Marra Antonio, Scognamiglio Giosuè, Peluso Ilaria, Botti Gerardo, Fusciello Celeste, Filippelli Amelia, Ascierto Paolo A, Pepe Stefano, Sabbatino Francesco
Department of Medical Oncology, San Gerardo Hospital, via G. B. Pergolesi, 20052 Monza, Italy.
Pathology Unit, Istituto Nazionale per lo Studio e la Cura dei Tumori "Fondazione G. Pascale", via M. Semmola, 80131 Naples, Italy.
Open AIDS J. 2017 Nov 14;11:91-100. doi: 10.2174/1874613601711010091. eCollection 2017.
Immunotherapy with immune checkpoint inhibitors increases the overall survival of patients with metastatic melanoma regardless of their oncogene addicted mutations. However, no data is available from clinical trials of effective therapies in subgroups of melanoma patients that carry chronic infective diseases such as HIV. Evidences suggest a key role of the immune checkpoint molecules as a mechanism of immune escape not only from melanoma but also from HIV host immune response.
In this article, firstly, we will describe the role of the immune checkpoint molecules in HIV chronic infection. Secondly, we will summarize the most relevant clinical evidences utilizing immune checkpoint inhibitors for the treatment of melanoma patients. Lastly, we will discuss the potential implications as well as the potential applications of immune checkpoint molecule-based immunotherapy in patients with melanoma and HIV infection.
使用免疫检查点抑制剂进行免疫治疗可提高转移性黑色素瘤患者的总体生存率,无论其是否存在致癌基因成瘾性突变。然而,在携带慢性感染性疾病(如HIV)的黑色素瘤患者亚组中,尚无有效治疗方法的临床试验数据。有证据表明,免疫检查点分子不仅在黑色素瘤的免疫逃逸机制中起关键作用,而且在HIV宿主免疫反应的免疫逃逸机制中也起关键作用。
在本文中,首先,我们将描述免疫检查点分子在HIV慢性感染中的作用。其次,我们将总结使用免疫检查点抑制剂治疗黑色素瘤患者的最相关临床证据。最后,我们将讨论基于免疫检查点分子的免疫疗法在黑色素瘤和HIV感染患者中的潜在影响及潜在应用。