Laboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Department of Pathology, University Hospital of Liege, Liege, Belgium.
Br J Cancer. 2021 Sep;125(7):927-938. doi: 10.1038/s41416-021-01413-x. Epub 2021 Jun 10.
In less than a decade, half a dozen immune checkpoint inhibitors have been approved and are currently revolutionising the treatment of many cancer (sub)types. With the clinical evaluation of novel delivery approaches (e.g. oncolytic viruses, cancer vaccines, natural killer cell-mediated cytotoxicity) and combination therapies (e.g. chemo/radio-immunotherapy) as well as the emergence of novel promising targets (e.g. TIGIT, LAG-3, TIM-3), the 'immunotherapy tsunami' is not about to end anytime soon. However, this enthusiasm in the field is somewhat tempered by both the relatively low percentage (<15%) of patients who display an effective anti-cancer immune response and the inability to accurately identify them. Recently, several existing or acquired features/parameters have been shown to impact the efficacy of immune checkpoint inhibitors. In the present review, we critically discuss current knowledge regarding predictive biomarkers for checkpoint inhibitor-based immunotherapy, highlight the missing/unclear links and emphasise the importance of characterising each neoplasm and its microenvironment in order to better guide the course of treatment.
在不到十年的时间里,已经有六种免疫检查点抑制剂获得批准,目前正在彻底改变许多癌症(亚型)的治疗方法。随着新型递药方法(例如溶瘤病毒、癌症疫苗、自然杀伤细胞介导的细胞毒性)和联合疗法(例如化疗/放射免疫疗法)的临床评估,以及新型有前途的靶点(例如 TIGIT、LAG-3、TIM-3)的出现,“免疫疗法海啸”不会很快结束。然而,由于只有相对较低比例(<15%)的患者表现出有效的抗癌免疫反应,而且无法准确识别这些患者,因此该领域的这种热情有所减弱。最近,已经有几项现有或获得的特征/参数被证明会影响免疫检查点抑制剂的疗效。在本综述中,我们批判性地讨论了基于检查点抑制剂的免疫治疗的预测生物标志物的现有知识,强调了缺失/不清楚的联系,并强调了对每个肿瘤及其微环境进行特征描述的重要性,以便更好地指导治疗过程。
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