The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, the New Territories, Hong Kong, China.
School of Biomedical Sciences, The Chinese University of Hong Kong, Shatin, the New Territories, Hong Kong, China.
Int J Mol Sci. 2016 Feb 25;17(3):286. doi: 10.3390/ijms17030286.
Lung cancer is ranked first worldwide as one of the main cancers in terms of prevalence and mortality rate. The development of effective treatment strategies against lung cancer is therefore of paramount importance. Traditionally, chemotherapy was employed in the treatment of various cancers. However, the non-specific nature of the actions of chemotherapeutic drugs and the potential for tumors to develop resistance to these drugs may render chemotherapy a less favorable option for cancer treatment. Immunotherapy provides an alternative strategy for this purpose. It involves the utilization of the immune system and the immune effector cells to elicit an immune response to the tumors, thereby eliminating them. Strategies include the administration of pro-inflammatory cytokines for immune stimulation, the removal of immunological checkpoints using monoclonal antibodies, and the use of cancer vaccines to enhance immunity against tumors. This article summarizes the above strategies, highlights the reasons why immunotherapy is superior to chemotherapy for the purpose of tumor removal, and reviews the recent clinical studies comparing the clinical outcomes of patients undergoing immunotherapy and chemotherapy. The article also describes advances in immunotherapeutic strategies for the treatment of lung cancer.
肺癌在全球范围内的发病率和死亡率均位居主要癌症之首。因此,开发针对肺癌的有效治疗策略至关重要。传统上,化疗被用于治疗各种癌症。然而,化疗药物作用的非特异性以及肿瘤对这些药物产生耐药性的可能性,使得化疗成为癌症治疗的一个不太理想的选择。免疫疗法为此提供了一种替代策略。它涉及利用免疫系统和免疫效应细胞来引发针对肿瘤的免疫反应,从而消除肿瘤。策略包括使用促炎细胞因子进行免疫刺激、使用单克隆抗体去除免疫检查点,以及使用癌症疫苗来增强对肿瘤的免疫力。本文总结了上述策略,强调了免疫疗法在肿瘤清除方面优于化疗的原因,并回顾了比较接受免疫疗法和化疗的患者临床结果的最近临床研究。文章还描述了肺癌免疫治疗策略的进展。