Toronto Sarcoma Program, Princess Margaret Cancer Centre and Mount Sinai Hospital, Toronto, ON.
Curr Oncol. 2020 Feb;27(Suppl 1):17-23. doi: 10.3747/co.27.5407. Epub 2020 Feb 1.
Soft-tissue sarcoma (sts) is a rare mesenchymal malignancy that accounts for less than 1% of all adult tumours. Despite the successful advancement of localized therapies such as surgery and radiotherapy, these tumours can, for many, recur-often with metastatic disease. In the advanced setting, the role of systemic therapies is modest and is associated with poor survival. With the discovery of immunotherapies in other tumour types such as melanoma and lung cancer, interest has been renewed in exploring immunotherapy in sts. The biology of some stss makes them ripe for immunotherapy intervention; for example, some stss might have chromosomal translocations resulting in pathognomonic fusion products that have been shown to express cancer/testis antigens. Here, we present a targeted review of the published data and ongoing clinical trials for immunotherapies in patients with sarcoma, which comprise immune checkpoint inhibitors, adoptive cell therapies, and cancer vaccines.
软组织肉瘤(STS)是一种罕见的间叶组织恶性肿瘤,占所有成人肿瘤的不到 1%。尽管手术和放疗等局部治疗方法取得了成功,但这些肿瘤对许多人来说仍然会复发,而且常常伴有转移性疾病。在晚期,系统治疗的作用有限,与生存率差有关。随着免疫疗法在黑色素瘤和肺癌等其他肿瘤类型中的发现,人们对探索 STS 中的免疫疗法重新产生了兴趣。一些 STS 的生物学特性使它们适合免疫治疗干预;例如,一些 STS 可能存在染色体易位,导致具有特征性融合产物,这些融合产物已被证明表达癌症/睾丸抗原。在这里,我们对免疫疗法在肉瘤患者中的已发表数据和正在进行的临床试验进行了有针对性的综述,这些免疫疗法包括免疫检查点抑制剂、过继细胞疗法和癌症疫苗。