Boland Patrick M, Ma Wen Wee
Roswell Park Cancer Institute, Department of Medicine, Elm and Carlton St, Buffalo, NY 14263, USA.
Mayo Clinic, Division of Medical Oncology, 200 First St. SW, Rochester, MN 55905, USA.
Cancers (Basel). 2017 May 11;9(5):50. doi: 10.3390/cancers9050050.
The recent success of anti-PD1 drugs in metastatic colorectal cancer patients with mismatch repair deficiency generated overwhelming enthusiasm for immunotherapy in the disease. However, patients with mismatch repair deficient colorectal cancer represent only a small subset of the metastatic population. Current research focuses on advancing immunotherapy to earlier stages of the disease including adjuvant and first-line metastatic settings, and on inducing sensitivity to immune checkpoint inhibitor therapy through a combinatorial approach. Here, we review the contemporary understanding of the immune and molecular landscape in colorectal cancer and discuss ongoing clinical trials evaluating novel combination regimens based on immune checkpoint inhibitors.
抗PD1药物在错配修复缺陷的转移性结直肠癌患者中近期取得的成功,引发了人们对该疾病免疫疗法的极大热情。然而,错配修复缺陷的结直肠癌患者仅占转移性人群的一小部分。当前的研究重点是将免疫疗法推进到疾病的早期阶段,包括辅助治疗和一线转移性治疗,以及通过联合方法诱导对免疫检查点抑制剂疗法的敏感性。在此,我们综述了对结直肠癌免疫和分子格局的当代认识,并讨论了正在进行的评估基于免疫检查点抑制剂的新型联合方案的临床试验。