中文摘要
卵巢癌仍然是全球女性癌症相关死亡的主要原因之一。尽管包括肿瘤细胞减灭术联合铂类化疗在内的标准治疗方案已取得一定的治疗进展,但高复发率和铂耐药的出现仍然是重大的临床挑战。这凸显了探索新型治疗策略的迫切需求。作为一种新兴的免疫治疗方式,PD-1/PD-L1 抑制剂通过调节免疫系统增强抗肿瘤免疫应答。尽管卵巢癌传统上被视为低免疫原性肿瘤,但研究表明,TIL(肿瘤浸润淋巴细胞)的存在和 PD-L1 的表达提示对免疫检查点抑制剂具有潜在应答。本综述聚焦于 PD-1/PD-L1 抑制剂在卵巢癌治疗中的应用,总结其作用机制、临床研究进展、潜在联合策略及未来展望。深入理解免疫检查点抑制剂在卵巢癌中的作用将有助于优化治疗策略并改善患者预后。尽管 PD-1/PD-L1 抑制剂在卵巢癌治疗中具有潜力,但克服耐药机制、完善患者筛选标准以及改善安全性特征仍是临床应用的关键挑战。
展开英文摘要原文
Ovarian cancer remains one of the leading causes of cancer-related mortality among women worldwide. Although standard treatment regimens, including cytoreductive surgery combined with platinum-based chemotherapy, have achieved certain therapeutic advances, the high recurrence rate and the emergence of platinum resistance continue to represent significant clinical challenges. This highlights the urgent need to explore novel therapeutic strategies. As an emerging modality of immunotherapy, PD-1/PD-L1 inhibitors enhance anti-tumor immune responses by modulating the immune system. Although ovarian cancer has traditionally been regarded as a tumor with low immunogenicity, studies have demonstrated that the presence of tumor-infiltrating lymphocytes and the expression of PD-L1 indicate a potential response to immune checkpoint inhibitors.
This review focuses on the application of PD-1/PD-L1 inhibitors in the treatment of ovarian cancer, summarizing their mechanisms of action, clinical research progress, potential combination strategies, and future perspectives.
A deeper understanding of the role of immune checkpoint inhibitors in ovarian cancer will contribute to optimizing therapeutic strategies and improving patient outcomes. Despite the potential of PD-1/PD-L1 inhibitors in ovarian cancer treatment, overcoming resistance mechanisms, refining patient selection criteria, and improving safety profiles remain key challenges for clinical application.
论文信息
- 作者
- Miao X、Wang Z、Liu D、Ji S、Li J、Zhang S
- 第一作者单位
- Department of Gynecologic Oncology, Gynecology and Obstetrics Centre, The First Hospital of Jilin University, Changchun, China.China
- 通讯作者单位
- Department of Gynecologic Oncology, Gynecology and Obstetrics Centre, The First Hospital of Jilin University, Changchun, China. Electronic address: slzhang@jlu.edu.cn.China
- 文献类型
- 综述
- 期刊
- Cancer treatment and research communications2026