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癌症的免疫反应:它们是否是预后的潜在生物标志物?

Immune responses to cancer: are they potential biomarkers of prognosis?

机构信息

Department of Pathology, University of Pittsburgh School of Medicine, University of Pittsburgh Cancer Institute Pittsburgh, PA, USA ; Department of Immunology, University of Pittsburgh School of Medicine, University of Pittsburgh Cancer Institute Pittsburgh, PA, USA ; Department of Otolaryngology, University of Pittsburgh School of Medicine, University of Pittsburgh Cancer Institute Pittsburgh, PA, USA.

出版信息

Front Oncol. 2013 May 17;3:107. doi: 10.3389/fonc.2013.00107. eCollection 2013.

Abstract

Recent technical improvements in evaluations of immune cells in situ and immune monitoring of patients with cancer have provided a wealth of new data confirming that immune cells play a key role in human cancer progression. This, in turn, has revived the expectation that immune endpoints might serve as reliable biomarkers of outcome or response to therapy in cancer. The recent successes in linking the T-cell signature in human colorectal carcinoma (CRC) with prognosis have provided a strong motive for searching for additional immune biomarkers that could serve as intermediate endpoints of response to therapy and outcome in human cancers. A number of potentially promising immune biomarkers have emerged, but most remain to be validated. Among them, the B-cell signature, as exemplified by expression of the immunoglobulin G kappa chain (IGKC) in tumor-infiltrating lymphocytes (TIL), has been validated as a biomarker of response to adjuvant therapy and better survival in patients with breast carcinoma and several other types of human solid tumors. Additional immune endpoints are being currently tested as potentially promising biomarkers in cancer. In view of currently growing use of immune cancer therapies, the search for immune biomarkers of prognosis are critically important for identifying patients who would benefit the most from adjuvant immunotherapy.

摘要

最近在评估肿瘤患者体内免疫细胞和免疫监测方面的技术进步提供了大量新数据,证实免疫细胞在人类癌症进展中发挥关键作用。这反过来又重新引发了人们的期望,即免疫终点可能成为癌症治疗反应和预后的可靠生物标志物。最近在将人类结直肠癌(CRC)中的 T 细胞特征与预后相关联方面取得的成功,为寻找更多可作为人类癌症治疗反应和预后的中间终点的潜在有希望的免疫生物标志物提供了强有力的动力。已经出现了许多有潜力的免疫生物标志物,但大多数仍有待验证。其中,B 细胞特征,如肿瘤浸润淋巴细胞(TIL)中免疫球蛋白 G kappa 链(IGKC)的表达,已被验证为乳腺癌和其他几种人类实体瘤患者对辅助治疗反应和更好生存的生物标志物。其他免疫终点目前正在作为有希望的癌症生物标志物进行测试。鉴于目前免疫癌症疗法的使用不断增加,寻找预后的免疫生物标志物对于确定最受益于辅助免疫治疗的患者至关重要。

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