Kakimi Kazuhiro, Nakajima Jun, Wada Hiromi
Department of Immunotherapeutics (Medinet), Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113-8655, Japan.
Lung Cancer. 2009 Jul;65(1):1-8. doi: 10.1016/j.lungcan.2008.10.018. Epub 2008 Dec 4.
Lung cancer is an intractable disease urgently requiring more effective treatment approaches. The potential of immunotherapy in this context remains promising, although presently there are no satisfactory protocols available for lung cancer. However, encouraging evidence of clinical benefits from immunotherapy is beginning to accumulate in several lung cancer trials. Better understanding of tumor-specific immune responses, identifying tumor-associated antigens, and manipulating the immunoregulatory environment of the tumor is likely to further increase the efficacy of immune-mediated cancer therapies. Here, we review recent advances in cellular immunotherapy and vaccines for lung cancer, emphasizing an important paradigm shift in the analysis of clinical benefit away from "tumor response" towards "patient response".
肺癌是一种急需更有效治疗方法的难治性疾病。尽管目前尚无令人满意的肺癌治疗方案,但免疫疗法在这方面的潜力依然巨大。然而,免疫疗法临床获益的鼓舞人心的证据已开始在多项肺癌试验中积累。更好地理解肿瘤特异性免疫反应、识别肿瘤相关抗原以及调控肿瘤的免疫调节环境,可能会进一步提高免疫介导的癌症治疗的疗效。在此,我们综述了肺癌细胞免疫疗法和疫苗的最新进展,强调在临床获益分析中从“肿瘤反应”到“患者反应”的重要范式转变。