Marabelle Aurélien, Gray Juliet
Institut d' Hématologie et d'Oncologie Pédiatrique, Centre de Lutte contre le Cancer Léon Bérard, Lyon, France.
Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Villejuif, France.
Pediatr Blood Cancer. 2015 Aug;62(8):1317-25. doi: 10.1002/pbc.25508. Epub 2015 Mar 21.
Monoclonal antibodies (mAbs) have inaugurated the concepts of tumor-targeted therapy and personalized medicine. A new family of mAbs is currently emerging in the clinic, which target immune cells rather than cancer cells. These immune-targeted therapies have recently demonstrated long-term tumor responses in adults with refractory/relapsing metastatic solid tumors. Pediatric cancers are different from their adult counterparts in terms of histological features and immune infiltrates. However, the same immune checkpoint targets can be expressed within the microenvironment of pediatric tumors. The benefits of immune checkpoint blockade in pediatric cancers are currently under evaluation in early phase clinical trials.
单克隆抗体(mAb)开创了肿瘤靶向治疗和个性化医疗的概念。目前,一类针对免疫细胞而非癌细胞的新型单克隆抗体正在临床中崭露头角。这些免疫靶向疗法最近已在患有难治性/复发性转移性实体瘤的成人患者中显示出长期的肿瘤应答。小儿癌症在组织学特征和免疫浸润方面与成人癌症有所不同。然而,相同的免疫检查点靶点可在小儿肿瘤的微环境中表达。免疫检查点阻断在小儿癌症中的益处目前正在早期临床试验中进行评估。