Tseng William W, Somaiah Neeta, Engleman Edgar G
a Section of Surgical Oncology; Division of Upper GI/General Surgery; Department of Surgery ; University of Southern California; Keck School of Medicine ; Los Angeles , CA USA.
Hum Vaccin Immunother. 2014;10(11):3117-24. doi: 10.4161/21645515.2014.983003.
Soft tissue sarcomas (STS) are rare, heterogeneous tumors of mesenchymal origin. Despite optimal treatment, a large proportion of patients will develop recurrent and metastatic disease. For these patients, current treatment options are quite limited. Significant progress has been made recently in the use of immunotherapy for the treatment of other solid tumors (e.g. prostate cancer, melanoma). There is a strong rationale for immunotherapy in STS, based on an understanding of disease biology. For example, STS frequently have chromosomal translocations which result in unique fusion proteins and specific subtypes have been shown to express cancer testis antigens. In this review, we discuss the current status of immunotherapy in STS, including data from human studies with cancer vaccines, adoptive cell therapy, and immune checkpoint blockade. Further research into STS immunology is needed to help design logical, subtype-specific immunotherapeutic strategies.
软组织肉瘤(STS)是起源于间充质的罕见异质性肿瘤。尽管进行了最佳治疗,仍有很大一部分患者会出现复发和转移性疾病。对于这些患者,目前的治疗选择非常有限。最近在免疫疗法治疗其他实体瘤(如前列腺癌、黑色素瘤)方面取得了重大进展。基于对疾病生物学的理解,STS采用免疫疗法有充分的理论依据。例如,STS经常发生染色体易位,导致独特的融合蛋白,并且已证明特定亚型表达癌胚抗原。在本综述中,我们讨论了STS免疫疗法的现状,包括来自癌症疫苗、过继性细胞疗法和免疫检查点阻断的人体研究数据。需要对STS免疫学进行进一步研究,以帮助设计合理的、亚型特异性的免疫治疗策略。