Flecken T, Schmidt N, Spangenberg H C, Thimme R
Abteilung Innere Medizin II, Universitätsklinikum Freiburg.
Z Gastroenterol. 2012 Jan;50(1):47-56. doi: 10.1055/s-0031-1282002. Epub 2012 Jan 5.
Hepatocellular carcinoma (HCC) is the fifth most common malignancy worldwide with an increasing incidence. The clinical outcome is influenced by the underlying liver cirrhosis, the size of the tumour at the time of diagnosis and the few therapeutic options currently available. In recent years there has been a lot of progress in the understanding of HCC immunobiology. This review summarizes our current knowledge of HCC biology, the role of chronic inflammation in carcinogenesis and the role of tumour-specific immune responses. Furthermore, we will present potentially new, immune-based therapies that might open up new avenues for the treatment of HCC.
肝细胞癌(HCC)是全球第五大常见恶性肿瘤,其发病率呈上升趋势。临床结果受潜在肝硬化、诊断时肿瘤大小以及目前可用的有限治疗选择的影响。近年来,在对HCC免疫生物学的理解方面取得了很大进展。本综述总结了我们目前对HCC生物学、慢性炎症在致癌作用中的作用以及肿瘤特异性免疫反应的作用的认识。此外,我们将介绍可能为HCC治疗开辟新途径的潜在新型免疫疗法。