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黑色素瘤治疗的演变:从历史视角到未来方向

英文原题:The Emerging Melanoma Management: Historical Perspective to Future Directions.

查看英文原题

The Emerging Melanoma Management: Historical Perspective to Future Directions.

PubMed 2026/03/17(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

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中文摘要

皮肤黑色素瘤是一种侵袭性癌症,约占皮肤癌相关死亡率的80%。过去二十年间,黑色素瘤的治疗策略迅速演变。随着免疫检查点抑制剂和靶向治疗(包括联合治疗)的应用,晚期黑色素瘤患者的临床结局得到改善。在本综述中,我们主要关注晚期黑色素瘤患者新型治疗的演变、现有及新兴的黑色素瘤生物标志物,以及最新的治疗建议。此外,我们总结了正在进行的研究、临床试验和新兴治疗策略。在本综述中,我们将带您了解皮肤黑色素瘤治疗策略在过去50年中的演变过程。我们将提供这些策略的开发背景、作用机制、优缺点以及在临床获益方面的表现。最后,我们将对潜在疗法和研究领域提供见解。总之,提高免疫检查点阻断的疗效仍然是改善皮肤黑色素瘤管理最有前景的方法。然而,CAR-T/NK、PROTAC或基于细胞外囊泡的疗法等策略也值得进一步研究。

展开英文摘要原文

Cutaneous melanoma is an aggressive form of cancer that accounts for approximately 80% of skin cancer-associated mortality. Treatment strategies for melanoma have been rapidly evolving over the past two decades.

Clinical outcomes for advanced melanoma patients have improved with the use of immune checkpoint inhibitors and targeted therapies, including combination therapies. In this review, we primarily focus on the evolution of novel therapies for advanced melanoma patients, existing and emerging melanoma biomarkers, and the most up-to-date treatment recommendations.

Furthermore, we summarise ongoing studies, clinical trials, and emerging therapeutic strategies. In this review, we will walk you through how cutaneous melanoma treatment strategies have evolved over the past 50 years.

We will provide background on how those strategies were developed, how they function, their pros and cons, and their performance in terms of clinical benefits. Lastly, we will provide insights into potential therapies and research areas. In summary, improving the efficacy of immune checkpoint blockade remains the most promising approach for improving cutaneous melanoma management.

However, strategies such as CAR-T/NK, PROTAC, or extracellular vesicle-based therapies are also worth further investigation.

论文信息

作者
Hui SY、Jain R、Haass NK、Weninger W、Tikoo S、Guo D
单位
Department of Anatomical and Cellular Pathology and State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.United Kingdom
文献类型
综述
期刊
Cancers2026 Mar 17
原文标识
PubMed 41899570 · DOI 10.3390/cancers18060968