Department of Surgery, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Graduate Programs in Immunology and Tumor Biology, University of Michigan, Ann Arbor, MI, USA.
Adv Exp Med Biol. 2017;1036:51-64. doi: 10.1007/978-3-319-67577-0_4.
The field of tumor immunology and immunotherapy has undergone a renaissance in the past decade do in large part to a better understanding of the tumor immune microenvironment. After suffering countless successes and setbacks in the twentieth century, immunotherapy has now come to the forefront of cancer research and is recognized as an important tool in the anti-tumor armamentarium. The goal of therapy is to aid the immune system in recognition and destruction of tumor cells by enhancing its ability to react to tumor antigens. This traditionally has been accomplished by induction of adaptive immunity through vaccination or through passive delivery of immunologic effectors as in the case of adoptive cell transfer. The recent discovery of immune "checkpoints" whose purpose is to suppress immune activity and prevent auto-immunity has created a new angle by which reactivity to tumors can be enhanced. Blockers of these checkpoints have yielded impressive clinical results and have recently been approved for use in a wide variety of malignancies. With data showing increasing rates of not only treatment response, but complete remissions, immunotherapy is poised to become an increasingly utilized therapy in the treatment of cancer.
在过去的十年中,肿瘤免疫学和免疫疗法领域发生了复兴,这在很大程度上要归功于人们对肿瘤免疫微环境的更好理解。在经历了 20 世纪无数的成功和挫折之后,免疫疗法现在已经成为癌症研究的前沿领域,并被认为是抗肿瘤武器库中的重要工具。治疗的目的是通过增强免疫系统对肿瘤抗原的反应能力,帮助免疫系统识别和破坏肿瘤细胞。这传统上是通过接种疫苗来诱导适应性免疫,或者通过被动输送免疫效应物来实现,如过继细胞转移。最近发现的免疫“检查点”的目的是抑制免疫活性并防止自身免疫,这为增强对肿瘤的反应提供了一个新的角度。这些检查点的抑制剂已经产生了令人印象深刻的临床结果,并最近被批准用于广泛的恶性肿瘤。随着数据显示不仅治疗反应率,而且完全缓解率的增加,免疫疗法有望成为癌症治疗中越来越多被利用的疗法。