Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Photochem Photobiol. 2020 Sep;96(5):954-961. doi: 10.1111/php.13300. Epub 2020 Jul 14.
Immune checkpoints including PD-1 and CTLA-4 help to regulate the intensity and timeframe of the immune response. Since they become upregulated in cancer and prevent sufficient antitumor immunity, monoclonal antibodies against these checkpoints have shown clinical promise for a range of cancers. Multimodal treatment plans combining immune checkpoint inhibitors with other therapies, including photodynamic therapy (PDT), may help to expand treatment efficacy and minimize side effects. PDT's cytotoxic effects are spatially limited by the light activation process, constraining PDT direct effects to the treatment field. The production of damage-associated molecular patterns and tumor-associated antigens from PDT can encourage accumulation and maturation of antigen-presenting cells and reprogram the tumor microenvironment to be more susceptible to therapies targeting immune checkpoints.
免疫检查点包括 PD-1 和 CTLA-4,有助于调节免疫反应的强度和时间。由于它们在癌症中上调,从而阻止了充分的抗肿瘤免疫,因此针对这些检查点的单克隆抗体在一系列癌症中显示出了临床应用的前景。将免疫检查点抑制剂与其他疗法(包括光动力疗法(PDT))相结合的多模态治疗方案,可能有助于提高治疗效果并最小化副作用。PDT 的细胞毒性作用受到光激活过程的空间限制,从而将 PDT 的直接作用限制在治疗区域内。PDT 产生的损伤相关分子模式和肿瘤相关抗原可促进抗原呈递细胞的积累和成熟,并重新编程肿瘤微环境,使其更容易受到针对免疫检查点的治疗。