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十年后的免疫检查点抑制剂:基础研究与临床应用在癌症免疫治疗中的贡献

Immune Checkpoint Inhibitors in 10 Years: Contribution of Basic Research and Clinical Application in Cancer Immunotherapy.

作者信息

Lee Jii Bum, Kim Hye Ryun, Ha Sang-Jun

机构信息

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.

出版信息

Immune Netw. 2022 Feb 14;22(1):e2. doi: 10.4110/in.2022.22.e2. eCollection 2022 Feb.


DOI:10.4110/in.2022.22.e2
PMID:35291660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8901707/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/8901707/7e5e1136e465/in-22-e2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/8901707/53a5feec0d42/in-22-e2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/8901707/7e5e1136e465/in-22-e2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/8901707/53a5feec0d42/in-22-e2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07c/8901707/7e5e1136e465/in-22-e2-g002.jpg

相似文献

[1]
Immune Checkpoint Inhibitors in 10 Years: Contribution of Basic Research and Clinical Application in Cancer Immunotherapy.

Immune Netw. 2022-2-14

[2]
Current status of clinical trial research and application of immune checkpoint inhibitors for non-small cell lung cancer.

Front Oncol. 2023-9-1

[3]
The Next Immune-Checkpoint Inhibitors: PD-1/PD-L1 Blockade in Melanoma.

Clin Ther. 2015-4-1

[4]
PD-1/PD-L1 Blockade Therapy in Advanced Non-Small-Cell Lung Cancer: Current Status and Future Directions.

Oncologist. 2019-2

[5]
First-Line Immune-Checkpoint Inhibitors in Non-Small Cell Lung Cancer: Current Landscape and Future Progress.

Front Pharmacol. 2020-10-7

[6]
Immune Checkpoint Inhibitors (ICIs) in Non-Small Cell Lung Cancer (NSCLC).

J UOEH. 2018

[7]
Immune Checkpoint Inhibitors in Cancer Therapy.

Curr Oncol. 2022-4-24

[8]
Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China.

Front Oncol. 2021-11-25

[9]
The evolutionary legacy of immune checkpoint inhibitors.

Semin Cancer Biol. 2022-11

[10]
New insight in endocrine-related adverse events associated to immune checkpoint blockade.

Best Pract Res Clin Endocrinol Metab. 2019-12-11

引用本文的文献

[1]
Treatment of refractory non-small cell lung cancer with combined infusion of modified CIK cells and PD1 antibody: safety and efficacy.

Clin Exp Med. 2025-8-2

[2]
Immune evasion in cancer: mechanisms and cutting-edge therapeutic approaches.

Signal Transduct Target Ther. 2025-7-31

[3]
Immune Checkpoint Molecules in Hodgkin Lymphoma and Other Hematological Malignancies.

Cancers (Basel). 2025-7-10

[4]
Emerging Concepts in Immuno-Oncology: Insights from Natural Language Processing-Driven Co-Occurrence Analysis.

ACS Omega. 2025-6-27

[5]
Transcriptomic profiling of PBMCs from mammary tumor dogs reveals two distinct immune states.

Am J Cancer Res. 2025-6-15

[6]
Immune checkpoint inhibition perturbs neuro-immune homeostasis and impairs cognitive function.

J Exp Clin Cancer Res. 2025-7-2

[7]
Mathematical Modeling and Association Analysis Decipher the Impact of the Gut Microbiome on Cancer Immunotherapy.

Cancer Res. 2025-8-15

[8]
Clinical characteristics, outcomes, and predictive modeling of patients diagnosed with immune checkpoint inhibitor therapy-related pneumonitis.

Cancer Immunol Immunother. 2025-5-9

[9]
Combinational therapeutic strategies to overcome resistance to immune checkpoint inhibitors.

Front Immunol. 2025-4-24

[10]
Immune checkpoint blocking in cancer therapy using thermosensitive hydrogels: a review.

Naunyn Schmiedebergs Arch Pharmacol. 2025-5-2

本文引用的文献

[1]
Tertiary lymphoid structures in cancer.

Science. 2022-1-7

[2]
Differential Role of PD-1 Expressed by Various Immune and Tumor Cells in the Tumor Immune Microenvironment: Expression, Function, Therapeutic Efficacy, and Resistance to Cancer Immunotherapy.

Front Cell Dev Biol. 2021-11-22

[3]
: Discovery Science Driving Clinical Breakthroughs.

Clin Cancer Res. 2021-11-1

[4]
A reservoir of stem-like CD8 T cells in the tumor-draining lymph node preserves the ongoing antitumor immune response.

Sci Immunol. 2021-10

[5]
Antigen dominance hierarchies shape TCF1 progenitor CD8 T cell phenotypes in tumors.

Cell. 2021-9-16

[6]
Conventional type I dendritic cells maintain a reservoir of proliferative tumor-antigen specific TCF-1 CD8 T cells in tumor-draining lymph nodes.

Immunity. 2021-10-12

[7]
Functional HPV-specific PD-1 stem-like CD8 T cells in head and neck cancer.

Nature. 2021-9

[8]
CD8 T cell differentiation and dysfunction in cancer.

Nat Rev Immunol. 2022-4

[9]
Advances in Immunotherapy and Implications for Current Practice in Non-Small-Cell Lung Cancer.

JCO Oncol Pract. 2021-11

[10]
Adjuvant Nivolumab versus Placebo in Muscle-Invasive Urothelial Carcinoma.

N Engl J Med. 2021-6-3

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