Department of Urology, Chonnam National University Medical School, Gwangju, Korea.
Investig Clin Urol. 2017 Jul;58(4):220-227. doi: 10.4111/icu.2017.58.4.220. Epub 2017 Jun 20.
Despite the rapid development of therapeutic modalities for metastatic renal cell carcinoma (mRCC) over the past decade to include a number of targeted antiangiogenic therapies and traditional immunotherapy, such as high-dose interleukin-2 and interferon-α, mRCC continues to be associated with poor prognosis. Currently, several novel immunotherapy agents, such as cancer vaccines, adoptive cell therapy, and checkpoint inhibitors, such as programmed cell death-1 (PD-1 present on T cells), one of its ligands (PD-L1 present on antigen-presenting cells and tumor cells), and cytotoxic T-lymphocyte-associated protein-4 pathways, are being studied in mRCC and are showing promise as important steps in the management of this disease. This review summarizes the current landscape of standard and emerging immune therapeutics and other modalities for mRCC.
尽管过去十年间转移性肾细胞癌(mRCC)的治疗方法发展迅速,包括多种靶向抗血管生成疗法和传统免疫疗法,如大剂量白细胞介素-2 和干扰素-α,但 mRCC 仍然预后不良。目前,正在研究几种新型免疫疗法药物,如癌症疫苗、过继细胞疗法以及检查点抑制剂,如 T 细胞上的程序性细胞死亡受体-1(PD-1)、抗原呈递细胞和肿瘤细胞上的其配体之一(PD-L1)以及细胞毒性 T 淋巴细胞相关蛋白-4 途径,这些药物在 mRCC 中的应用前景广阔,是该疾病治疗的重要步骤。本文综述了 mRCC 标准和新兴免疫治疗药物及其他治疗方法的现状。