Obara Wataru, Kato Renpei, Kato Yoichiro, Kanehira Mitsugu, Takata Ryo
Department of Urology, Iwate Medical University School of Medicine, Morioka, Japan.
Int J Urol. 2017 Oct;24(10):735-742. doi: 10.1111/iju.13400. Epub 2017 Jun 21.
Cancer immunotherapy for urological tumors had made progress for several decades, but recent advances in immunotherapy, as therapeutic vaccines or immune checkpoint inhibitors, have drastically changed the present treatment strategy. Recently, nivolumab and atezolizumab have been approved by the Food and Drug Administration for treatment of urological cancers. Additional immune checkpoint inhibitors and vaccines are being tested in clinical trials. Despite advances in these therapeutic modalities, benefits are limited to a subset of patients. New agents and novel combinations will also continue to create new immunotherapy strategies. Further development of biomarkers for predicting response is required to achieve optimal efficacy with these therapeutic interventions.
几十年来,用于泌尿系统肿瘤的癌症免疫疗法取得了进展,但近年来免疫疗法如治疗性疫苗或免疫检查点抑制剂的进展,极大地改变了当前的治疗策略。最近,纳武单抗和阿特珠单抗已获美国食品药品监督管理局批准用于治疗泌尿系统癌症。其他免疫检查点抑制剂和疫苗正在临床试验中进行测试。尽管这些治疗方式取得了进展,但益处仅限于一部分患者。新的药物和新颖的联合用药也将继续创造新的免疫治疗策略。为了通过这些治疗干预实现最佳疗效,需要进一步开发预测反应的生物标志物。