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免疫疗法治疗皮肤黑色素瘤的当前趋势:综述

Current Trends of Immunotherapy in the Treatment of Cutaneous Melanoma: A Review.

作者信息

Naik Piyu Parth

机构信息

Department of Dermatology, Saudi German Hospitals and Clinics, Dubai, United Arab Emirates.

出版信息

Dermatol Ther (Heidelb). 2021 Oct;11(5):1481-1496. doi: 10.1007/s13555-021-00583-z. Epub 2021 Aug 2.

Abstract

Cutaneous melanoma remains a severe public health threat, with annual incidence increasing slowly but steadily over 4 decades. While early-stage melanomas can typically be treated with complete surgical excision with favorable results, the development of metastatic cancer, which is related to a lower survival rate, is linked to the primary tumor's rising stage and other high-risk features. Even though the first discoveries of an immunological anti-tumor response were published about a century ago, immunotherapy has only been a feasible therapeutic option for cutaneous melanoma in the last 30 years. Nonetheless, for the treatment of various cancers, including metastatic melanoma, the area of cancer immunotherapy has made significant progress in the last decade. As a result, melanoma continues to be the subject of several preclinical and clinical investigations to further understand cancer immunobiology and test different tumor immunotherapies. Immunotherapy's resistance to radiation and cytotoxic chemotherapy is one of its most distinguishing features. Furthermore, the discovery of biomarkers will aid in patient stratification and management during immunotherapy treatment. In this article, we discuss current knowledge and recent developments in immune-mediated therapy of melanoma.

摘要

皮肤黑色素瘤仍然是一个严重的公共卫生威胁,在过去40年里其年发病率虽增长缓慢但持续上升。虽然早期黑色素瘤通常可通过完整手术切除进行治疗且效果良好,但转移性癌症的发生与较低的生存率相关,这与原发性肿瘤分期增加及其他高危特征有关。尽管免疫抗肿瘤反应的首次发现大约在一个世纪前就已发表,但免疫疗法在过去30年才成为皮肤黑色素瘤可行的治疗选择。然而,在过去十年中,癌症免疫疗法领域在包括转移性黑色素瘤在内的各种癌症治疗方面取得了重大进展。因此,黑色素瘤仍是多项临床前和临床研究的对象,以进一步了解癌症免疫生物学并测试不同的肿瘤免疫疗法。免疫疗法对放疗和细胞毒性化疗的抗性是其最显著的特征之一。此外,生物标志物的发现将有助于免疫治疗期间的患者分层和管理。在本文中,我们讨论黑色素瘤免疫介导治疗的当前知识和最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4007/8484371/8f8e0947d82e/13555_2021_583_Fig1_HTML.jpg

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