Department of Oncology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
J Exp Clin Cancer Res. 2019 Sep 9;38(1):396. doi: 10.1186/s13046-019-1396-4.
Hepatocellular carcinoma (HCC) ranks the most common primary liver malignancy and the third leading cause of tumor-related mortality worldwide. Unfortunately, despite advances in HCC treatment, less than 40% of HCC patients are eligible for potentially curative therapies. Recently, cancer immunotherapy has emerged as one of the most promising approaches for cancer treatment. It has been proven therapeutically effective in many types of solid tumors, such as non-small cell lung cancer and melanoma. As an inflammation-associated tumor, it's well-evidenced that the immunosuppressive microenvironment of HCC can promote immune tolerance and evasion by various mechanisms. Triggering more vigorous HCC-specific immune response represents a novel strategy for its management. Pre-clinical and clinical investigations have revealed that various immunotherapies might extend current options for needed HCC treatment. In this review, we provide the recent progress on HCC immunology from both basic and clinical perspectives, and discuss potential advances and challenges of immunotherapy in HCC.
肝细胞癌 (HCC) 是最常见的原发性肝脏恶性肿瘤,也是全球肿瘤相关死亡的第三大主要原因。不幸的是,尽管 HCC 的治疗取得了进展,但只有不到 40%的 HCC 患者有资格接受潜在的根治性治疗。最近,癌症免疫疗法已成为癌症治疗最有前途的方法之一。它已被证明在许多类型的实体肿瘤中具有治疗效果,如非小细胞肺癌和黑色素瘤。作为一种与炎症相关的肿瘤,已有充分证据表明 HCC 的免疫抑制微环境可以通过多种机制促进免疫耐受和逃逸。触发更强烈的 HCC 特异性免疫反应代表了一种管理它的新策略。临床前和临床研究表明,各种免疫疗法可能为 HCC 的治疗提供更多的选择。在这篇综述中,我们从基础和临床角度提供了 HCC 免疫学的最新进展,并讨论了 HCC 免疫治疗的潜在进展和挑战。
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