肝细胞癌的临床免疫学和免疫治疗:当前进展和挑战。

Clinical immunology and immunotherapy for hepatocellular carcinoma: current progress and challenges.

机构信息

Treatment and Research Center for Infectious Diseases, The Fifth Medical Center of PLA General Hospital, 100 Western 4th Ring Road, Beijing, 100039, China.

出版信息

Hepatol Int. 2019 Sep;13(5):521-533. doi: 10.1007/s12072-019-09967-y. Epub 2019 Jul 27.

Abstract

At the time of hepatocellular carcinoma (HCC) diagnosis, patients are most often at an advanced stage; however, the current treatment regimens remain unsatisfactory. Thus, novel and more powerful therapeutic approaches for advanced HCC are urgently required. Exacerbation of immunotolerant signals and/or escaping immunosurveillance leads to the development of HCC, which appears to be a rational reason to use immunotherapy to restore anticancer immunity. Several novel immunotherapeutic methods, including the use of immune checkpoint inhibitors, new types of immune cell adoption [e.g., chimeric antigen receptor T cell (CAR-T), TCR gene-modified T cells and stem cells], and microRNAs have been used in clinical trials for the treatment of HCC. However, some crucial issues remain to be addressed for such novel immunotherapy techniques. Finally, immunotherapy is now standing on the threshold of great advances in the fight against HCC.

摘要

在肝细胞癌 (HCC) 诊断时,患者通常处于晚期;然而,目前的治疗方案仍然不尽如人意。因此,迫切需要针对晚期 HCC 的新型、更有效的治疗方法。免疫耐受信号的加剧和/或免疫逃避导致 HCC 的发展,这似乎是使用免疫疗法恢复抗癌免疫的合理理由。几种新型免疫治疗方法,包括使用免疫检查点抑制剂、新型免疫细胞采用(例如嵌合抗原受体 T 细胞 (CAR-T)、TCR 基因修饰 T 细胞和干细胞)和 microRNAs,已在 HCC 的临床试验中使用。然而,对于这些新型免疫治疗技术,仍有一些关键问题需要解决。最后,免疫疗法现在正站在抗击 HCC 取得重大进展的门槛上。

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