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免疫检查点抑制剂治疗恶性淋巴瘤。

Immune Checkpoint Inhibitors to Treat Malignant Lymphomas.

机构信息

Department of Experimental Hematology, Medical University of Lodz, Lodz, Poland.

出版信息

J Immunol Res. 2018 Apr 11;2018:1982423. doi: 10.1155/2018/1982423. eCollection 2018.

Abstract

Genetic and/or epigenetic changes provide antigen-derived diversity in neoplastic cells. Beside, these cells do not initiate immune response of host organisms. A variety of factors are responsible for the resistant to treatment, including individual variations in patients and somatic cell genetic differences in tumors, even those from the same tissue of origin. Immune system is controlled by several controlling mechanisms. Recently, a significant progress in hematologic treatment has been made; however, majority of diseases still remain incurable. Immunotherapy with checkpoint inhibitors has emerged as promising modality of antitumor treatment, showing marked response to several antigens, including cytotoxic T lymphocyte-associate protein-4 (CTLA-4) or programmed cell death 1 receptor (PD-1). In this review, we demonstrate actual knowledge on immune checkpoint function and its impact on development of new modality of antineoplastic treatment, using, for example, anti-CTLA-4 or PD-1/PD1 ligand (PD-L1) monoclonal antibodies in malignant lymphomas.

摘要

遗传和/或表观遗传变化为肿瘤细胞提供了抗原衍生的多样性。此外,这些细胞不会引发宿主生物体的免疫反应。多种因素导致治疗耐药,包括患者个体差异和肿瘤体细胞遗传差异,即使是来自同一组织来源的肿瘤。免疫系统受多种控制机制的控制。最近,血液学治疗取得了重大进展;然而,大多数疾病仍然无法治愈。免疫检查点抑制剂的免疫疗法已成为抗肿瘤治疗的一种有前途的方法,对包括细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4)或程序性细胞死亡 1 受体(PD-1)在内的多种抗原显示出明显的反应。在本文中,我们展示了关于免疫检查点功能及其对开发新的抗肿瘤治疗方法的影响的现有知识,例如使用抗 CTLA-4 或 PD-1/PD1 配体(PD-L1)单克隆抗体治疗恶性淋巴瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b9c/5925139/f39e99dfeb93/JIR2018-1982423.001.jpg

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