Department of Medicine, Division of Hematology and Oncology, Lombardi Comprehensive Cancer Center, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC, 20007, USA.
Department of Medicine, Division of Hematology and Oncology, Lombardi Comprehensive Cancer Center, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC, 20007, USA.
Clin Liver Dis. 2020 Nov;24(4):739-753. doi: 10.1016/j.cld.2020.07.007. Epub 2020 Sep 2.
Hepatocellular carcinoma is a highly prevalent and lethal cancer that many therapeutics are being tested for this disease. It has the potential to be a highly immune-responsive tumor given its inflammatory origins. The first immunotherapies were anti-programmed death-1 monotherapies, which improved response rates and survival. Novel immunotherapy combinations and immunotherapy show promise in frontline treatment. The novel antibody therapy combination of atezolizumab and bevacizumab may be practice changing. Although these landmark studies seem to offer new treatment options, the role of immunotherapy in the liver transplant setting is uncertain until the safety of this approach is defined.
肝细胞癌是一种高发且致命的癌症,目前正在对此类疾病进行许多治疗方法的测试。鉴于其炎症起源,它有可能成为一种高度免疫应答的肿瘤。最初的免疫疗法是抗程序性死亡 1 单疗法,这提高了反应率和生存率。新型免疫疗法联合免疫疗法在一线治疗中显示出前景。阿替利珠单抗和贝伐珠单抗的新型抗体疗法组合可能会改变实践。尽管这些具有里程碑意义的研究似乎提供了新的治疗选择,但在确定这种方法的安全性之前,免疫疗法在肝移植环境中的作用尚不确定。