Center for Cancer Immune Therapy (CCIT), Department of Hematology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Herlev, Denmark.
Department of Medicine, The Royal Marsden NHS Foundation Trust, London, UK.
Semin Immunopathol. 2019 Jan;41(1):31-40. doi: 10.1007/s00281-018-0692-y. Epub 2018 Jul 2.
In recent times, advances in cancer immunotherapy have yielded impressive, durable clinical responses in patients with varied subtypes of cancer. However, a significant proportion of patients who initially demonstrate encouraging tumor regression develop resistance and progress over time. The identification of novel therapeutic approaches to overcome resistance may result in significantly improved clinical outcomes and remains an area of high scientific priority. This review aims to summarize the current knowledge regarding the role of both tumor-intrinsic and tumor-extrinsic factors in the development of resistance to cancer immunotherapy and to discuss current and possible future therapeutic strategies targeting these mechanisms.
近年来,癌症免疫疗法的进展在各种癌症亚型的患者中产生了令人印象深刻、持久的临床反应。然而,相当一部分最初表现出令人鼓舞的肿瘤消退的患者随着时间的推移会产生耐药性并进展。寻找克服耐药性的新治疗方法可能会显著改善临床结果,这仍然是一个高度重视科学的领域。本综述旨在总结目前关于肿瘤内在和外在因素在癌症免疫治疗耐药性发展中的作用的知识,并讨论针对这些机制的当前和可能的未来治疗策略。