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监测检查点抑制剂:免疫治疗中的预测生物标志物。

Monitoring checkpoint inhibitors: predictive biomarkers in immunotherapy.

机构信息

ShangHai Cell Therapy Group Co., Ltd., Shanghai, 201805, China.

出版信息

Front Med. 2019 Feb;13(1):32-44. doi: 10.1007/s11684-018-0678-0. Epub 2019 Jan 24.

Abstract

Immunotherapy has become the fourth cancer therapy after surgery, chemotherapy, and radiotherapy. In particular, immune checkpoint inhibitors are proved to be unprecedentedly in increasing the overall survival rates of patients with refractory cancers, such as advanced melanoma, non-small cell lung cancer, and renal cell carcinoma. However, inhibitor therapies are only effective in a small proportion of patients with problems, such as side effects and high costs. Therefore, doctors urgently need reliable predictive biomarkers for checkpoint inhibitor therapies to choose the optimal therapies. Here, we review the biomarkers that can serve as potential predictors of the outcomes of immune checkpoint inhibitor treatment, including tumor-specific profiles and tumor microenvironment evaluation and other factors.

摘要

免疫疗法已成为继手术、化疗和放疗之后的第四大癌症疗法。特别是免疫检查点抑制剂被证明能前所未有地提高晚期黑色素瘤、非小细胞肺癌和肾细胞癌等难治性癌症患者的总生存率。然而,抑制剂疗法仅对一小部分患者有效,存在副作用和高成本等问题。因此,医生迫切需要可靠的免疫检查点抑制剂治疗的预测性生物标志物,以选择最佳治疗方法。在这里,我们回顾了可作为免疫检查点抑制剂治疗结果潜在预测因子的生物标志物,包括肿瘤特异性特征和肿瘤微环境评估等因素。

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