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黑色素瘤的免疫疗法。

Immunotherapy for melanoma.

作者信息

Kim Christina J, Dessureault Sophie, Gabrilovich Dimitry, Reintgen Douglas S, Slingluff Craig L

机构信息

Department of Surgery, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.

出版信息

Cancer Control. 2002 Jan-Feb;9(1):22-30. doi: 10.1177/107327480200900104.

DOI:10.1177/107327480200900104
PMID:11907463
Abstract

BACKGROUND

Immunotherapy for cancers is based on the principle that the host's immune system is capable of generating immune responses against tumor cells. Currently available treatments for melanoma patients are limited by poor response rates. Interferon-a has been approved for adjuvant treatment of stage III melanoma with improved survival. New and more innovative approaches with improved efficacy are needed.

METHODS

We reviewed the various new approaches and strategies for immunotherapy for the treatment of melanoma.

RESULTS

Immunotherapy for melanoma includes a number of different strategies with vaccines utilizing whole cell tumors, peptides, cytokine-mediated dendritic cells, DNA and RNA, and antibodies.

CONCLUSIONS

A variety of approaches can be used to enhance immune reactivity in patients with melanoma. Preclinical studies and initial clinical trials have shown promising results. Additional clinical trials are currently ongoing to evaluate the clinical efficacy and the associated toxicities of these novel treatment strategies.

摘要

背景

癌症免疫疗法基于宿主免疫系统能够产生针对肿瘤细胞的免疫反应这一原理。目前黑色素瘤患者可用的治疗方法受限于低反应率。干扰素-α已被批准用于III期黑色素瘤的辅助治疗,可提高生存率。需要新的、更具创新性且疗效更佳的方法。

方法

我们回顾了用于治疗黑色素瘤的免疫疗法的各种新方法和策略。

结果

黑色素瘤免疫疗法包括多种不同策略,如使用全细胞肿瘤、肽、细胞因子介导的树突状细胞、DNA和RNA以及抗体的疫苗。

结论

可采用多种方法增强黑色素瘤患者的免疫反应性。临床前研究和初步临床试验已显示出有前景的结果。目前正在进行更多临床试验以评估这些新型治疗策略的临床疗效及相关毒性。

相似文献

1
Immunotherapy for melanoma.黑色素瘤的免疫疗法。
Cancer Control. 2002 Jan-Feb;9(1):22-30. doi: 10.1177/107327480200900104.
2
Melanoma: is immunotherapy of benefit?黑色素瘤:免疫疗法有益吗?
Adv Surg. 2003;37:139-69.
3
Next generation of immunotherapy for melanoma.黑色素瘤的下一代免疫疗法。
J Clin Oncol. 2008 Jul 10;26(20):3445-55. doi: 10.1200/JCO.2007.14.6423.
4
Vaccines for melanoma.
Dermatol Clin. 2002 Oct;20(4):717-25. doi: 10.1016/s0733-8635(02)00038-4.
5
Immunotherapy for the management of advanced melanoma: the next steps.免疫疗法在晚期黑色素瘤治疗中的应用:下一步。
Am J Clin Dermatol. 2013 Aug;14(4):261-72. doi: 10.1007/s40257-013-0013-0.
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[Vaccination therapy of melanoma].[黑色素瘤的疫苗接种疗法]
J Dtsch Dermatol Ges. 2005 Aug;3(8):630-45. doi: 10.1111/j.1610-0387.2005.05528.x.
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Immunotherapy of malignant melanoma.恶性黑色素瘤的免疫疗法
Surg Clin North Am. 2003 Apr;83(2):343-70. doi: 10.1016/S0039-6109(02)00162-7.
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Dendritic cell immunotherapy for stage IV melanoma.IV期黑色素瘤的树突状细胞免疫疗法。
Melanoma Res. 2007 Oct;17(5):316-22. doi: 10.1097/CMR.0b013e3282c3a73b.
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Immunological characteristics correlating with clinical response to immunotherapy in patients with advanced metastatic melanoma.晚期转移性黑色素瘤患者中与免疫治疗临床反应相关的免疫学特征。
Immunol Cell Biol. 2006 Jun;84(3):295-302. doi: 10.1111/j.1440-1711.2006.01445.x.
10
Melanoma and immunotherapy.黑色素瘤与免疫疗法
Hematol Oncol Clin North Am. 2009 Jun;23(3):547-64, ix-x. doi: 10.1016/j.hoc.2009.03.009.

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Spontaneous regression of tumour and the role of microbial infection--possibilities for cancer treatment.肿瘤的自发消退与微生物感染的作用——癌症治疗的可能性
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A four-marker signature of TNF-RII, TGF-α, TIMP-1 and CRP is prognostic of worse survival in high-risk surgically resected melanoma.TNF-RII、TGF-α、TIMP-1 和 CRP 的四标志物signature 是高风险手术切除黑色素瘤患者预后不良的标志。
J Transl Med. 2014 Jan 23;12:19. doi: 10.1186/1479-5876-12-19.
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Epigenetic regulation of the TRAIL/Apo2L apoptotic pathway by histone deacetylase inhibitors: an attractive approach to bypass melanoma immunotherapy resistance.组蛋白去乙酰化酶抑制剂对TRAIL/Apo2L凋亡途径的表观遗传调控:一种绕过黑色素瘤免疫治疗耐药性的有吸引力的方法。
Am J Clin Exp Immunol. 2013 Feb 27;2(1):55-74. Print 2013.
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Differing patterns of circulating regulatory T cells and myeloid-derived suppressor cells in metastatic melanoma patients receiving anti-CTLA4 antibody and interferon-α or TLR-9 agonist and GM-CSF with peptide vaccination.转移性黑色素瘤患者接受抗 CTLA-4 抗体和干扰素-α或 TLR-9 激动剂及 GM-CSF 与肽疫苗联合治疗时循环调节性 T 细胞和髓源抑制细胞的不同模式。
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Primary retroperitoneal malignant melanoma: A case report.原发性腹膜后恶性黑色素瘤:一例报告。
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