Division of Pulmonary, Allergy & Critical Care Medicine, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Clin Chest Med. 2011 Dec;32(4):865-85. doi: 10.1016/j.ccm.2011.08.006. Epub 2011 Oct 7.
Both advanced-stage lung cancer and malignant pleural mesothelioma are associated with a poor prognosis. Advances in treatment regimens for both diseases have had only a modest effect on their progressive course. Gene therapy for thoracic malignancies represents a novel therapeutic approach and has been evaluated in several clinical trials. Strategies have included induction of apoptosis, tumor suppressor gene replacement, suicide gene expression, cytokine-based therapy, various vaccination approaches, and adoptive transfer of modified immune cells. This review considers the clinical results, limitations, and future directions of gene therapy trials for thoracic malignancies.
晚期肺癌和恶性胸膜间皮瘤均预后不良。两种疾病的治疗方案的进步仅对其进展过程产生了适度的影响。胸恶性肿瘤的基因治疗代表了一种新的治疗方法,并已在几项临床试验中进行了评估。策略包括诱导细胞凋亡、肿瘤抑制基因替代、自杀基因表达、细胞因子为基础的治疗、各种疫苗接种方法以及修饰免疫细胞的过继转移。本文回顾了胸恶性肿瘤基因治疗试验的临床结果、局限性和未来方向。