免疫检查点抑制剂治疗胰腺导管腺癌的主要障碍。

IF 4.6 Q1 ONCOLOGY 癌症耐药(英文) Pub Date : 2023-01-01 DOI:10.20517/cdr.2022.142
Liia Akhuba, Zhanna Tigai, Dmitrii Shek
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引用次数: 0

摘要

到2030年,胰腺导管腺癌(PDAC)将成为全球癌症相关死亡的第二大原因。不幸的是,无论是传统的化疗还是新的免疫治疗策略都不能提供持久的反应,生存预后仍然很低。PDAC因其免疫抵抗特性和独特的基因组景观而臭名昭著,有助于肿瘤逃避免疫监视。新型免疫检查点抑制剂(ICI)未能显示出有希望的疗效,其他多模式方法目前正在多个临床试验中进行验证。在本文中,我们对PDAC对ICI治疗产生耐药性的主要机制提出了我们的观点,并对未来可能克服这些障碍的策略提出了我们的看法。
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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Major hurdles of immune-checkpoint inhibitors in pancreatic ductal adenocarcinoma.

In 2030, pancreatic ductal adenocarcinoma (PDAC) will become the second leading cause of cancer-related mortality in the world. Unfortunately, neither conventional chemotherapy nor novel immunotherapeutic strategies can provide durable responses and the survival prognosis remains very low. PDAC is notorious for its immune-resistant features and unique genomic landscape facilitating tumor escape from immunosurveillance. Novel immune-checkpoint inhibitors (ICI) failed to show promising efficacy and other multi-modal approaches are currently being validated in multiple clinical trials. In this paper, we provide our opinion on the major mechanisms responsible for PDAC resistance to ICI therapy and provide our view on future strategies which may overcome those barriers.

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