← 返回前沿论文

超越传统疗法:靶向 HPV 相关宫颈癌的免疫治疗策略

英文原题:Beyond conventional therapies: immunotherapeutic strategies targeting HPV-associated cervical cancer.

PubMed 2026/05/27(内容时间) Immunotherapy Q3 · IF 2.3(JCR 2025)

研究概要

这些进展可能在未来为宫颈癌带来更安全、更有效的治疗选择。

中文摘要

宫颈癌仍然是一个重大的全球健康挑战,主要归因于高危型人乳头瘤病毒(HPV)的持续感染。虽然预防性HPV疫苗已大幅降低了感染率,但其无法应对已建立的感染或HPV驱动的恶性肿瘤,这凸显了一个关键的治疗空白。常规治疗方式,如化疗、放疗和手术,仍然是宫颈癌管理的基石;然而,这些方法往往伴随着非特异性毒性、生活质量下降、治疗耐药和复发率升高。值得注意的是,常规疗法并非专门针对持续性HPV感染而设计,病毒清除也未必能一致实现。本叙述性综述综合了从PubMed、Scopus、Web of Science和Google Scholar检索到的、截至2026年3月发表的研究。它批判性地评估了当前治疗策略的局限性,并强调了旨在应对HPV持续感染和肿瘤免疫逃逸的新兴非传统免疫治疗方法。特别关注基于纳米载体的治疗平台、siRNA介导的E6/E7沉默和基于CRISPR的HPV基因组破坏,这些被呈现为精确分子干预的有前景方法。此外,还探讨了治疗性疫苗、免疫检查点抑制和基于γδ T细胞的免疫治疗的进展,作为恢复HPV特异性免疫监视和实现持续临床反应的潜在策略。宫颈癌是女性中的一种常见疾病,主要由一种称为人乳头瘤病毒(HPV)的病毒长期感染引起。疫苗有助于预防HPV感染,但对已经感染或已经发展为癌症的人无效。因此,许多患者仍然需要手术、化疗或放疗等治疗。这些治疗可能有效,但也可能引起副作用,并且并不总能完全清除病毒。在这篇综述中,我们描述了一些正在研究中的较新治疗方法。其中之一是免疫治疗,它帮助人体自身的免疫系统识别并攻击癌细胞。另一种方法使用纳米技术,即利用微小颗粒将药物直接递送至肿瘤。这可能有助于减少对健康组织的损伤并改善治疗效果。我们还讨论了较新的技术,例如基于基因的治疗,其旨在阻断帮助癌症生长的病毒基因。将这些新方法与现有治疗联合使用,可能改善结局并降低癌症复发的机会。尽管这些方法前景可观,但仍存在挑战,包括安全性、成本和可及性。在它们能够被广泛使用之前,还需要更多研究。总体而言,这些进展可能在未来为宫颈癌带来更安全、更有效的治疗选择。

展开英文摘要原文

Cervical cancer continues to represent a significant global health challenge, primarily due to persistent infection with high-risk human papillomavirus (HPV) types. While prophylactic HPV vaccines have substantially reduced infection rates, their inability to address established infections or HPV-driven malignancies highlights a critical therapeutic gap. Conventional treatment modalities, such as chemotherapy, radiotherapy, and surgery remain the cornerstone of cervical cancer management; however, these approaches are often associated with nonspecific toxicity, diminished quality of life, treatment resistance, and elevated recurrence rates. Notably, conventional therapies are not specifically designed to target persistent HPV infection, and viral clearance may not be consistently achieved. This narrative review synthesizes studies retrieved from PubMed, Scopus, Web of Science, and Google Scholar published up to March 2026. It critically evaluates the limitations of current therapeutic strategies and emphasizes emerging non-conventional immunotherapeutic approaches designed to address HPV persistence and tumor immune evasion. Particular attention is given to nanocarrier-based therapeutic platforms, siRNA-mediated E6/E7 silencing and CRISPR-based disruption of the HPV genome, are presented as promising methods for precise molecular intervention. Additionally, advances in therapeutic vaccines, immune checkpoint inhibition, and γδ T-cell-based immunotherapy are also explored as potential strategies to restore HPV-specific immune surveillance and achieve sustained clinical responses. Cervical cancer is a common disease in women and is mainly caused by a long-term infection with a virus called human papillomavirus (HPV). Vaccines can help prevent HPV infection, but they do not work for people who are already infected or who have developed cancer. Because of this, many patients still need treatments like surgery, chemotherapy, or radiotherapy. These treatments can be effective, but they may also cause side effects and do not always remove the virus completely. In this review, we describe some newer treatment approaches that are being studied. One of these is immunotherapy, which helps the body’s own immune system recognize and attack cancer cells. Another approach uses nanotechnology, where tiny particles are used to deliver drugs directly to the tumor. This may help reduce damage to healthy tissues and improve treatment results. We also discuss newer techniques such as gene-based treatments, which aim to block the viral genes that help cancer grow. Using these new methods together with existing treatments may improve outcomes and reduce the chance of the cancer coming back. Although these approaches are promising, there are still challenges, including safety, cost, and availability. More research is needed before they can be widely used. Overall, these advances may lead to safer and more effective treatment options for cervical cancer in the future.

论文信息

作者
Patra S、Shand H、Ghorai S
单位
Infection and Disease Biology Laboratory, Department of Microbiology, Raiganj University, Raiganj, India.India
文献类型
综述
期刊
Immunotherapy2026 Apr-Apr
原文标识
PubMed 42204874 · DOI 10.1080/1750743X.2026.2679883