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癌症免疫治疗的进展与挑战:个性化治疗策略

英文原题:Advances and challenges in cancer immunotherapy: Strategies for personalized treatment.

PubMed 2025/04/29(内容时间) Semin Oncol Q1 · IF 6.8(JCR 2025)

研究概要

癌症免疫疗法通过利用免疫系统特异性靶向癌细胞,彻底改变了肿瘤学领域,与传统疗法相比,其全身毒性更低。

中文摘要

癌症免疫疗法通过利用免疫系统特异性靶向癌细胞,彻底改变了肿瘤学领域,与传统疗法相比,其全身毒性更低。本综述重点介绍了关键策略,包括过继细胞转移(ACT)、免疫检查点抑制剂、溶瘤病毒(OV)疗法、单克隆抗体(mAbs)和基于mRNA的疫苗。ACT通过回输增强的免疫细胞(如TIL(肿瘤浸润淋巴细胞)(TILs))来对抗难治性癌症,而检查点抑制剂(如PD-1和CTLA-4阻断剂)则恢复T细胞活性。OV疗法利用工程化病毒(如T-VEC)选择性裂解癌细胞,先进的mAbs提高了靶向精度。mRNA疫苗引入肿瘤特异性抗原来触发强效免疫应答。尽管取得了显著进展,但免疫相关副作用、高成本和免疫抑制性肿瘤微环境等挑战依然存在。本综述强调了需要联合策略和精准医学来克服这些障碍,并最大化免疫疗法在个性化癌症治疗中的潜力。

展开英文摘要原文

Cancer immunotherapy has transformed oncology by harnessing the immune system to specifically target cancer cells, offering reduced systemic toxicity compared to traditional therapies. This review highlights key strategies, including adoptive cell transfer (ACT), immune checkpoint inhibitors, oncolytic viral (OV) therapy, monoclonal antibodies (mAbs), and mRNA-based vaccines. ACT reinfuses enhanced immune cells like tumor-infiltrating lymphocytes (TILs) to combat refractory cancers, while checkpoint inhibitors (eg, PD-1 and CTLA-4 blockers) restore T-cell activity. OV therapy uses engineered viruses (eg, T-VEC) to selectively lyse cancer cells, and advanced mAbs improve targeting precision. mRNA vaccines introduce tumor-specific antigens to trigger robust immune responses. Despite significant progress, challenges like immune-related side effects, high costs, and immunosuppressive tumor microenvironments persist. This review underscores the need for combination strategies and precision medicine to overcome these barriers and maximize the potential of immunotherapy in personalized cancer treatment.

论文信息

作者
Azmal M、Miah MM、Prima FS、Paul JK、Haque ASNB、Ghosh A
第一作者单位
Department of Biochemistry and Molecular Biology, Shahjalal University of Science and Technology, Sylhet, Bangladesh.Bangladesh
通讯作者单位
Department of Biochemistry and Molecular Biology, Shahjalal University of Science and Technology, Sylhet, Bangladesh. Electronic address: aghosh-bmb@sust.edu.Bangladesh
文献类型
综述
期刊
Seminars in oncology2025 Jun
原文标识
PubMed 40305928 · DOI 10.1016/j.seminoncol.2025.152345