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人乳头瘤病毒引起的癌症的免疫治疗新进展。

Recent developments in immunotherapy of cancers caused by human papillomaviruses.

机构信息

Targeted Tumor Vaccines, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Registered at Faculty of Biosciences, Heidelberg University, Heidelberg, Germany.

出版信息

Immunology. 2021 May;163(1):33-45. doi: 10.1111/imm.13285. Epub 2020 Dec 6.

Abstract

A subset of oncogenic human papillomaviruses (HPVs) is the main cause of genital cancers, most importantly cervical cancer and an increasing number of head and neck cancers. Despite the availability of prophylactic vaccines against the most prevalent oncogenic HPV types, HPV-induced malignancies are still a major health and economic burden. Besides conventional treatment with surgery, chemotherapy and radiation, immunotherapy is emerging as an efficient adjuvant option. Here, we review relevant studies and ongoing clinical trials using immune checkpoint inhibitors, therapeutic vaccines, gene editing approaches and adoptive T cell therapies, with special focus on engineered TCR T cells, which are showing encouraging results and could lead to significant improvement in the treatment of HPV+-infected cancer patients.

摘要

一组致癌性人乳头瘤病毒(HPV)是生殖器癌症的主要病因,其中最重要的是宫颈癌和越来越多的头颈部癌症。尽管有预防最常见致癌性 HPV 型别的疫苗,但 HPV 引起的恶性肿瘤仍然是一个主要的健康和经济负担。除了手术、化疗和放疗等常规治疗方法外,免疫疗法作为一种有效的辅助治疗方法正在兴起。在这里,我们综述了使用免疫检查点抑制剂、治疗性疫苗、基因编辑方法和过继性 T 细胞疗法的相关研究和正在进行的临床试验,特别关注工程 TCR T 细胞,这些细胞显示出令人鼓舞的结果,并可能导致 HPV 感染癌症患者治疗的显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3127/8044335/efe424de6ec2/IMM-163-33-g001.jpg

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