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卵巢癌的治疗格局:近期进展与新兴疗法

英文原题:Therapeutic landscape of ovarian cancer: recent advances and emerging therapies.

PubMed 2025/08/12(内容时间) Biomark Res Q1 · IF 14.6(JCR 2025)

研究概要

卵巢癌是全球女性第七大常见恶性肿瘤,也是第八大癌症相关死亡原因。

中文摘要

卵巢癌是全球女性第七常见恶性肿瘤,也是癌症相关死亡的第八大原因。多数患者确诊时已处于晚期,生存结局较差。标准治疗为初始肿瘤细胞减灭术(PDS)联合铂类化疗;对于部分患者,新辅助化疗(NACT)后行间隔肿瘤细胞减灭术(IDS)也是替代选择。本综述总结卵巢癌治疗领域的最新进展,重点关注靶向治疗、免疫治疗和新型药物递送系统。聚(ADP-核糖)聚合酶(PARP)抑制剂显著改善了 BRCA 突变及同源重组缺陷(HRD)阳性患者的无进展生存期。抗体药物偶联物(ADC)、免疫检查点抑制剂(ICI)、CAR-T(CAR-T)细胞疗法和肿瘤疫苗均是新兴策略,但受到治疗耐药及肿瘤微环境抑制等挑战。未来研究应聚焦联合治疗、优化 ADC 和改进免疫治疗,同时整合纳米技术及 3D 类器官模型,以提高治疗精准度,改善卵巢癌患者的生存结局和生活质量。

展开英文摘要原文

Ovarian cancer ranks as the seventh most common malignancy and the eighth leading cause of cancer-related death in women worldwide. Most patients are diagnosed at an advanced stage, resulting in poor survival outcomes. The standard treatment is primary debulking surgery (PDS) with platinum-based chemotherapy, however interval debulking surgery (IDS) following neoadjuvant chemotherapy (NACT) is an alternative for select cases. In this review, we summarize recent advancements in the therapeutic landscape of ovarian cancer, focusing on targeted therapies, immunotherapy, and novel drug delivery systems. Poly (ADP-ribose) polymerase (PARP) inhibitors have markedly improved progression-free survival in BRCA-mutated and homologous recombination deficiency (HRD)-positive patients. Antibody-drug conjugates (ADCs), immune checkpoint inhibitors (ICIs), chimeric antigen receptor T (CAR-T) cell therapy, and tumor vaccines are emerging strategies, but they face challenges due to treatment resistance and tumor microenvironment suppression. Future research should focus on combination therapies, ADCs optimization, and immunotherapy refinement, while also integrating nanotechnology and 3D organoid models to enhance treatment precision to improve survival outcomes and quality of life for ovarian cancer patients.

论文信息

作者
Wang L、Zhang Q、Wang X、Dong Z、Liu S、Wang Q、Zhang Z、Xing J
第一作者单位
Department of Gynecology and Obstetrics, The Second Norman Bethune Hospital of Jilin University, 218 Ziqiang Street, Changchun, Jilin, 130041, China.China
通讯作者单位
Immunobiology and Transplant Science Center, Department of Surgery, Houston Methodist Academic Institute, Houston Methodist, Houston, TX, 77030, USA. jxing@houstonmethodist.org.United States
文献类型
综述
期刊
Biomarker research2025 Aug 12
原文标识
PubMed 40797342 · DOI 10.1186/s40364-025-00818-7