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胃肠道肿瘤中新兴的 IO 检查点

英文原题:Emerging IO checkpoints in gastrointestinal oncology.

查看英文原题

Emerging IO checkpoints in gastrointestinal oncology.

PubMed 2025/07/24(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

近年来,免疫治疗的进展显著改变了胃肠道肿瘤的治疗策略,而胃肠道肿瘤由于其复杂的病理机制和不良预后,历来是治疗难题。本文综述强调了TIGIT、VISTA、GITR、STING和TIM-3等免疫检查点在胃肠道肿瘤治疗中日益重要的地位。这些检查点是肿瘤微环境中的关键要素,为治疗提供了新的可能性。研究表明,TIGIT和GITR调控T细胞和NK细胞的功能,而VISTA和STING通路则增强机体的抗肿瘤反应。TIM-3与T细胞耗竭相关,凸显了其作为对抗免疫逃逸机制靶点的潜力。将这些免疫检查点与传统治疗相结合,可能产生更加个性化和有效的治疗策略。这篇详细的综述旨在探索免疫检查点研究不断变化的领域,提供从分子生物学到临床实践的见解,并展望一个先进治疗方法能极大改善胃肠道肿瘤患者预后的未来。

展开英文摘要原文

Recent progress in immunotherapy has significantly altered the therapeutic approach for gastrointestinal cancers, which are historically challenging due to their intricate pathologies and unfavorable outcomes. This review emphasizes the growing importance of immune checkpoints like TIGIT, VISTA, GITR, STING, and TIM-3 in the treatment of gastrointestinal oncology. These checkpoints are crucial elements within the tumor microenvironment, presenting new therapeutic possibilities. Studies show that TIGIT and GITR regulate the functions of T cells and NK cells, while the VISTA and STING pathways boost the body's anti-tumor responses.

TIM-3 is linked with T cell fatigue, highlighting its potential as a target to counteract immune evasion mechanisms. Integrating these immune checkpoints with traditional treatments could result in more customized and effective therapeutic approaches. This detailed review seeks to explore the changing field of immune checkpoint research, offering insights from molecular biology to clinical practice, and envisioning a future where advanced treatment methods greatly enhance patient outcomes in GI cancers.

论文信息

作者
Tojjari A、Saeed A、Cavalcante L
第一作者单位
Department of Medicine, Division of Hematology & Oncology, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, United States.United States
通讯作者单位
Department of Hematology and Medical Oncology, University of Virginia Comprehensive Cancer Center, Charlottesville, VA, United States.United States
文献类型
综述
期刊
Frontiers in immunology2025
原文标识
PubMed 40777027 · DOI 10.3389/fimmu.2025.1575713