Lee Jii Bum, Kim Hye Ryun, Ha Sang-Jun
Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Department of Biochemistry, College of Life Science & Biotechnology, Yonsei University, Seoul, Korea.
Immune Netw. 2022 Feb 14;22(1):e2. doi: 10.4110/in.2022.22.e2. eCollection 2022 Feb.
Targeting immune evasion via immune checkpoint pathways has changed the treatment paradigm in cancer. Since CTLA-4 antibody was first approved in 2011 for treatment of metastatic melanoma, eight immune checkpoint inhibitors (ICIs) centered on PD-1 pathway blockade are approved and currently administered to treat 18 different types of cancers. The first part of the review focuses on the history of CTLA-4 and PD-1 discovery and the preclinical experiments that demonstrated the possibility of anti-CTLA-4 and anti-PD-1 as anti-cancer therapeutics. The approval process of clinical trials and clinical utility of ICIs are described, specifically focusing on non-small cell lung cancer (NSCLC), in which immunotherapies are most actively applied. Additionally, this review covers the combination therapy and novel ICIs currently under investigation in NSCLC. Although ICIs are now key pivotal cancer therapy option in clinical settings, they show inconsistent therapeutic efficacy and limited responsiveness. Thus, newly proposed action mechanism to overcome the limitations of ICIs in a near future are also discussed.
通过免疫检查点途径靶向免疫逃逸改变了癌症的治疗模式。自2011年CTLA-4抗体首次获批用于治疗转移性黑色素瘤以来,以PD-1途径阻断为中心的8种免疫检查点抑制剂(ICI)已获批,目前用于治疗18种不同类型的癌症。本综述的第一部分重点介绍CTLA-4和PD-1的发现历史以及证明抗CTLA-4和抗PD-1作为抗癌疗法可能性的临床前实验。描述了ICI的临床试验批准过程和临床应用,特别关注免疫疗法应用最为积极的非小细胞肺癌(NSCLC)。此外,本综述还涵盖了目前正在NSCLC中研究的联合疗法和新型ICI。尽管ICI现在是临床环境中关键的癌症治疗选择,但它们的治疗效果不一致且反应性有限。因此,还讨论了在不久的将来克服ICI局限性的新提出的作用机制。
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