Chauhan Shilpa Raghuvanshi, Bharadwaj Mausumi
Division of Molecular Genetics and Biochemistry, National Institute of Cancer Prevention and Research (NICPR-ICMR), Noida, India.
Division of Molecular Genetics and Biochemistry, National Institute of Cancer Prevention and Research (NICPR-ICMR), Noida, India.
Curr Probl Cancer. 2018 Mar-Apr;42(2):175-188. doi: 10.1016/j.currproblcancer.2018.04.001. Epub 2018 Apr 22.
The World Health Organization estimates more than 270,000 deaths annually by cervical cancer. Present vaccines are prophylactic in nature which cannot treat huge bulk of cervical cancer patients worldwide. Available therapies like radiotherapy, chemotherapy, or surgery are not effective in high-grade lesion, and hence, there is an unmet medical need for an effective form of therapy. T cells play a significant role in cervical cancer pathogenesis as human papilloma virus uses multiple mechanisms that dodge host T-cell immune-surveillance aiding in persistence of infection and establishment of cancer. Therefore, T-cell-based immunotherapy is gaining momentum since it is more specific and is entitled with broader therapeutic potential. This review outlines various ongoing research and trials in field of T-cell immunotherapy for treating cervical cancer using different fundamental strategies. It is becoming an important pharmacological tool and therapeutic option against cervical disease, as more and more studies are extending from preclinical studies to human trials.
世界卫生组织估计,每年有超过27万例宫颈癌死亡病例。目前的疫苗本质上是预防性的,无法治疗全球大量的宫颈癌患者。现有的治疗方法,如放疗、化疗或手术,对高级别病变无效,因此,对于有效的治疗形式存在未满足的医疗需求。T细胞在宫颈癌发病机制中起着重要作用,因为人乳头瘤病毒利用多种机制逃避宿主T细胞免疫监视,从而有助于感染的持续存在和癌症的发生。因此,基于T细胞的免疫疗法正获得越来越多的关注,因为它更具特异性,具有更广泛的治疗潜力。这篇综述概述了在T细胞免疫疗法领域中,使用不同基本策略治疗宫颈癌的各种正在进行的研究和试验。随着越来越多的研究从临床前研究扩展到人体试验,它正成为对抗宫颈疾病的一种重要的药理学工具和治疗选择。