studies. The immunotherapies subdivided to immune checkpoint inhibitors, cellular therapy and Vaccine were separately analysed through meta-analysis for the conclusion. The Pembrolizumab (immune checkpoint inhibitor), T cell therapy and Bivalent (Ecoli expressed) vaccine were analysed to be higher effective. Thus for future exploration on immunotherapy in cervical cancer, it was described in our studies of a combination of Ecoli rec HPV bivalent vaccine followed by Pembrolizumab or T cell therapy thus improving the immune mediated action against the cancer. Apart from that, a hypothetical model of multiepitope production on ecoli for vaccine generation has also been explained.

论文信息

作者
V B N、Kumar R
第一作者单位
Department of Bioscience and Engineering, National Institute of Technology, Calicut, Kozhikode, Kerala, India.India
通讯作者单位
Department of Bioscience and Engineering, National Institute of Technology, Calicut, Kozhikode, Kerala, India. Electronic address: ravindra@nitc.ac.in.India
文献类型
荟萃分析 · 系统综述 · 对照研究
期刊
Critical reviews in oncology/hematology2025 May
原文标识
PubMed 40023464 · DOI 10.1016/j.critrevonc.2025.104673