← 返回前沿论文

病毒相关血液系统恶性肿瘤的免疫逃逸机制与治疗进展

英文原题:Immune escape mechanisms and therapeutic advances in virus-associated hematological malignancies.

PubMed 2026/02/25(内容时间) Blood Cancer J Q1 · IF 13.8(JCR 2025)

研究概要

病毒相关血液恶性肿瘤因其复杂的病理机制和独特的免疫逃逸能力,已成为肿瘤学研究的重点。

中文摘要

病毒相关血液系统恶性肿瘤因其复杂的病理机制和独特的免疫逃逸能力,已成为肿瘤学研究的重点。近年来,随着对病毒在肿瘤发生中作用认识的深入,该领域研究日益增多。然而,病毒相关血液系统恶性肿瘤的免疫逃逸机制仍未完全阐明,给治疗策略的开发和优化带来挑战。本文综述了多种已知病毒——特别是EBV、HIV、HTLV-1、KSHV、HBV和HCV——在血液系统恶性肿瘤发病中的作用,重点阐述了肿瘤细胞如何利用多种免疫逃逸机制逃避宿主免疫监视。同时,结合最新研究进展,深入探讨了前沿治疗手段,包括靶向病毒蛋白、免疫检查点抑制剂、CAR-T细胞疗法、溶瘤病毒、病毒特异性T细胞疗法(VST)及治疗性疫苗。通过将病毒相关血液系统恶性肿瘤的分子机制与临床应用相结合,本文旨在为该领域的精准治疗提供理论依据和未来研究方向。

展开英文摘要原文

Virus-associated hematological malignancies have become a key focus in oncology research due to their complex pathological mechanisms and unique immune escape capabilities. In recent years, research in this area has increased with a deeper understanding of the role of viruses in tumorigenesis. However, the immune escape mechanisms in virus-associated hematological malignancies remain incompletely elucidated, posing challenges for the development and optimization of treatment strategies. This review summarizes the roles of various known viruses-particularly Epstein-Barr virus (EBV), human immunodeficiency virus (HIV), human T-cell leukemia virus type 1 (HTLV-1), Kaposi's sarcoma-associated herpesvirus (KSHV), hepatitis B virus (HBV), and hepatitis C virus (HCV) in the pathogenesis of hematological malignancies. It focuses on elucidating how tumor cells utilize multiple immune escape mechanisms to evade host immune surveillance. Simultaneously, incorporating the latest research advances, it delves into cutting-edge therapeutic approaches, including targeting viral proteins, immune checkpoint inhibitors, chimeric antigen receptor T-cell (CAR-T) therapy, oncolytic viruses, virus-specific T-cell therapy (VST), and therapeutic vaccines. By integrating the molecular mechanisms of virus-associated hematological malignancies with clinical applications, this article aims to provide a theoretical basis and future research directions for precision therapy in this field.

论文信息

作者
Li T、Wang C、Xiao Q、Zhang X、Yang Z、Li J、Liu Y
第一作者单位
Department of Hematology-Oncology, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China.China
通讯作者单位
Department of Hematology-Oncology, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China. liuyao77@cqu.edu.cn.China
文献类型
综述
期刊
Blood cancer journal2026 Feb 25
原文标识
PubMed 41741411 · DOI 10.1038/s41408-026-01453-7