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癌症免疫疗法

Immune therapy for cancer.

作者信息

Dougan Michael, Dranoff Glenn

机构信息

Department of Medical Oncology and Cancer Vaccine Center, Dana-Farber Cancer Institute and Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.

出版信息

Annu Rev Immunol. 2009;27:83-117. doi: 10.1146/annurev.immunol.021908.132544.

Abstract

Over the past decade, immune therapy has become a standard treatment for a variety of cancers. Monoclonal antibodies, immune adjuvants, and vaccines against oncogenic viruses are now well-established cancer therapies. Immune modulation is a principal element of supportive care for many high-dose chemotherapy regimens. In addition, immune activation is now appreciated as central to the therapeutic mechanism of bone marrow transplantation for hematologic malignancies. Advances in our understanding of the molecular interactions between tumors and the immune system have led to many novel investigational therapies and continue to inform efforts for devising more potent therapeutics. Novel approaches to immune-based cancer treatment strive to augment antitumor immune responses by expanding tumor-reactive T cells, providing exogenous immune-activating stimuli, and antagonizing regulatory pathways that induce immune tolerance. The future of immune therapy for cancer is likely to combine many of these approaches to generate more effective treatments.

摘要

在过去十年中,免疫疗法已成为多种癌症的标准治疗方法。单克隆抗体、免疫佐剂以及针对致癌病毒的疫苗如今已成为成熟的癌症治疗手段。免疫调节是许多高剂量化疗方案支持性治疗的主要要素。此外,免疫激活如今被认为是血液系统恶性肿瘤骨髓移植治疗机制的核心。我们对肿瘤与免疫系统之间分子相互作用的理解取得了进展,这带来了许多新型研究性疗法,并继续为设计更有效的治疗方法提供依据。基于免疫的癌症治疗新方法致力于通过扩增肿瘤反应性T细胞、提供外源性免疫激活刺激以及拮抗诱导免疫耐受的调节途径来增强抗肿瘤免疫反应。癌症免疫疗法的未来可能会结合许多这些方法以产生更有效的治疗方案。

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