帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A strategy for synergistic enhancement of immune circulation in head and neck squamous cell carcinoma by novel nucleic acid drug therapy and immunotherapy.
A strategy for synergistic enhancement of immune circulation in head and neck squamous cell carcinoma by novel nucleic acid drug therapy and immunotherapy.
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研究表明,在头颈部鳞状细胞癌的发病机制中,包括代谢异常、基因突变和基质屏障等多种因素导致的免疫循环障碍,是诱导肿瘤发生和发展的关键因素。因此,通过增强免疫循环机制杀伤头颈部鳞状细胞癌细胞的免疫治疗策略备受关注。此外,新型核酸药物疗法(如 mRNA、寡核苷酸和小向导 RNA(sgRNA))的快速发展,将头颈部鳞状细胞癌的免疫治疗(免疫检查点抑制剂、肿瘤疫苗、细胞免疫治疗、细胞因子和佐剂等)提升到了新的水平。核酸治疗与其治疗特性所开发的免疫治疗相结合,为头颈部鳞状细胞癌的诊断和治疗带来了新方向,两者的联合对难治性/复发性头颈部鳞状细胞癌患者取得了可观的疗效。在本综述中,我们总结了核酸治疗应用于头颈部鳞状细胞癌常规免疫治疗的最新进展,讨论了其作用机制和疗效,并展望了未来的发展趋势。
Studies have shown that in the pathogenesis of head and neck squamous cell carcinoma, immune circulation obstruction caused by various factors including metabolic abnormalities, gene mutations, and matrix barrier, is a critical factor for the induction of tumor development and progression.
Therefore, the immunotherapy strategy of killing head and neck squamous cell carcinoma cells by an enhanced immune circulation mechanism has attracted much attention.
In addition, the rapid development of new nucleic acid drug therapy, such as mRNA, oligonucleotide and small guide RNA (sgRNA), has taken immunotherapy of head and neck squamous cell carcinoma (immune checkpoint inhibitors, tumor vaccines, cellular immunotherapy, cytokines and adjuvants, etc.) to a new level.
The combination of nucleic acid therapy with immunotherapy developed for its therapeutic properties has brought a new direction for the diagnosis and treatment of head and neck squamous cell carcinoma, and the combination of the two has had considerable curative effect to patients with refractory/recurrent head and neck squamous cell carcinoma.
In this review, we summarized the latest progress of nucleic acid therapy applied to conventional immunotherapy for head and neck squamous cell carcinoma, discussed its mechanism of action and efficacy, and looked into the future development trend.
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