癌症免疫疗法的最新进展

Oral Oncology Reports Pub Date : 2024-12-01 Epub Date: 2024-09-18 DOI:10.1016/j.oor.2024.100652
Indrajit Desai , Saee Thakur , Pradeep Pagariya
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引用次数: 0

摘要

癌症免疫疗法的最新进展,包括免疫检查点抑制剂(ICIs)和嵌合抗原受体(CAR)T 细胞疗法,大大改善了各种癌症的临床治疗。PD-1/PD-L1和CTLA-4抑制剂等ICIs能增强机体对肿瘤的免疫反应,对黑色素瘤、非小细胞肺癌和淋巴瘤等癌症大有裨益。CAR-T 细胞疗法通过对 T 细胞进行基因改造,使其针对肿瘤特异性抗原,在血液系统恶性肿瘤,尤其是 B 细胞白血病和淋巴瘤方面取得了显著疗效。肿瘤抗原的异质性、阻碍 CAR-T 细胞浸润的物理屏障的存在以及免疫抑制性肿瘤微环境限制了这些疗法的有效性。为了解决这些问题,目前的研究正在探索将 ICIs 与 CAR-T 细胞疗法相结合的联合疗法、改进的 CAR-T 细胞工程以及调节肿瘤微环境以增强免疫细胞浸润和功能的策略。
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Current advances in immunotherapy for cancer
Recent advances in cancer immunotherapy, including immune checkpoint inhibitors (ICIs) and chimeric antigen receptor (CAR) T-cell therapy, have significantly improved the clinical management of various cancers. ICIs, such as PD-1/PD-L1 and CTLA-4 inhibitors, enhance the body's immune response against tumors, offering substantial benefits in cancers like melanoma, non-small-cell lung cancer, and lymphoma. CAR-T cell therapy has demonstrated remarkable efficacy in hematologic malignancies, particularly B-cell leukemias and lymphomas, through the genetic modification of T-cells to target tumor-specific antigens.Despite these successes, several challenges remain, particularly in the treatment of solid tumors. The heterogeneity of tumor antigens, the presence of physical barriers that impede CAR-T cell infiltration, and the immunosuppressive tumor microenvironment limit the effectiveness of these therapies. To address these issues, ongoing research is exploring combination therapies that integrate ICIs with CAR-T cell therapy, improved CAR-T cell engineering, and strategies to modulate the tumor microenvironment to enhance immune cell infiltration and function.
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