超越成功:发掘放射治疗和免疫治疗在实体瘤中的潜能

IF 20.1 1区 医学 Q1 ONCOLOGY Cancer Communications Pub Date : 2024-06-05 DOI:10.1002/cac2.12576
Yuze Wu, Ming Yi, Mengke Niu, Binghan Zhou, Qi Mei, Kongming Wu
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引用次数: 0

摘要

免疫疗法,尤其是免疫检查点抑制剂,极大地改变了癌症治疗。尽管免疫疗法取得了成功,但许多患者仍难以获得充分的反应或持久的临床改善。放疗(RT)可提高免疫疗法的反应率和总体疗效,这一点已逐渐成为共识。尽管在临床前模型中已对 RT 与免疫疗法的结合进行了广泛研究,并取得了可喜的成果,使其成为一个充满活力、蓬勃发展的研究领域,但在过去五年中,这种结合策略的临床证据既显示出积极的结果,也显示出令人失望的结果,这表明我们需要对其有更细致的了解。本综述对免疫疗法和 RT 的联合应用进行了均衡的最新分析。我们总结了 RT 促进抗肿瘤免疫反应的临床前机制,并主要关注最近更新的临床试验结果,包括那些可能未达到预期的结果。我们研究了如何优化这种联合策略的治疗潜力,包括分次和时间安排、淋巴结照射和毒性等关键挑战。最后,我们对这种联合疗法的临床转化前景和挑战提出了见解,为当前的研究状况和未来的潜在方向提供了现实的视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Beyond success: unveiling the hidden potential of radiotherapy and immunotherapy in solid tumors

Immunotherapy, particularly with immune checkpoint inhibitors, has significantly transformed cancer treatment. Despite its success, many patients struggle to respond adequately or sustain long-lasting clinical improvement. A growing consensus has emerged that radiotherapy (RT) enhances the response rate and overall efficacy of immunotherapy. Although combining RT and immunotherapy has been extensively investigated in preclinical models and has shown promising results, establishing itself as a dynamic and thriving area of research, clinical evidence for this combination strategy over the past five years has shown both positive and disappointing results, suggesting the need for a more nuanced understanding. This review provides a balanced and updated analysis of the combination of immunotherapy and RT. We summarized the preclinical mechanisms through which RT boosts antitumor immune responses and mainly focused on the outcomes of recently updated clinical trials, including those that may not have met expectations. We investigated the optimization of the therapeutic potential of this combined strategy, including key challenges, such as fractionation and scheduling, lymph node irradiation, and toxicity. Finally, we offered insights into the prospects and challenges associated with the clinical translation of this combination therapy, providing a realistic perspective on the current state of research and potential future directions.

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来源期刊
Cancer Communications
Cancer Communications Biochemistry, Genetics and Molecular Biology-Cancer Research
CiteScore
25.50
自引率
4.30%
发文量
153
审稿时长
4 weeks
期刊介绍: Cancer Communications is an open access, peer-reviewed online journal that encompasses basic, clinical, and translational cancer research. The journal welcomes submissions concerning clinical trials, epidemiology, molecular and cellular biology, and genetics.
期刊最新文献
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