Liu Jingjing, Zhang Shuang, Li Hui, Cheng Ying
Department of Thoracic Oncology, Jilin Provincial Cancer Hospital, Changchun 130012, China.
Hematological Oncology Laboratory, Jilin Provincial Cancer Hospital, Changchun 130012, China.
Zhongguo Fei Ai Za Zhi. 2014 Jun 20;17(6):474-80. doi: 10.3779/j.issn.1009-3419.2014.06.07.
Small cell lung cancer (SCLC) is complex heterogeneous due to unclear biological characteristics in terms of cell origin, pathogenesis and driver genes etc. Diagnosis and treatment of SCLC has been slowly improved and few breakthroughs have been discovered up to now. Therefore new strategies are urgently needed to improve the efficacy of SCLC treatment. Tumor immunotherapy has potential to restore and trigger the immune system to recognize and eliminate tumor cells, notably it has only minimal adverse impact on normal tissue. Cancer vaccine, adoptive immunotherapy, cytokines and checkpoint inhibitors have now been launched for clinical treatment of SCLC. Ipilimumab is the most promising medicine of immunotherapy. Immunotherapy is expected to bring new vision to the treatment of SCLC. And further researches are needed on such problems affecting efficacy of immunotherapy as the heterogeneity of SCLC, the uncertainty of target for immunotherapy, the immune tolerance, etc.
小细胞肺癌(SCLC)具有复杂性和异质性,其细胞起源、发病机制和驱动基因等生物学特征尚不清楚。SCLC的诊断和治疗进展缓慢,至今鲜有突破。因此,迫切需要新的策略来提高SCLC的治疗效果。肿瘤免疫疗法有潜力恢复并触发免疫系统识别和清除肿瘤细胞,特别是它对正常组织的不良影响极小。癌症疫苗、过继性免疫疗法、细胞因子和检查点抑制剂现已用于SCLC的临床治疗。伊匹单抗是免疫疗法中最有前景的药物。免疫疗法有望为SCLC的治疗带来新的曙光。对于影响免疫疗法疗效的问题,如SCLC的异质性、免疫治疗靶点的不确定性、免疫耐受等,还需要进一步研究。