Reyes Sebastián J, González Konstanza B, Rodríguez Constanza, Navarrete-Muñoz Camila, Salazar Andrea P, Villagra Alejandro, Caglevic Christian, Hepp Matías I
Departamento de Ciencias Básicas y Morfología, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.
Dirección Servicio de Salud Concepción, Concepción, Chile.
Rev Med Chil. 2020 Jul;148(7):970-982. doi: 10.4067/S0034-98872020000700970.
Cancer is one of the leading causes of death worldwide. The success rate of conventional anticancer therapeutic approaches such as chemotherapy is limited by the non-specific toxicity and low specificity towards specific tumors, which are highly dependent on the mutational burden present on each patient. Similarly, targeted therapies have proven to induce resistance in numerous malignancies. Therefore, immunotherapy has emerged as a better approach to discriminate between "the own" and "the non-own", which occurs through two types of mechanisms, innate and acquired immunity. Acquired immunity is one of the targets for new immunotherapeutic treatments, unleashing the power of antigen-specific T cells as a potential therapeutic weapon for cancer treatment. Thus, immunotherapy modifies the own immune system to increase the recognition and elimination of cancer cells by identifying these cancer antigens. One of the advantages of immunotherapy, when compared to conventional anticancer approaches, is the generation of long-term immunity (immunological memory). Currently, there are different potential types of immunotherapy in cancer to promote the modulation of the immune response. Among them, the use of cytokines, vaccines, viruses, monoclonal antibodies, and the generation of adaptive immune response cells have achieved successful results in some types of cancer.
癌症是全球主要死因之一。传统抗癌治疗方法如化疗的成功率受到非特异性毒性和对特定肿瘤低特异性的限制,这高度依赖于每个患者的突变负担。同样,靶向治疗已被证明会在多种恶性肿瘤中诱导耐药性。因此,免疫疗法已成为一种更好的区分“自身”和“非自身”的方法,这通过先天免疫和获得性免疫两种机制发生。获得性免疫是新免疫治疗的靶点之一,释放抗原特异性T细胞的力量作为癌症治疗的潜在治疗武器。因此,免疫疗法通过识别这些癌症抗原,改变自身免疫系统以增加对癌细胞的识别和清除。与传统抗癌方法相比,免疫疗法的优势之一是产生长期免疫力(免疫记忆)。目前,癌症中有不同类型的潜在免疫疗法来促进免疫反应的调节。其中,细胞因子、疫苗、病毒、单克隆抗体的使用以及适应性免疫反应细胞的产生在某些类型的癌症中取得了成功。