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免疫检查点阻断在癌症中的未来前景:从反应预测到克服耐药性。

Future prospects of immune checkpoint blockade in cancer: from response prediction to overcoming resistance.

机构信息

Laboratory of Immune Regulation, Research Institute of Pharmaceutical Sciences, College of Pharmacy, Seoul National University, Seoul, 08826, Republic of Korea.

BK21 Plus program, College of Pharmacy, Seoul National University, Seoul, 08826, Republic of Korea.

出版信息

Exp Mol Med. 2018 Aug 22;50(8):1-13. doi: 10.1038/s12276-018-0130-1.

Abstract

Recent advances in the understating of tumor immunology suggest that cancer immunotherapy is an effective treatment against various types of cancer. In particular, the remarkable successes of immune checkpoint-blocking antibodies in clinical settings have encouraged researchers to focus on developing other various immunologic strategies to combat cancer. However, such immunotherapies still face difficulties in controlling malignancy in many patients due to the heterogeneity of both tumors and individual patients. Here, we discuss how tumor-intrinsic cues, tumor environmental metabolites, and host-derived immune cells might impact the efficacy and resistance often seen during immune checkpoint blockade treatment. Furthermore, we introduce biomarkers identified from human and mouse models that predict clinical benefits for immune checkpoint blockers in cancer.

摘要

近年来,肿瘤免疫学的研究进展表明,癌症免疫疗法是一种针对各种类型癌症的有效治疗方法。特别是,免疫检查点阻断抗体在临床实践中的显著成功鼓励研究人员专注于开发其他各种免疫策略来对抗癌症。然而,由于肿瘤和个体患者的异质性,这些免疫疗法在许多患者中仍然难以控制恶性肿瘤。在这里,我们讨论了肿瘤内在线索、肿瘤环境代谢物和宿主来源的免疫细胞如何影响免疫检查点阻断治疗中经常出现的疗效和耐药性。此外,我们介绍了从人类和小鼠模型中鉴定的预测免疫检查点抑制剂在癌症中的临床获益的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f726/6105674/f8fdb5d51f71/12276_2018_130_Fig1_HTML.jpg

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