Department of Radiation Oncology, Fudan University Shanghai Cancer Center , Shanghai , China.
Department of Oncology, Shanghai Medical College, Fudan University , Shanghai , China.
Expert Rev Anticancer Ther. 2019 Aug;19(8):731-738. doi: 10.1080/14737140.2019.1654379. Epub 2019 Aug 19.
: The poor prognosis for patients with esophageal cancer (EC) requires evolving current treatment regimens. Immune checkpoint inhibitors show clinical efficacy and a great safety profile in multiple tumors. And the monoclonal antibodies that target programmed death receptor-1/programmed death receptor ligand-1 or the cytotoxic T lymphocyte antigen-4 pathway has shown potential curable effect of EC. : This review article covers the prognostic significance of immune checkpoint expression, the accumulating current clinical studies of checkpoint inhibitors in esophageal cancer patients, and future directions. : Many clinical studies have reported favorable survival results with manageable toxicity of anti-programmed death receptor-1/programmed death receptor ligand-1 and anti-cytotoxic T lymphocyte antigen-4 treatment. More results are expected from future clinical studies. It is believed that combining chemoradiotherapy and immune checkpoint inhibitors can induce safe and efficient anti-tumor immune responses and can be a promising therapeutic strategy.
食管癌(EC)患者的预后较差,需要不断改进当前的治疗方案。免疫检查点抑制剂在多种肿瘤中显示出临床疗效和良好的安全性。针对程序性死亡受体 1/程序性死亡受体配体 1 或细胞毒性 T 淋巴细胞抗原 4 通路的单克隆抗体已显示出对 EC 的潜在治愈作用。
这篇综述文章涵盖了免疫检查点表达的预后意义、在食管癌患者中积累的检查点抑制剂的当前临床研究以及未来的方向。
许多临床研究报告了抗程序性死亡受体 1/程序性死亡受体配体 1 和抗细胞毒性 T 淋巴细胞抗原 4 治疗具有可管理毒性的有利生存结果。未来的临床研究有望取得更多结果。人们相信,联合放化疗和免疫检查点抑制剂可以诱导安全有效的抗肿瘤免疫反应,这可能是一种很有前途的治疗策略。