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免疫疗法在儿科肉瘤中的新趋势。

Emerging trends in immunotherapy for pediatric sarcomas.

机构信息

Preston A. Wells, Jr. Center for Brain Tumor Therapy, University of Florida Brain Tumor Immunotherapy Program, Lillian S. Wells Department of Neurosurgery, McKnight Brain Institute, University of Florida, 1149 South Newell Drive, Gainesville, FL, 32611, USA.

Division of Pediatric Hematology Oncology, Department of Pediatrics, University of Florida, PO Box 100298, Gainesville, FL, 32610, USA.

出版信息

J Hematol Oncol. 2019 Jul 16;12(1):78. doi: 10.1186/s13045-019-0756-z.

Abstract

While promising, immunotherapy has yet to be fully unlocked for the preponderance of cancers where conventional chemoradiation reigns. This remains particularly evident in pediatric sarcomas where standard of care has not appreciably changed in decades. Importantly, pediatric bone sarcomas, like osteosarcoma and Ewing's sarcoma, possess unique tumor microenvironments driven by distinct molecular features, as do rhabdomyosarcomas and soft tissue sarcomas. A better understanding of each malignancy's biology, heterogeneity, and tumor microenvironment may lend new insights toward immunotherapeutic targets in novel platform technologies for cancer vaccines and adoptive cellular therapy. These advances may pave the way toward new treatments requisite for pediatric sarcomas and patients in need of new therapies.

摘要

虽然免疫疗法前景广阔,但在常规放化疗占据主导地位的大多数癌症中,这种疗法尚未被充分发掘。在儿科肉瘤中,这种情况尤为明显,几十年来,其治疗标准几乎没有明显变化。重要的是,儿科骨肉瘤(如骨肉瘤和尤文肉瘤)和横纹肌肉瘤及软组织肉瘤具有独特的肿瘤微环境,其由不同的分子特征驱动。更好地了解每种恶性肿瘤的生物学、异质性和肿瘤微环境,可能有助于为癌症疫苗和过继细胞疗法的新型平台技术中的免疫治疗靶点提供新的见解。这些进展可能为儿科肉瘤和需要新疗法的患者开辟新的治疗途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f55/6636007/6d5508152150/13045_2019_756_Fig1_HTML.jpg

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