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免疫疗法会成为未来肉瘤治疗管理的手段吗?

Is immunotherapy in the future of therapeutic management of sarcomas?

作者信息

Clemente Ottavia, Ottaiano Alessandro, Di Lorenzo Giuseppe, Bracigliano Alessandra, Lamia Sabrina, Cannella Lucia, Pizzolorusso Antonio, Di Marzo Massimiliano, Santorsola Mariachiara, De Chiara Annarosaria, Fazioli Flavio, Tafuto Salvatore

机构信息

Sarcomas and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS - Fondazione "G. Pascale", 80131, Naples, Italy.

Division of Innovative Therapies, Istituto Nazionale Tumori, IRCCS - Fondazione "G. Pascale", 80131, Naples, Italy.

出版信息

J Transl Med. 2021 Apr 26;19(1):173. doi: 10.1186/s12967-021-02829-y.

Abstract

Sarcomas are rare, ubiquitous and heterogeneous tumors usually treated with surgery, chemotherapy, target therapy, and radiotherapy. However, 25-50% of patients experience local relapses and/or distant metastases after chemotherapy with an overall survival about 12-18 months. Recently, immuno-therapy has revolutionized the cancer treatments with initial indications for non-small cell lung cancer (NSCLC) and melanoma (immune-checkpoint inhibitors).Here, we provide a narrative review on the topic as well as a critical description of the currently available trials on immunotherapy treatments in patients with sarcoma. Given the promising results obtained with anti-PD-1 monoclonal antibodies (pembrolizumab and nivolumab) and CAR-T cells, we strongly believe that these new immunotherapeutic approaches, along with an innovative characterization of tumor genetics, will provide an exciting opportunity to ameliorate the therapeutic management of sarcomas.

摘要

肉瘤是罕见、普遍存在且异质性的肿瘤,通常采用手术、化疗、靶向治疗和放疗进行治疗。然而,25%至50%的患者在化疗后会出现局部复发和/或远处转移,总体生存期约为12至18个月。最近,免疫疗法彻底改变了癌症治疗方式,最初用于非小细胞肺癌(NSCLC)和黑色素瘤(免疫检查点抑制剂)。在此,我们提供关于该主题的叙述性综述以及对目前可用的肉瘤患者免疫治疗试验的批判性描述。鉴于抗PD-1单克隆抗体(帕博利珠单抗和纳武利尤单抗)和嵌合抗原受体T细胞(CAR-T细胞)取得的令人鼓舞的结果,我们坚信这些新的免疫治疗方法,连同肿瘤遗传学的创新性特征,将为改善肉瘤的治疗管理提供令人兴奋的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15a5/8077947/4d04b23c78b0/12967_2021_2829_Fig1_HTML.jpg

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