肺癌的免疫监视和免疫编辑:当前的观点和挑战。
Immunosurveillance and Immunoediting of Lung Cancer: Current Perspectives and Challenges.
机构信息
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka 541-8567, Japan.
Genome Analysis Center, Yamanashi Central Hospital, Yamanashi 400-8506, Japan.
出版信息
Int J Mol Sci. 2020 Jan 17;21(2):597. doi: 10.3390/ijms21020597.
The immune system plays a dual role in tumor evolution-it can identify and control nascent tumor cells in a process called immunosurveillance and can promote tumor progression through immunosuppression via various mechanisms. Thus, bilateral host-protective and tumor-promoting actions of immunity are integrated as cancer immunoediting. In this decade, immune checkpoint inhibitors, specifically programmed cell death 1 (PD-1) pathway inhibitors, have changed the treatment paradigm of advanced non-small cell lung cancer (NSCLC). These agents are approved for the treatment of patients with NSCLC and demonstrate impressive clinical activity and durable responses in some patients. However, for many NSCLC patients, the efficacy of immune checkpoint inhibitors is limited. To optimize the full utility of the immune system for eradicating cancer, a broader understanding of cancer immunosurveillance and immunoediting is essential. In this review, we discuss the fundamental knowledge of the phenomena and provide an overview of the next-generation immunotherapies in the pipeline.
免疫系统在肿瘤演化中发挥着双重作用——它可以通过一种称为免疫监视的过程识别和控制新生的肿瘤细胞,也可以通过各种机制通过免疫抑制促进肿瘤进展。因此,免疫的宿主保护性和肿瘤促进性的双向作用被整合为癌症免疫编辑。在过去十年中,免疫检查点抑制剂,特别是程序性细胞死亡 1 (PD-1) 通路抑制剂,改变了晚期非小细胞肺癌 (NSCLC) 的治疗模式。这些药物被批准用于治疗 NSCLC 患者,并在一些患者中显示出令人印象深刻的临床活性和持久反应。然而,对于许多 NSCLC 患者,免疫检查点抑制剂的疗效有限。为了优化免疫系统消除癌症的全部效用,必须更深入地了解癌症免疫监视和免疫编辑。在这篇综述中,我们讨论了这些现象的基本知识,并概述了正在研发中的下一代免疫疗法。