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免疫化疗能否缓解癌细胞对免疫检查点抑制剂的耐药性?

Can Immunogenic Chemotherapies Relieve Cancer Cell Resistance to Immune Checkpoint Inhibitors?

机构信息

INSERM, U1231, Dijon, France.

Faculté de Médecine, Université de Bourgogne Franche Comté, Dijon, France.

出版信息

Front Immunol. 2019 May 29;10:1181. doi: 10.3389/fimmu.2019.01181. eCollection 2019.

Abstract

The unprecedented clinical activity of checkpoint blockade in several types of cancers has formally demonstrated that anti-tumor immune responses are crucial in cancer therapy. Durable responses seen in patients treated with immune checkpoint inhibitors (ICI) show that they can trigger the establishment of long-lasting immunologic memory. This beneficial outcome is however achieved for a limited number of patients. In addition, late relapses are emerging suggesting the development of acquired resistances that compromise the anticancer efficacy of ICI. How can this be prevented through combination therapies? We here review the functions of immune checkpoints, the successes of ICI in treating cancer and their therapeutic limits. We discuss how conventional cancer therapies can be properly selected to set up combinatorial approaches with ICI leading to treatment improvement. We finally summarize clinical data showing the ongoing progress in cancer treatment involving ICI and chemotherapy combination strategies.

摘要

在几种类型的癌症中,检查点阻断的空前临床活性正式证明了抗肿瘤免疫反应在癌症治疗中至关重要。接受免疫检查点抑制剂 (ICI) 治疗的患者出现的持久反应表明,ICI 可以触发长期免疫记忆的建立。然而,这种有益的结果仅在少数患者中实现。此外,晚期复发表明获得性耐药的出现,从而削弱了 ICI 的抗癌疗效。通过联合治疗可以预防这种情况吗?在这里,我们回顾了免疫检查点的功能、ICI 在治疗癌症方面的成功及其治疗限制。我们讨论了如何正确选择常规癌症疗法,以与 ICI 建立联合治疗方法,从而提高治疗效果。最后,我们总结了临床数据,这些数据显示了涉及 ICI 和化疗联合策略的癌症治疗的持续进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ba/6548803/66005666d604/fimmu-10-01181-g0001.jpg

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