Budhu Sadna, Wolchok Jedd, Merghoub Taha
Ludwig Collaborative Laboratory, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, United States.
Ludwig Collaborative Laboratory, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, United States; Weill Cornell Medical College, New York, NY 10065, United States.
Curr Opin Genet Dev. 2014 Feb;24:46-51. doi: 10.1016/j.gde.2013.11.008. Epub 2013 Dec 29.
The clinical success and US FDA approval of two immunotherapies (sipuleucel-T and ipilimumab) have brought tumor immunology to the forefront of cancer research. It has been long recognized that the immune system can infiltrate and survey the tumor microenvironment. The field of tumor immunology has been actively examining this phenomenon since the 1890s when William Coley first treated patients with live pathogenic bacteria and observed occasional regressions leading to long term survival. Recent progress in understanding mechanisms of immune activation and tolerance has led to the development of novel therapies that aim to either overcome inhibitory pathways (i.e. checkpoint blockade such as anti-CTLA-4 and anti-PD-1) or stimulate immune cell activation (i.e. co-stimulation such as anti-GITR and anti-OX40). A major part of the success of immunotherapy has been the development of appropriate mouse models. This review will outline the history and the major findings leading to the accomplishments of modern day immunology with specific attention to the usefulness of animal models.
两种免疫疗法(sipuleucel-T和伊匹单抗)在临床取得成功并获得美国食品药品监督管理局(US FDA)批准,使肿瘤免疫学成为癌症研究的前沿领域。人们早就认识到,免疫系统能够浸润并监测肿瘤微环境。自19世纪90年代威廉·科利首次用活的病原菌治疗患者并观察到偶尔出现肿瘤消退并导致长期存活以来,肿瘤免疫学领域一直在积极研究这一现象。最近在理解免疫激活和耐受机制方面取得的进展,促使开发出旨在克服抑制性通路(如抗CTLA-4和抗PD-1等检查点阻断)或刺激免疫细胞激活(如抗GITR和抗OX40等共刺激)的新型疗法。免疫疗法成功的一个主要因素是开发了合适的小鼠模型。本综述将概述现代免疫学取得成就的历史和主要发现,并特别关注动物模型的实用性。