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使肿瘤由冷变热以改善免疫治疗反应。

Turning tumors from cold to inflamed to improve immunotherapy response.

机构信息

Precision Oncology Center, Lausanne University Hospital (CHUV), Switzerland.

Precision Oncology Center, Lausanne University Hospital (CHUV), Switzerland; Ludwig Institute for Cancer Research, University of Lausanne, Lausanne, Switzerland.

出版信息

Cancer Treat Rev. 2021 Dec;101:102227. doi: 10.1016/j.ctrv.2021.102227. Epub 2021 May 19.

Abstract

Immune checkpoint inhibitors have revolutionized the treatment landscape for a number of cancers over the last few decades. Nevertheless, a majority of patients still do not benefit from these treatments. Such patient-specific lack of response can be predicted, in part, from the immune phenotypes present in the tumor microenvironment. We provide a perspective on options to reprogram the tumors and their microenvironment to increase the therapeutic efficacy of immunotherapies and expand their efficacy against cold tumors. Additionally, we review data from current preclinical and clinical trials aimed at testing the different therapeutic options in monotherapy or preferably in combination with checkpoint inhibitors.

摘要

免疫检查点抑制剂在过去几十年中彻底改变了多种癌症的治疗格局。然而,大多数患者仍然不能从这些治疗中获益。这种特定于患者的无反应性在一定程度上可以从肿瘤微环境中存在的免疫表型来预测。我们提供了一种观点,即可以对肿瘤及其微环境进行重新编程,以提高免疫疗法的疗效,并扩大其对冷肿瘤的疗效。此外,我们还回顾了目前旨在测试单一疗法或最好联合检查点抑制剂的不同治疗选择的临床前和临床试验数据。

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