Sun Xuan, Suo Jian, Yan Jun
Xuan Sun, Jian Suo, Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, Jilin Province, China.
World J Gastroenterol. 2016 Jul 28;22(28):6362-72. doi: 10.3748/wjg.v22.i28.6362.
Human colorectal cancer (CRC) is the third most commonly diagnosed malignancies and the prognosis for patients with recurrent or metastatic disease is extremely poor. Although new chemotherapeutic regimen improves survival rates, therapy with better efficacy and less adverse effects is drastically needed. Immunotherapy has been investigated in human CRC for decades with limited success. However, recent developments of immunotherapy, particularly immune checkpoint inhibitor therapy, have achieved promising clinical benefits in many types of cancer and revived the hope for utilizing such therapy in human CRC. In this review, we will discuss important immunological landscape within the CRC microenvironment and introduce immunoscore system to better describe immunophenotyping in CRC. We will also discuss different immunotherapeutic approaches currently utilized in different phases of clinical trials. Some of those completed or ongoing trials are summarized. Finally, we provide a brief prospective on the future human CRC immunotherapy.
人类结直肠癌(CRC)是第三大最常被诊断出的恶性肿瘤,复发或转移性疾病患者的预后极差。尽管新的化疗方案提高了生存率,但迫切需要疗效更好且副作用更小的治疗方法。免疫疗法在人类CRC中已研究了数十年,成效有限。然而,免疫疗法的最新进展,尤其是免疫检查点抑制剂疗法,在许多类型的癌症中取得了有前景的临床益处,并重新燃起了在人类CRC中应用此类疗法的希望。在这篇综述中,我们将讨论CRC微环境内重要的免疫格局,并引入免疫评分系统以更好地描述CRC中的免疫表型。我们还将讨论目前在不同临床试验阶段使用的不同免疫治疗方法。总结了一些已完成或正在进行的试验。最后,我们对未来人类CRC免疫治疗进行简要展望。