Goel Gaurav, Sun Weijing
Division of Hematology-Oncology, Department of Medicine, University of Pittsburgh Cancer Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15232, USA.
Chin J Cancer. 2014 Sep;33(9):445-57. doi: 10.5732/cjc.014.10123.
Considerable progress has been made in the field of cancer immunotherapy in recent years. This has been made possible in large part by the identification of new immune-based cellular targets and the development of novel approaches aimed at stimulating the immune system. The role played by the immunosuppressive microenvironment in the development of tumors has been established. The success of checkpoint-inhibiting antibodies and cancer vaccines has marked the beginning of a new era in cancer treatment. This review highlights the clinically relevant principles of cancer immunology and various immunotherapeutic approaches that have either already entered mainstream oncologic practice or are currently in the process of being evaluated in clinical trials. Furthermore, the current barriers to the development of effective immunotherapies and the potential strategies of overcoming them are also discussed.
近年来,癌症免疫治疗领域取得了长足进展。这在很大程度上得益于新的基于免疫的细胞靶点的发现以及旨在刺激免疫系统的新方法的开发。免疫抑制微环境在肿瘤发生发展中的作用已得到证实。检查点抑制抗体和癌症疫苗的成功标志着癌症治疗新时代的开端。本综述重点介绍了癌症免疫学的临床相关原理以及已进入主流肿瘤学实践或目前正在临床试验中评估的各种免疫治疗方法。此外,还讨论了有效免疫治疗发展的当前障碍以及克服这些障碍的潜在策略。