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癌症疫苗:分子机制、临床进展及联合免疫治疗,重点关注肝细胞癌

英文原题:Cancer Vaccines: Molecular Mechanisms, Clinical Progress, and Combination Immunotherapies with a Focus on Hepatocellular Carcinoma.

PubMed 2025/12/17(内容时间) Curr Issues Mol Biol Q2 · IF 4.1(JCR 2025)

研究概要

传统癌症治疗常因免疫抑制性肿瘤微环境、免疫耐受和慢性炎症而失败。

中文摘要

传统癌症治疗常因免疫抑制性肿瘤微环境、免疫耐受和慢性炎症而失败。因此,迫切需要新的治疗方法。癌症疫苗可以刺激NK 细胞和细胞毒性T淋巴细胞,并诱导持久的记忆反应,有助于克服免疫抑制性肿瘤微环境。近年来,基于核酸、肽和树突状细胞的疫苗进展改善了抗原递送和免疫激活,而与免疫检查点抑制剂和消融治疗的联合则增强了治疗效果和持久性。针对肿瘤相关抗原的临床前和临床研究已显示出有希望的结果。由于生存率低且治疗选择有限,肝细胞癌(HCC)似乎是全球癌症相关死亡最常见的原因。抗原发现、疫苗递送系统和协同联合策略的进展正在为更有效和持久的免疫反应铺平道路。通过将分子见解与临床创新相结合,癌症疫苗不仅有可能改善治疗结果,还有可能重新定义HCC的长期疾病管理和生存。

展开英文摘要原文

Conventional cancer treatments often fail due to the immunosuppressive tumor microenvironment, immune tolerance, and chronic inflammation. Therefore, new therapeutic approaches are urgently needed. Cancer vaccines can stimulate natural killer cells and cytotoxic T-lymphocytes, and induce long-lasting memory responses that help overcome the immunosuppressive tumor microenvironment. Recent advances in nucleic acid, peptide, and dendritic cell-based vaccines have improved antigen delivery and immune activation, while combinations with immune checkpoint inhibitors and ablative therapies enhance therapeutic efficacy and durability. Preclinical and clinical studies targeting tumor-associated antigens have shown promising outcomes. With poor survival rates and limited treatment options, hepatocellular carcinoma (HCC) appears to be the most prevalent cause of cancer-related deaths worldwide. Advances in antigen discovery, vaccine delivery systems, and synergistic combination strategies are paving the way for more effective and durable immune responses. By integrating molecular insights with clinical innovation, cancer vaccines hold the potential not only to improve treatment outcomes but also to redefine long-term disease management and survival in HCC.

论文信息

作者
Alrumaihi F、Alromaihi RA、Kumar V、Anwar S
第一作者单位
Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi Arabia.Saudi Arabia
通讯作者单位
Department of Medical Laboratory Technology, Mohan Institute of Nursing and Paramedical Sciences, Bareilly 243302, Uttar Pradesh, India.India
文献类型
综述
期刊
Current issues in molecular biology2025 Dec 17
原文标识
PubMed 41614820 · DOI 10.3390/cimb47121056