Unit of Internal Medicine, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Unit of Oncology, Department of Oncology, University Hospital of Modena and Reggio Emilia, Modena, Italy.
Dig Liver Dis. 2019 Aug;51(8):1067-1073. doi: 10.1016/j.dld.2019.05.006. Epub 2019 Jun 14.
In the latest years, antineoplastic immunotherapy revolutionised the therapeutic landscape in oncology. First shown to be effective in melanoma and non-small cell lung carcinoma, immune checkpoint inhibitors are now being tested for the treatment of hepatocellular carcinoma (HCC). Preliminary results have been particularly promising. As a consequence, an increasing number of clinical trials are underway. The role of the immune system in carcinogenesis (with particular reference to tumour escape immune mechanisms), as well as the current immunotherapy trials for HCC in its different clinical scenarios, are the subject of this review. In particular, we aim to provide fresh updates about these novel therapeutic agents which promise to shape the future therapeutic scenario of HCC.
近年来,抗肿瘤免疫疗法彻底改变了肿瘤学的治疗格局。免疫检查点抑制剂最初在黑色素瘤和非小细胞肺癌中显示出疗效,目前正在进行治疗肝细胞癌(HCC)的临床试验。初步结果特别有希望。因此,越来越多的临床试验正在进行中。本综述探讨了免疫系统在癌症发生中的作用(特别提到肿瘤逃逸免疫机制),以及当前 HCC 不同临床情况下的免疫治疗试验。具体而言,我们旨在提供有关这些新型治疗药物的最新信息,这些药物有望改变 HCC 的未来治疗前景。