Department of Medicine, Division of Hematology & Oncology, Cardinal Bernardin Cancer Center, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Expert Rev Anticancer Ther. 2013 Jan;13(1):43-53. doi: 10.1586/era.12.153.
Ovarian cancer is one of the most frequent gynecological malignancies. However, as there is no effective screening method to detect early disease, it is usually only diagnosed when already widespread in the abdomen. The majority of patients diagnosed with advanced-stage disease will relapse and require additional therapy. In the search for additional effective treatments for the management of recurrent disease, researchers have focused on the potential usefulness of immunotherapeutic modulation by administering autologous immune cells, such as dendritic cells (DCs), to stimulate antitumor host responses. With the ultimate goal of improved survival, this review addresses mechanisms in ovarian cancer that may limit the expansion of antitumor immunity, discusses the parameters to be considered for optimal DC immunotherapy, outlines evaluation methodology used to monitor the success of treatment regimens and reviews reported DC immunotherapy trials in ovarian cancer.
卵巢癌是最常见的妇科恶性肿瘤之一。然而,由于目前尚无有效的筛查方法来检测早期疾病,因此通常只有在疾病已经广泛扩散到腹部时才能诊断出来。大多数被诊断为晚期疾病的患者会复发,并需要额外的治疗。为了寻找治疗复发性疾病的额外有效治疗方法,研究人员专注于通过给予自体免疫细胞(如树突状细胞(DCs))来调节免疫治疗的潜在用途,以刺激抗肿瘤的宿主反应。本综述旨在提高生存,讨论了卵巢癌中可能限制抗肿瘤免疫扩展的机制,讨论了最佳 DC 免疫治疗中要考虑的参数,概述了用于监测治疗方案成功的评估方法,并回顾了卵巢癌的报道的 DC 免疫治疗试验。