Lung Cancer Center, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital of Sichuan University, Chengdu, China.
Department of Medical Oncology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Medicine School of University of Electronic Science and Technology, Chengdu, China.
Front Immunol. 2022 Feb 23;13:802846. doi: 10.3389/fimmu.2022.802846. eCollection 2022.
Anti-angiogenesis therapy, a promising strategy against cancer progression, is limited by drug-resistance, which could be attributed to changes within the tumor microenvironment. Studies have increasingly shown that combining anti-angiogenesis drugs with immunotherapy synergistically inhibits tumor growth and progression. Combination of anti-angiogenesis therapy and immunotherapy are well-established therapeutic options among solid tumors, such as non-small cell lung cancer, hepatic cell carcinoma, and renal cell carcinoma. However, this combination has achieved an unsatisfactory effect among some tumors, such as breast cancer, glioblastoma, and pancreatic ductal adenocarcinoma. Therefore, resistance to anti-angiogenesis agents, as well as a lack of biomarkers, remains a challenge. In this review, the current anti-angiogenesis therapies and corresponding drug-resistance, the relationship between tumor microenvironment and immunotherapy, and the latest progress on the combination of both therapeutic modalities are discussed. The aim of this review is to discuss whether the combination of anti-angiogenesis therapy and immunotherapy can exert synergistic antitumor effects, which can provide a basis to exploring new targets and developing more advanced strategies.
抗血管生成治疗是一种有前途的抗癌进展策略,但受到药物耐药性的限制,这可能归因于肿瘤微环境的变化。研究越来越表明,将抗血管生成药物与免疫疗法联合使用可以协同抑制肿瘤生长和进展。抗血管生成治疗和免疫疗法联合已成为实体瘤(如非小细胞肺癌、肝细胞癌和肾细胞癌)的既定治疗选择。然而,这种联合在一些肿瘤(如乳腺癌、胶质母细胞瘤和胰腺导管腺癌)中效果并不理想。因此,抗血管生成药物耐药性以及缺乏生物标志物仍然是一个挑战。在这篇综述中,讨论了当前的抗血管生成治疗方法及其相应的耐药性、肿瘤微环境与免疫疗法的关系,以及这两种治疗方式联合的最新进展。本综述的目的是讨论抗血管生成治疗和免疫疗法的联合是否可以发挥协同抗肿瘤作用,这为探索新的靶点和开发更先进的策略提供了依据。