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免疫检查点抑制剂与卵巢癌

Immune Checkpoint Blockers and Ovarian Cancer.

作者信息

Bose Chinmoy K

机构信息

Department of Gynaecological Oncology and Clinical Trial, Netaji Subhas Chandra Bose Cancer Research Institute, Kolkata, West Bengal, India.

出版信息

Indian J Med Paediatr Oncol. 2017 Apr-Jun;38(2):182-189. doi: 10.4103/ijmpo.ijmpo_73_16.

Abstract

Although the idea, called "cancer immunotherapy," is very appealing and has previously been shown to work in several mouse models of cancer, it has in general been very difficult to translate cancer immunotherapy approaches to humans. Because of this frustration, by the 1990s, many scientists and biotechnology companies had given up on the idea of cancer immunotherapy. After few years, first detection T-cell suppression of effect of cytotoxic T-lymphocyte antigen-4 (CTLA4) molecule was established. Antibody (Ab) to CTLA4 could increase T-cell starting a completely new age of tumor immunology. Immune checkpoints are new ways in manipulation of immunological control over malignant tumors. It has lent an important measure to manage, especially recurrent and refractory cancers and those cancer where there is an unmet need like recurrent melanoma, renal cell carcinoma, and recurrent ovarian cancer. As a new development, this subject is experiencing rapid progress, and multiple avenues are opening up. Although there are many hurdles to overcome this needs constant updating, especially for students of ovarian cancer who are looking at it with much hope.

摘要

尽管“癌症免疫疗法”这一理念非常有吸引力,并且此前已在多种癌症小鼠模型中得到证实有效,但总体而言,将癌症免疫疗法应用于人类一直非常困难。由于这种挫败感,到20世纪90年代,许多科学家和生物技术公司都放弃了癌症免疫疗法的想法。几年后,首次发现细胞毒性T淋巴细胞抗原4(CTLA4)分子具有T细胞抑制作用。针对CTLA4的抗体(Ab)可以增加T细胞,开启了肿瘤免疫学的全新时代。免疫检查点是操纵对恶性肿瘤免疫控制的新方法。它为治疗,尤其是复发性和难治性癌症以及那些存在未满足需求的癌症,如复发性黑色素瘤、肾细胞癌和复发性卵巢癌,提供了一项重要手段。作为一项新进展,该领域正在迅速发展,多条途径正在开辟。尽管有许多障碍需要克服,但这需要不断更新,尤其是对于满怀希望关注它的卵巢癌患者来说。

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