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癌症治疗创新作为新的潜在方法,以及个性化疫苗、免疫疗法、CRISPR/Cas9 和细菌疗法作为有前景的治疗策略的神话

英文原题:Innovations in cancer treatment as novel potential and the myth of personalized vaccines, immunotherapy, CRISPR/Cas9, and bacteriotherapy as promising therapeutic strategies.

查看英文原题

Innovations in cancer treatment as novel potential and the myth of personalized vaccines, immunotherapy, CRISPR/Cas9, and bacteriotherapy as promising therapeutic strategies.

PubMed 2025/11/28(内容时间) Discov Oncol Q3 · IF 2.8(JCR 2025)

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中文摘要

近年来,癌症治疗领域的最新进展,包括靶向治疗、定制疫苗、免疫治疗和细菌治疗,已在应对多种类型癌症方面展现出显著潜力。然而,探索新型治疗策略仍面临重大障碍,包括对健康组织的毒性、对恶性组织渗透有限以及肿瘤细胞对药物产生耐药性的可能。

本研究探讨了定制疫苗接种、免疫治疗、CRISPR/Cas9和细菌治疗在癌症治疗中的潜力。通过Cochrane对照试验中心注册库(CENTRAL)、PubMed(NCBI)、Scopus(ELSEVIER)和Web of Science(CLAVIRATE)数据库,对随机和非随机研究进行了综述。

本研究强调了个性化癌症疫苗的应用前景,其可诱导针对每位患者独特新抗原的肿瘤特异性免疫应答。免疫治疗增强了免疫系统识别和摧毁癌细胞的能力,使肿瘤免疫学重新焕发活力。尽管免疫检查点抑制剂(ICIs)和过继细胞转移(ACT)等免疫疗法的有效性存在差异,但某些癌症患者显示出显著获益。细菌治疗也已被证明在促进肿瘤缓解和抑制转移方面有效,无论是单独使用还是与常规治疗联合使用,均可通过减少肿瘤增殖和转移发挥作用。

此外,细菌治疗可作为将治疗药物、基因或药物直接递送至肿瘤的潜在平台。CRISPR-Cas9基因组编辑技术在推进癌症治疗方面展现出前景,有望在肿瘤层面靶向并治疗基因突变,尽管其在人类癌症治疗中的应用仍处于开发阶段。本研究强调了这些创新方法在抗击癌症中的潜力。

展开英文摘要原文

Recent advancements in cancer treatment, including targeted therapy, tailored vaccines, immunotherapy, and bacteriotherapy, have demonstrated remarkable potential in addressing various types of cancer.

However, the pursuit of novel therapeutic strategies remains challenged by significant obstacles, including toxicity to healthy tissues, limited penetration into malignant tissues, and the potential for tumor cell resistance to pharmacological agents.

This study explored the potential of tailored vaccinations, immunotherapy, CRISPR/Cas9, and bacteriotherapy for cancer treatment. Randomized and non-randomized studies were reviewed using the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed (NCBI), Scopus (ELSEVIER), and Web of Science (CLAVIRATE) databases. This research highlights the promising use of personalized cancer vaccines, which induce tumor-specific immune responses targeting neoantigens unique to each patient.

Immunotherapy, which enhances the ability of the immune system to identify and destroy cancer cells, has revitalized tumor immunology. While the effectiveness of immunotherapies, such as immune checkpoint inhibitors (ICIs) and adoptive cell transfer (ACT), is variable, certain cancer patients show substantial benefits. Bacteriotherapy has also proven effective in promoting tumor remission and inhibiting metastasis, either alone or in combination with conventional treatments, by reducing tumor proliferation and metastasis.

Additionally, bacteriotherapy serves as a potential platform for delivering therapeutics, genes, or medications directly to tumors. The CRISPR-Cas9 genome-editing technique shows promise for advancing cancer treatment, with the potential to target and treat genetic mutations at the tumor level, although its application in human cancer therapy is still under development.

This study highlights the potential of these innovative approaches in the fight against cancer.

论文信息

作者
Zubair A、Wdidi S
第一作者单位
Department of Biotechnology, Quaid-i-Azam University, Islamabad, 45320, Pakistan.Pakistan
通讯作者单位
Faculty of Medical Laboratory Science, Oncology Research Center, University of Shendi, Khartoum, Sudan. safaahmedwdidi@gmail.com.Sudan
文献类型
综述
期刊
Discover oncology2025 Nov 28
原文标识
PubMed 41315111 · DOI 10.1007/s12672-025-04188-2