Ernst Brenda, Anderson Karen S
Department of Medical Oncology, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Curr Oncol Rep. 2015 Feb;17(2):5. doi: 10.1007/s11912-014-0426-9.
Decades of research are now leading to therapeutics that target the molecular mechanisms of the cancer-specific immune response. These therapeutics include tumor antigen vaccines, dendritic cell activators, adjuvants that activate innate immunity, adoptive cellular therapy, and checkpoint blockade. The advances in targeted immunotherapy have led to clinical advances in the treatment of solid tumors such as melanoma, prostate cancer, lung cancer, and hematologic malignancies. Preclinical and translational studies suggest that patients with breast cancer may also benefit from augmenting effective immune responses. These results have led to early-phase clinical trials of tumor antigen vaccines, adjuvants, and combinations of checkpoint inhibitor blockade to boost breast cancer-specific immunity in patients. This review focuses on the current and emerging development of cancer immunotherapy for breast cancer.
数十年来的研究正在催生针对癌症特异性免疫反应分子机制的疗法。这些疗法包括肿瘤抗原疫苗、树突状细胞激活剂、激活先天免疫的佐剂、过继性细胞疗法和检查点阻断。靶向免疫疗法的进展已在黑色素瘤、前列腺癌、肺癌等实体瘤以及血液系统恶性肿瘤的治疗中取得了临床进展。临床前和转化研究表明,乳腺癌患者也可能从增强有效的免疫反应中获益。这些结果已促使开展肿瘤抗原疫苗、佐剂以及检查点抑制剂联合阻断的早期临床试验,以增强乳腺癌患者的特异性免疫。本综述聚焦于乳腺癌癌症免疫疗法的当前及新进展。