利用免疫系统对抗癌症:当前的免疫疗法方法和治疗靶点。
Harnessing the immune system against cancer: current immunotherapy approaches and therapeutic targets.
机构信息
Department of Pharmacognosy, Amrita School of Pharmacy, Amrita Vishwa Vidyapeetham, AIMS Health Science Campus, Ponekkara P. O., Kochi, Kerala, 682041, India.
Department of Biochemistry, Sree Narayana College, Kollam, Kerala, 691001, India.
出版信息
Mol Biol Rep. 2021 Dec;48(12):8075-8095. doi: 10.1007/s11033-021-06752-9. Epub 2021 Oct 20.
Cancer immunotherapy is a rapidly evolving concept that has been given the tag "fifth pillar" of cancer therapy while radiation therapy, chemotherapy, surgery and targeted therapy remain the other four pillars. This involves the stimulation of the immune system to control tumor growth and it specifically targets the neoplastic cells rather than the normal cells. Conventional chemotherapy has many limitations which include drug resistance, recurrence of cancer and severe adverse effects. Immunology has made major treatment breakthroughs for several cancers such as colorectal cancer, prostate cancer, breast cancer, lung cancer, liver cancer, kidney cancer, stomach cancer, acute lymphoblastic leukaemia etc. Currently, therapeutic strategies harnessing the immune system involve Checkpoint inhibitors, Chimeric antigen receptor T cells (CAR T cells), Monoclonal antibodies, Cancer vaccines, Cytokines, Radio-immunotherapy and Oncolytic virus therapy. The molecular characterization of several tumor antigens (TA) indicates that these TA can be utilized as promising candidates in cancer immunotherapy strategies. Here in this review, we highlight and summarize the different categories of emerging cancer immunotherapies along with the immunologically recognized tumor antigens involved in the tumor microenvironment.
癌症免疫疗法是一个快速发展的概念,被誉为癌症治疗的“第五大支柱”,而放射疗法、化学疗法、手术和靶向疗法仍然是其他四大支柱。它涉及到免疫系统的刺激,以控制肿瘤的生长,它专门针对肿瘤细胞,而不是正常细胞。传统的化疗有许多局限性,包括耐药性、癌症复发和严重的副作用。免疫学在治疗多种癌症方面取得了重大突破,如结直肠癌、前列腺癌、乳腺癌、肺癌、肝癌、肾癌、胃癌、急性淋巴细胞白血病等。目前,利用免疫系统的治疗策略包括检查点抑制剂、嵌合抗原受体 T 细胞(CAR-T 细胞)、单克隆抗体、癌症疫苗、细胞因子、放射免疫疗法和溶瘤病毒疗法。几种肿瘤抗原(TA)的分子特征表明,这些 TA 可以作为癌症免疫治疗策略的有前途的候选物。在这篇综述中,我们强调并总结了不同类别的新兴癌症免疫疗法,以及肿瘤微环境中涉及的免疫识别肿瘤抗原。
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