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[肺癌中的免疫疗法:新概念]

[Immunotherapy in lung cancer: New concepts].

作者信息

Goubet A-G, Livartowski A, Romano E

机构信息

Centre d'immunothérapie des cancers, Inserm U932, 26, rue d'Ulm, 75005 Paris, France.

Département d'oncologie médicale, institut Curie, 75005 Paris, France.

出版信息

Rev Mal Respir. 2018 Jun;35(6):642-651. doi: 10.1016/j.rmr.2018.03.001. Epub 2018 Jun 23.

Abstract

Improvements in knowledge about the complexity of the tumor microenvironment have paved the way for a revolution in lung cancer treatment with the emergence of immune checkpoint inhibitors. The immune checkpoints negatively regulate immune cells and lead to a dormant state: the immune cells are then unable to interact effectively with their targets. The immune checkpoint inhibitors are monoclonal antibodies that block immune checkpoints and permit reactivation of the immune response against the tumor. Although immune checkpoint inhibitors are effective as monotherapy, several other immune targets exist. The better understanding of the involvement of these new targets in the immune response against tumors is leading to the design of new compounds and new therapeutic approaches.

摘要

随着免疫检查点抑制剂的出现,人们对肿瘤微环境复杂性的认识不断提高,为肺癌治疗带来了一场革命。免疫检查点对免疫细胞起负调节作用,导致免疫细胞处于休眠状态,使其无法有效地与靶标相互作用。免疫检查点抑制剂是一类单克隆抗体,可阻断免疫检查点,使针对肿瘤的免疫反应重新激活。尽管免疫检查点抑制剂作为单一疗法有效,但还存在其他一些免疫靶点。对这些新靶点在抗肿瘤免疫反应中作用的更深入了解,正促使新型化合物和新治疗方法的设计。

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