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实体瘤治疗中免疫疗法的新临床进展。

New clinical advances in immunotherapy for the treatment of solid tumours.

作者信息

Zavala Valentina A, Kalergis Alexis M

机构信息

Departamento de Biología Celular y Molecular, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Immunology. 2015 Jun;145(2):182-201. doi: 10.1111/imm.12459. Epub 2015 Mar 30.

Abstract

Advances in understanding the mechanisms of cancer cells for evading the immune system surveillance, including how the immune system modulates the phenotype of tumours, have allowed the development of new therapies that benefit from this complex cellular network to specifically target and destroy cancer cells. Immunotherapy researchers have mainly focused on the discovery of tumour antigens that could confer specificity to immune cells to detect and destroy cancer cells, as well as on the mechanisms leading to an improved activation of effector immune cells. The Food and Drug Administration approval in 2010 of ipilumumab for melanoma treatment and of pembrolizumab in 2014, monoclonal antibodies against T-lymphocyte-associated antigen 4 and programmed cell death 1, respectively, are encouraging examples of how research in this area can successfully translate into clinical use with promising results. Currently, several ongoing clinical trials are in progress testing new anti-cancer therapies based on the enhancement of immune cell activity against tumour antigens. Here we discuss the general concepts related to immunotherapy and the recent application to the treatment of cancer with positive results that support their consideration of clinical application to patients.

摘要

在理解癌细胞逃避免疫系统监视机制方面取得的进展,包括免疫系统如何调节肿瘤表型,使得开发出了能从这个复杂细胞网络中获益以特异性靶向并摧毁癌细胞的新疗法。免疫疗法研究人员主要专注于发现能赋予免疫细胞特异性以检测和摧毁癌细胞的肿瘤抗原,以及导致效应免疫细胞活化增强的机制。美国食品药品监督管理局于2010年批准伊匹木单抗用于治疗黑色素瘤,2014年批准帕博利珠单抗,它们分别是针对T淋巴细胞相关抗原4和程序性细胞死亡蛋白1的单克隆抗体,是该领域研究如何成功转化为临床应用并取得有前景结果的鼓舞人心的例子。目前,几项正在进行的临床试验正在测试基于增强免疫细胞针对肿瘤抗原活性的新型抗癌疗法。在此,我们讨论与免疫疗法相关的一般概念以及其近期在癌症治疗中的应用,这些积极结果支持将其考虑应用于临床患者。

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