Department of Immunobiology, Yale University School of Medicine, New Haven
Department of Medicine, Division of Oncology, Stanford University School of Medicine, Stanford, USA.
Ann Oncol. 2016 Jul;27(7):1190-8. doi: 10.1093/annonc/mdw041. Epub 2016 Feb 23.
The recent success of checkpoint blockers to treat cancer has demonstrated that the immune system is a critical player in the war against cancer. Historically, anticancer therapeutics have been tested in syngeneic mouse models (with a fully murine immune system) or in immunodeficient mice that allow the engraftment of human xenografts. Animal models with functioning human immune systems are critically needed to more accurately recapitulate the complexity of the human tumor microenvironment. Such models are integral to better predict tumor responses to both immunomodulatory agents and directly antineoplastic therapies. In this regard, the development of humanized models is a promising, novel strategy that offers the possibility of testing checkpoint blockers' capacity and their combination with other antitumor drugs. In this review, we discuss the strengths and weaknesses of the available animal models regarding their capacity to evaluate checkpoint blockers and checkpoint blocker-based combination immunotherapy.
近年来,检查点抑制剂在癌症治疗方面的成功,证明了免疫系统是对抗癌症的关键因素。从历史上看,抗癌疗法在同基因小鼠模型(具有完全的鼠类免疫系统)或免疫缺陷小鼠中进行测试,这些小鼠允许人源异种移植物的植入。需要具有功能正常的人类免疫系统的动物模型,以更准确地再现人类肿瘤微环境的复杂性。此类模型对于更好地预测免疫调节剂和直接抗肿瘤疗法对肿瘤的反应至关重要。在这方面,人源化模型的发展是一种很有前途的新策略,它为测试检查点抑制剂及其与其他抗肿瘤药物联合应用的能力提供了可能。在这篇综述中,我们讨论了现有动物模型在评估检查点抑制剂和基于检查点抑制剂的联合免疫治疗方面的优缺点。