Integrative Oncology Department, BC Cancer, Vancouver, BC V5Z 1L3, Canada.
Immunophotonics Inc., St. Louis, MO 63110-1110, USA.
Cells. 2021 Feb 25;10(3):492. doi: 10.3390/cells10030492.
Ablation therapies have emerged as an effective tool for destroying cancerous tissue, but for advanced and disseminated tumors their application remains mainly a palliative measure. However, it is becoming increasingly clear that this limitation can be redressed by the use of intratumoral immune stimulating agents for amplifying potential antitumor immune responses that are induced by ablation therapies. A novel immune stimulating drug IP-001, a specific variant of the N-dihydrogalactochitosan (GC) family of molecules, has shown to be effective against metastatic tumors, when combined with different forms tumor ablation. It acts as a multi-function immune stimulant both by directly inhibiting cell membrane repair and recycling of ablation-damaged tumor cells, and indirectly by sequestering ablation-released tumor antigens, as well as recruiting and stimulating antigen presenting cells to induce a potent Th1 type T cell response against the cancer. In this review, we briefly discuss the current applications of local ablation for cancer treatment and the effects of GC in combination with other ablation therapies, a therapeutic approach that is pioneering the field of Interventional Immuno-Oncology (IIO).
消融疗法已成为破坏癌组织的有效工具,但对于晚期和播散性肿瘤,其应用主要仍是姑息性措施。然而,越来越明显的是,通过使用肿瘤内免疫刺激剂来放大消融疗法诱导的潜在抗肿瘤免疫反应,可以弥补这一局限性。一种新型免疫刺激药物 IP-001 是 N-二氢半乳糖壳聚糖 (GC) 家族分子的特定变体,当与不同形式的肿瘤消融联合使用时,已被证明对转移性肿瘤有效。它通过直接抑制细胞膜修复和消融损伤的肿瘤细胞的循环,以及间接隔离消融释放的肿瘤抗原,以及招募和刺激抗原提呈细胞来诱导针对癌症的强烈 Th1 型 T 细胞反应,从而发挥多功能免疫刺激作用。在这篇综述中,我们简要讨论了局部消融治疗癌症的当前应用以及 GC 与其他消融疗法联合应用的效果,这种治疗方法开创了介入免疫肿瘤学 (IIO) 的领域。